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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

  • Thank God for Kantor & Kantor.

    “Thank God for Kantor & Kantor and Denise Anderson. I appreciate everything you do!”

    Stephen Schaffer

  • I won the appeal.

    “Hi Glenn- This is a very belated thank you for your generous assistance and advice last summer, when I was appealing UBH's decision for my son. I won the appeal, at least for care at the partial hospitalization level (they wouldn't budge on residential, but the facility was accepting the partial care reimbursement for residential treatment). But the appeal was a great moral victory, and I think it's a great thing to have in the record, just in case he needs to go for treatment again. Thanks again for your generous help, I was very grateful for it. Wishing you a most happy Thanksgiving.”

    Terry S.

  • You've helped to remove a great burden from our lives. It's nice to know there are decent people still in the world.

    “Thank you for your kind efforts. You've helped to remove a great burden from our lives. It's nice to know there are decent people still in the world.”

    B.

  • 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.

  • Your kindness will never be forgotten.

    “Dear Glenn, Several weeks ago, you graciously met with my husband and me and provided us with invaluable advice vis a vis his application for Long Term Disability and the Voluntary Transition Plan offered by his employer. Your calming presence and thoughtful guidance was so gratefully appreciated and we both felt much lighter as we left your office. We are pleased to advise you that David's application for LTD was approved the day after we met with you (sigh of relief)! Had it not been, we knew when were we would go for representation. We both want to thank you for your thoughtfulness and generosity of spirit. Your kindness will never be forgotten. With Warmest Regards, Lori and David C.”

    Lori & David