I doubt that any one has first-hand knowledge. But I will offer two 
suppositions with reasonably high confidence.

First, the insurer paying for contraception directly should have no greater 
confidentiality risk than the insurer paying through the insurance plan. I 
doubt that a second insurance policy would be any different, but the government 
has strongly resisted that in any event.

Second, I have never heard of a religious employer firing someone for using 
contraception. If they started doing that, who would they have left? They 
couldn’t staff their facilities. I have heard about firings over in vitro 
fertilization (where the Church believes that discarded embryos are human 
beings who are killed), and over same-sex marriages. But not over 
contraception. My failure to hear about it doesn’t mean it’s never happened. 
But it is surely rare.

Douglas Laycock
Robert E. Scott Distinguished Professor of Law
University of Virginia Law School
580 Massie Road
Charlottesville, VA 22903
434-243-8546

From: religionlaw-boun...@lists.ucla.edu 
[mailto:religionlaw-boun...@lists.ucla.edu] On Behalf Of Case, Mary Anne
Sent: Wednesday, August 24, 2016 11:24 PM
To: Law & Religion issues for Law Academics <religionlaw@lists.ucla.edu>
Subject: Risk of job loss to employees who avail themselves of contraception?

As the quixotic quest for less restrictive alternatives to the contraception 
mandate accommodation proposed by the Obama Administration continues, am I 
right to think that, from the perspective of the employee contraceptive users, 
a concern has to be confidentiality because, to the extent their employer is a 
religious non-profit opposed to contraception, they risk being fired should it 
become known they are, through their use of contraceptives, not living up to 
the tenets of their employer’s religion?  I have seen no explicit discussion of 
the effect of a less seamless coverage (for example through a separate policy 
or card such as favored by Justice Alito in oral argument) on confidentiality.  
Is there one? And if there is not one, is that because a) confidentiality can 
be legally and practically assured to the same extent in any event or b) 
because, to the extent it is legal to require these employees to abide by 
Church prohibitions on contraception, factoring into the feasibility of an 
alternative to the accommodation the degree to which the alternative 
facilitates deceiving the employer is not something that can openly and 
properly be discussed?    Please forgive my ignorance if the answers to these 
questions are obvious.
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