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Board hears Aon analysis of infertility benefits, member says denials disproportionately affect some groups
Summary
Aon presented a first‑look review of infertility benefits showing no immediate cost surge after 2017 changes; a city employee told the board she faced multiple denials and urged staff to verify unequal access, and the board asked staff to return with standardized denial/count data in August.
Ann Thompson of benefits consultant Aon presented the Health Service System board with a preliminary analysis of infertility benefit utilization and coverage design on June 13, saying changes made in 2017 (two cycles of IVF coverage, expanded egg and embryo storage and adoption/surrogacy assistance) have not produced a sharp rise in plan costs or utilization.
Thompson told the board that initial sampling and plan carrier conversations show total plan payments for infertility pharmacy components trending downward and that average out‑of‑pocket exposure under the typical 50% cost share sample would be roughly $12,000 on a $25,000 case. She said…
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