Six factors
Factors considered in designing the NQTL, including the specific processes, strategies, evidentiary standards, and other factors used — all present, or the analysis does not release.
ParityProof assembles a documentation-complete NQTL comparative analysis — every statutory factor, every content element, the fiduciary certification packet, and the annual refresh calendar — checked against the letter of MHPAEA and the 2024 Final Rule before a specialist releases it.
A self-funded plan's NQTL comparative analysis is only as strong as the documentation behind it. Miss one of the nine required content elements, skip the 'in operation' data, fail to address a single NQTL, or rely on conclusory statements — and the DOL will cite the analysis as insufficient, triggering a determination letter, potential corrective action, and fiduciary liability.
Most plans produce this analysis by hand, from memory, once per plan year. The 2024 Final Rule has not been read end-to-end since it was published. That is exactly where completeness gaps hide.
ParityProof exists to close that gap with a single, exhaustive standard applied identically to every file.
We do not summarize the law and hope. Every analysis is scored against a versioned rule pack tied to the exact text of MHPAEA §2726(a) and the 2024 Final Rule. These are the provisions each analysis is held to.
Factors considered in designing the NQTL, including the specific processes, strategies, evidentiary standards, and other factors used — all present, or the analysis does not release.
Description of the NQTL, identification of the MH/SUD and medical/surgical benefits, comparative analyses, and the specific findings and conclusions — each element gate-checked.
The analysis must cover both the plan's written terms and the actual application of the NQTL, using relevant data on claims, denials, and network adequacy.
The analysis is updated each plan year, with changes in NQTLs, data, or legal requirements documented and re-verified.
A named ERISA plan fiduciary must certify that a qualified service provider prepared the analysis, with the certification included in the deliverable.
The analysis is structured and indexed so that within 10 business days of a DOL request, the plan can produce the complete analysis and supporting documentation.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
Upload the plan document, medical-management policies, and network/reimbursement data. We return a free completeness read: which NQTLs and content elements you already have, and which are missing.
As your authorized clerical agent, we ingest the SPD, plan document, UR criteria, provider network contracts, and claims data. AI identifies every NQTL and maps it to the six factors.
The nine content elements are drafted from your validated data and the MHPAEA rule pack into field-locked templates — no legal opinions, no invented facts.
All NQTLs are identified; each factor is addressed; the 'in operation' data is reconciled; the fiduciary certification is drafted; any failure blocks release.
An ERISA/benefits expert reviews the exception queue and signs the release. High-complexity or multi-state plans route to attorney review first.
You receive the analysis: the full comparative analysis document, the evidence log, the fiduciary certification packet, and the annual refresh calendar — ready for the plan sponsor to certify and file.
The deliverable is completeness itself — every NQTL, factor, and content element accounted for or explicitly exception-coded. Nothing is left implicit.
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a statutory requirement.
We prepare documentation and run searches as your clerical agent. We never provide legal advice, and the named fiduciary retains all certification authority.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
Start with a free Completeness Gap Scan. Send your plan document, medical policies, and network data and we'll return a completeness read against every factor and element of MHPAEA.
Documentation-completeness service · not legal advice · the plan sponsor retains all fiduciary duties.