The State of the Workplace for Lesbian, Gay, Bisexual, and Transgender Americans (2002) outlines the laws and legislation concerning sexual orientation and domestic partner benefits, gender identity and expression in the workplace, employer policies affecting gay, lesbian, and bisexual workers, and major events of 2002 (including shareholder advocacy gains and notable lawsuit cases).
While there are two medical insurance companies that earned a 100 percentile score from HRC (Aetna®, MetLife®), it is of importance to this study to note that none of the companies listed directly provide health services to patients; as will be highlighted in the literature review, this reemphasizes the paucity of data related to discrimination in settings where direct patient care is provided, more specifically, where patient care is provided by a large staff of registered nurses (RNs). Appendix A provides a table of companies earning a 100 percentile from HRC.
Of the entire HRC corporate score listing, one organization that provides direct patient care with a large staff of Registered nurses scored high. Earning a 71 percentile, University Hospitals of Cleveland demonstrated corporate behaviors inclusive of homosexuals and protections for gays and lesbians in the workplace.
Domestic partner benefits are offered to homosexual employees of University Hospitals of Cleveland (Human Rights Campaign, 2003a). In addition to domestic partnership benefits, University Hospitals of Cleveland also has a nondiscrimination