Contraceptive Coverage Mandate

On December 5, 2019, the Department of Insurance issued Bulletin No. 112 related to the mandated coverage of certain contraceptives. As background, in July 2018, Gov. Carney signed SB 151 into law, which required health insurers to provide coverage for the following with no cost sharing for participants:

  • All FDA-approved birth control methods, including intrauterine devices (IUDs)
  • 12-months of birth control dispensed at one time
  • Emergency contraceptives without a prescription
  • Immediate insertion of long-acting reversible contraceptives (LARCs)

Again, this coverage is already required. The department issued the new bulletin to remind insurers of the last requirement related to LARCs, as it appears that insurers and hospitals have not been providing the service and benefit in an in-patient setting.

There is no action required of employers, but as a plan sponsor and fiduciary of a group health plan, they should monitor the performance of their carriers to make sure that the plan is providing the required coverage.

Bulletin No. 112 »