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Parity Track in California

kantor & kantor, llp can assist you with your behavioral health needs

Parity Track is a tool that will monitor progress in achieving quality behavioral health care in every state. Kantor & Kantor, LLP has experience with parity track as well as other insurance matters.

We have been practicing attorneys for almost 30 years. In 2004, we established our now well-known law firm, Kantor & Kantor that specializes in plaintiff ERISA and bad faith, life, health, disability and other insurance cases. The vast majority of my cases involve representing insureds who have been denied coverage for treatment for an eating disorder. Over the last 10 years, much of our work has been fighting for the rights of patients who are denied treatment on the basis of denials that violate the Federal Parity Law. Our firm currently represents over 250 clients who are suffering from eating disorders and other mental illnesses, and have been denied treatment.

In 2006, Thompkins v. BC Life Ins. Co., 414 F.Supp.2d 953 (C.D. Cal. 2006) was the first published district court decision in California in which a client was denied benefits for inpatient treatment of Bulimia Nervosa. The court applied the California Mental Health Parity Law and found that the insurer had violated parity by denying our client’s treatment. The insurer paid the benefits it should have paid.

In 2012, the United States Court of Appeals for the 9th Circuit ruled in favor of our client, Janine Harlick in Harlick v Blue Shield of California, 686 F. 3d 699 (9th Cir. 2012), holding that the California’s Mental Health Parity Act must provide coverage of all medically necessary treatment for the nine enumerated “severe mental illnesses” under the same financial terms as those applied to physical illnesses. This decision was the first of its kind in the country and has paved the way for other mental health parity rulings. That same year, in Burton v Blue Shield of California Life & Health Ins. Co., 2012 WL 242842 (C.D.Cal.), the United States District Court for the Central District of California ruled in favor of our client, deciding that California’s Mental Health Parity Act mandates that Blue Shield of California must provide benefits for residential treatment of Ms. Burton’s major depressive and panic disorder. The Burton court relied on Harlick, pointing out the impossibility separating treatment for severe underlying mental illnesses from treatment for alcohol dependency.

On June 10, 2014, in Rea v. Blue Shield of California, 226 Cal. App. 4th 1209 (2014), the California Court of Appeal ruled in favor of our client, reversing the trial court and holding that the California Mental Health Parity Act required Blue Shield to provide all medically necessary treatment for people suffering from severe mental illnesses, including anorexia and bulimia. Blue Shield sought review of the ruling by the California Supreme Court, but the request was denied. As a result, both the federal and state courts have taken consistent positions regarding the interpretation of the Mental Health Parity Act.

We are staunch advocates for those suffering from eating disorders and other mental illnesses because we believe that with the right treatment, these are illness from which a person can fully recover. We believe that insurance companies should be forced to honor their contractual obligations with their insureds by recognizing what the medical community has already recognized; that mental illnesses are serious, debilitating conditions that deserve the same treatment as physical ailments. Through the work we have done, we have seen firsthand that recovery is possible. Our biggest reward has been to watch many of our former clients go on to lead full, happy and healthy lives after receiving the treatment to which they were entitled.

Contact our firm today and speak with an attorney you can trust. 

What Sets Us Apart?

  • Free Case Consultations Provided
  • 160+ Years' Collective Experience
  • Thousands Of Cases Successfully Handled
  • You Don't Pay Us Unless We Recover Your Claim
  • Selected For Inclusion In The List Of Super Lawyers®

Client Testimonials

  • the arguments you made on our behalf at the mediation resulted in a more positive outcome for our case than we could have otherwise expected.

    “We appreciate that you found merit in our case, and that you were both willing and able to be present at the mediation. We believe that the arguments you made in our favor to the mediator were able to influence the outcome towards resolution that we could feel satisfied with. In the end, we believe that your counsel, your support, and the arguments you made on our behalf at the mediation resulted in a more positive outcome for our case than we could have otherwise expected. Throughout you were always professional, but direct and clearly firm on our position. We thank you for your efforts to resolve our dispute to our satisfaction, and wish you continued success.”

    Mara T.

  • We will never forget the good you have done and may you continue to earn gold stars.

    “More than your skilled expertise, uncompromising professionalism and breadth of experience, we have been immensely impressed with the sincerity, generosity and integrity with which you conducted our affairs, acted on our behalf and guided us through the sometimes confusing process. Throughout, we developed a great respect for all of you and it is our wish that both collectively and individually, you experience continued professional success and personal gratification in all that you pursue. We will never forget the good you have done and may you continue to earn gold stars.”

    Lalida C.

  • Your compassion for me and my situation is very much appreciated.

    “My thanks to you for pursuing my case with vigor. I don't know much about how these legal things are handled, but I could tell by your communications with me, making sure I was always informed, that you were on top of it all. Also, you were ALWAYS available to me to answer questions, and your compassion for me and my situation is very much appreciated. I have had limited exposure to the legal system and attorneys, but I have never been able to just call and talk to them, as I could with you. I always had to speak with someone in the office that couldn't really answer my questions.”

    D.B.

  • The light at the end of the tunnel was masked, but we found it!

    “I'm sending my heartfelt wishes to you and your team for a wonderful holiday. We celebrate Christmas this year with a lighter heart than past years - knowing how you made a difference for us and for so many others. The light at the end of the tunnel was masked, but we found it! And so, cheers to you and your incredible team. Have a wonderful and safe new year.”

    J.

  • there are no words that can express the feelings of gratitude and relief I have that you helped us

    “I wanted to thank you again for all of your help. My daughter would not be in treatment without your help. I can never thank you enough, there are no words that can express the feelings of gratitude and relief I have that you helped us, and I believe saved my little girl. Taking her back to Timberline Knolls was very difficult in many ways, I wish UBH could know the damage they have done to her by having her go in and out like this. When she went into Timberline Knolls the first time she was not happy to go exactly, no one wants to go into treatment, but she was open to going in and ready, for the first time, to really look at her issues and work hard to get better. When she had to leave Timberline she expressed that she wished she could have stayed because she felt like she was finally at a place where she was getting better and, though it was hard, she was really opening up and dealing with her issues for the first time, something she has had a hard time doing. I just wanted you to know that she was going down to a really bad place and without you I don't know what would have happened except that she would not be at Timberline Knolls right now getting better and I thought you should know this. With unending gratitude.”

    R.