Credit: Jo Panuwat D/Adobe Stock

There are several ways that a beneficiary can challenge a health care plan's denial of coverage for gender-affirming care. First, denials might run afoul of federal and state civil rights laws prohibiting workplace discrimination on the basis of sex. Second, ambiguous or vague denial criteria might be challenged under ERISA, where applicable. This article will focus mainly on the Affordable Care Act (ACA), which prohibits health insurance plans from discriminating against beneficiaries on the bases of race, sex, age and disability.

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

  • Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.