Page 30

t findings

Health insurance benefits

coverage — which generally does not fall under health insurance and its exclusions — or mental health counseling, which can also fall outside of the health insurance plan or, if covered by the health insurance plan, can fall outside the scope of more limited transgender exclusions. Beginning with the 2009 CEI, HRC Foundation staff conducted more detailed reviews of plan documentation submitted for the survey in tandem with ramped up efforts to engage businesses in re-negotiating their plan contracts to eliminate these exclusions of care and explicitly affirm coverage for medically necessary care. Participants were required to provide supporting documentation showing that the coverage is available without exclusion, such as: zz a complete list of exclusions (typically found only in the plan contract itself) that

does not indicate a transgender exclusion;

zz clinical guidelines and/or contract language indicating that treatment would be

considered medically necessary (usually under circumstances resembling current or previous versions of the World Professional Association for Transgender Health Standards of Care); or zz other plan documents or employee communications indicating medically necessary treatments would be covered.

Through the intensive educational and consultative efforts to address health care and insurance disparities for the transgender population and their families, including: outreach to leading health insurance companies direct consultation with both fully and self-insured employers to modify their health care plans and collection and dissemination of cost and utilization data from leading businesses, the HRC Foundation led a five-fold increase in the number of major U.S. employers affording transgender-inclusive health care coverage, from 49 in the 2009 CEI to more than 200 in the 2012 CEI.

Criterion 2c

49

66

85

207

2OO9

2O1O

2O11

2O12

Businesses That Offer at Least One Transgender-Inclusive Health care Coverage Plan

33

t

The number of major employers offering transgender-inclusive health care coverage

%

of this year’s rated businesses afford transgender-inclusive health care coverage options through at least one firm-wide plan.

28

c o r p o r at e e q ua l i t y i n d e x 2 O 1 2

www.hrc.org/cei

Corporate Equality Index 2012  

The Human Rights Campaign’s 2012 Corporate Equality Index chronicles a decade of progress in workplace equality. 2012 marks the first year...

Corporate Equality Index 2012  

The Human Rights Campaign’s 2012 Corporate Equality Index chronicles a decade of progress in workplace equality. 2012 marks the first year...