Insurance Commissioner Opinions on Gender Dysphoria Surgery
Summary
The California Department of Insurance has published a General Counsel's Letter Opinion regarding gender dysphoria surgery. This opinion, dated December 30, 2020, addresses coverage and related issues for insurers operating within the state.
What changed
The California Department of Insurance has released a General Counsel's Letter Opinion from December 30, 2020, concerning gender dysphoria surgery. This document provides guidance on the interpretation and application of insurance regulations related to coverage for such procedures, specifically addressing male chest surgery.
Insurers operating in California should review this opinion to ensure their policies and practices align with the department's interpretation of relevant insurance codes. While this is a non-binding opinion, it indicates the department's stance and may influence future regulatory actions or enforcement. Compliance officers should ensure their coverage policies for gender dysphoria treatments are consistent with this guidance.
Source document (simplified)
Insurers Overview / Insurers / Bulletins & Notices / Bulletins, Notices and Commissioners Opinions / Opinions
Opinions
- 2020 General Counsel’s Letter Opinion Regarding Gender Dysphoria Surgery —December 30, 2020
- 2019 General Counsel's Letter Opinion Regarding Application of California Insurance Code Sections 677 and 678 to Non-Admitted Insurers —September 17, 2019
- 2019 General Counsel's Letter Opinion Regarding Effective Date of 36 Month Additional Living Expenses Requirement —September 10, 2019
- 2018 General Counsel's Letter Opinion Regarding Insurer Designations Involving Original Equipment Manufacturer (OEM) Parts —October 8, 2018
- 2018 General Counsel's Letter Opinion Regarding Confidentiality of Underwriting Rules Filed with Rate Applications Pursuant to California Insurance Code section 186 1.05(b) —August 10, 2018
- 2018 General Counsel's Letter Opinion Regarding Senate Bill 189 Change to Definition of Employee (CIC 3352(a)(19)) —May 30, 2018
- 2015 General Counsel's Letter Opinion Regarding Private Right of Action Under Article 6.3 (CIC §785 et. seq.) —August 7, 2015
- 2014 General Counsel's Letter Opinion Regarding Premium Cross-Subsidization Across Market Segments in Health Insurance —June 13, 2014
- 2013 Legal Opinion Regarding Requirement that Third-Party Courier Fees be Included in Rate Filings —November 7, 2013
- 2013 General Counsel's Letter Opinion Regarding Requirement That Controlled Escrow Company Follow Escrow Instructions —March 21, 2013
- 2013 General Counsel's Letter Opinion Regarding 2014 Federal Affordable Care Act fees in 2013 Health Insurance Rates —January 4, 2013
- 2012 General Counsel's Letter Opinion Regarding CEA "Choice" policy statutory compliance —February 23, 2012
- 2010 General Counsel letter responding to 9/24/10 letter from Two Jinn, Inc. —October 20, 2010
- 2008 General Counsel's Letter Opinion Regarding the Application of CA Insurance Code Section 2015.5(c) —Rebuild/Replacement of Structure at New Location—April 3, 2008
- 2008 General Counsel's Letter Opinion on Limitations By Health Insurers —on Small Employers' Payment of Employee Deductibles—October 1, 2008.
- 2004 Letter Opinion on Discretionary Clauses in Disability Contracts —February 26, 2004
- 2001 Commissioner's Opinion on Jail Signboards —December 20, 2001 Note: These documents are in PDF format, if you need access to a current Acrobat Reader, visit our Free Document Readers page.
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