Pritzker Administration Announces a $1.25 million fine for Celtic Insurance Company for Violation of the Mental Health Parity and Addiction Equity Act and the Network Adequacy and Transparency Act

October 18, 2022 - The Illinois Department of Insurance (IDOI) announced today a $1.25 million fine for Celtic Insurance Company, a subsidiary of Centene Corporation, for violating the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Network Adequacy and Transparency Act (NATA), as revealed in the Department's comprehensive market conduct examination of the company.

MHPAEA is a federal law that requires health insurance plans to have equivalent levels of coverage for mental health and substance use disorder care as for medical or surgical care, and Illinois law further expands upon those requirements. NATA mandates that health insurance carriers maintain an adequate network of providers.