(November 29, 2022, 11:18 AM EST) -- TACOMA, Wash. — The Patient Protection and Affordable Care Act permits plan exclusions on transgender care, a case involving 398 self-funded plans covering 15 levels of coverage lacks commonality and the named plaintiff’s unique treatment route makes him untypical of the class he seeks to represent, an insurer tells the Ninth Circuit U.S. Court of Appeals in seeking interlocutory review of a class certification ruling....