Gender|Affirming Care—Health Plan Design and Compliance

Gender-Affirming Care—Health Plan Design and Compliance

This would not be an ERISA preemption issue because ERISA does not preempt state insurance laws. > Rather, it would be a preemption argument ...

Benefits Insights | Summers Hot Debate: Does a Self-Funded Group ...

Fully-insured plans must provide coverage compliant with the coverage mandates of the state in which the insurance policy is issued. Therefore, ...

Gender-Affirming Care Remains a Hot Topic in 2024 - HR Law Talk

Appellees in both cases were transgender individuals who were denied coverage under these state plans for healthcare prescribed for their gender ...

Can a Self-Funded Group Health Plan Exclude Coverage for ... - Verrill

[1] However, three federal laws must be considered in deciding whether to exclude gender-affirming care under a self-funded group health plan: ...

An overview of recent state laws affecting health plan compliance

Gender-affirming care law updates were also widespread this year. The Eleventh Circuit held that employer health plans not covering treatment ...

Compliance Considerations for Employer-Sponsored Coverage of ...

Although the policies governing whether group health plans must cover gender reassignment and gender-affirming care continues to change, ...

The Self-Funded Plan's Guide To Gender-Affirming Coverage

The purpose of this article is to identify and discuss legal compliance factors associated with coverage of gender-affirming care.

Legal Considerations for Gender-affirming Care - Sullivan Benefits

Compared to fully insured health plans, self-insured health plans are not subject to state insurance laws and generally must comply with federal regulations.

Considerations Regarding the Exclusion of Gender-Affirming Care

As a result, while self-funded health plans are not mandated to cover gender-affirming care, the compliant approach with regard to all ...

Open Issue: Employer-Sponsored Health Plans and Coverage of ...

This issue extends to employer-sponsored health plans. Whether an employer-sponsored health plan must cover gender-affirming care is ...

The Biden Administration's Final Rule on Section 1557 Non ... - KFF

Some provisions impacting health insurance plan design won't become effective until the plan ... programs to cover gender affirming care ...

HHS Finalizes Section 1557 Nondiscrimination Protections

In a previous post, we surveyed best practices for group health plans relating to gender-affirming care generally. As discussed in more detail ...

Section 1557 Final Rule: Frequently Asked Questions - HHS.gov

The final rule does not require those covered, including state Medicaid agencies, to cover a particular health service for the treatment of ...

Circuit Courts Extend Non-Discrimination Protections for ...

Thus, under MHPAEA, plans that cover care related to gender dysphoria, a recognized mental health diagnosis in the Diagnostic and Statistical ...

My Employer's Self-funded Plan Denies Gender-affirming Care. Can ...

Gender affirming care is for everyone, no matter your gender identity. That means cis women getting coverage for hormone and menopause ...

New Considerations for Nondiscrimination in Health Plans

Group health plans that exclude or limit coverage for gender affirming care (e.g., gender identity or dysphoria) risk discrimination claims.

Does Section 1557 Apply to Employer Group Health Plans? (And

When the Affordable Care Act was signed into law in 2010, it contained a provision (Section 1557) that forbids discrimination on the basis of ...

Election 2024: Gender-Affirming Care in the US

Bottom line: A Harris-Walz administration would likely provide health plans and health plan sponsors with consistency and continuity, especially ...

Gender-Affirming Benefits: Best Practices for Group Health Plans

Group health plan sponsors encounter coverage of gender-affirming care differently, depending on whether they purchase insurance or self ...

Final Section 1557 Rules: Highlights for Health Plan Sponsors

The regulations address controversial and emerging topics, including coverage for gender transition and gender-affirming care and the potential ...