Trans people frequently encounter problems obtaining insurance coverage for medically necessary healthcare. Many companies’ insurance policies have blanket exclusions for Trans healthcare. However, simply removing this Trans exclusionary language is not enough. Specific language needs to be added to insure equitable healthcare. This presentation will examine several insurance contracts and discuss the specific language that should be removed and what needs to be added along with the implications for specific examples and problem areas for Trans healthcare. How to go about making change in your organization will also be discussed, including identifying the decision makers, having the discussions, engaging allies and overcoming objections. This session is for anybody that wants to understand how their own companies' insurance plan treats Trans employee healthcare, and who wants to make it more equitable.