Being as it is a public employees health insurance group, they will just raise taxes to cover the additional cost for health insurance.
Since there is likely only ONE city employee for whom this is an issue, it would be cheaper to pass a hat or do a gofundme for the confused one.
Yeo you wonder how many city emoloyees of a small city are needing sex change surgery? And then of course its bigoted and discrimination for health plans not to require such coverage.
Does obamacare mandate sex change operation coverage? If not,,then based on liberals own criteria, obama would be discriminatory.