Engagement
May 20, 2026

American Express: Coverage of Gender Transition Procedures for Minors?

De-transitioner Soren Aldaco addresses the American Express annual shareholder meeting and shares her story.
American Express: Coverage of Gender Transition Procedures for Minors?

Inspire Investing recently presented a shareholder proposal at American Express regarding the company’s apparent coverage of gender transition interventions for minors, including cross-sex hormones and surgical procedures.

Rather than making the case ourselves, we believed it was important for shareholders to hear directly from someone impacted. De-transitioner Soren Aldaco addressed the annual shareholder meeting through a recording played during the session.

Her story is powerful, sobering, and deserves to be heard. Her experience underscores the real-world implications of these policies, as the procedures she underwent were covered by her mother’s employer-sponsored health plan.

Please take a few minutes to watch her message to American Express shareholders (with a short intro by me) below.

Personal experiences and third-party references reflect the views of the individuals or organizations cited and may not represent the views of all investors.

This issue was covered by The Washington Times. As I told them:

"Companies best serve shareholders by staying focused on their core business and avoiding involvement in highly contested social issues that create reputational and financial risk. It’s deeply troubling that American Express appears to be paying for these irreversible interventions without clearly disclosing the scope of that coverage to investors who have a right to know. These treatments raise serious medical, legal, and fiduciary concerns, particularly given growing global scrutiny and shifting standards of care.”

Soren emphasized this point in her presentation remarks as well:

“Shareholders deserve to know whether the company has evaluated the legal, ethical, and reputational risks of maintaining that coverage as the landscape shifts.”

She also pointed to a growing shift in the medical community’s approach to these procedures, underscoring that as standards evolve, companies should ensure their policies keep pace.

How companies structure their health plans has real-world consequences. This is not theoretical. It affects real people, real families, and long-term shareholder value. Companies like Walmart, one of the largest employers in the world, have already updated their policies to exclude coverage for minors. It is time for other companies, including American Express, to follow suit.

To stay up to date on how your investing dollars can impact the lives of people like Soren, follow Tim Schwarzenberger on LinkedIn.

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*Advisory Services are offered through Inspire Investing, LLC, a Registered Investment Adviser with the SEC. All expressions of opinion are subject to change. This article is distributed for educational purposes, and it is not to be construed as an offer, solicitation, recommendation, or endorsement of any particular security, products, or services. Investors should talk to their financial advisor prior to making any investment decision.

This article is intended solely for use with sophisticated investors, financial professionals, or institutional clients who are familiar with the limitations of financial projections and forward-looking investment models. It is not intended for retail distribution.

All return expectations, capital market assumptions, and hypothetical portfolio outcomes presented are illustrative, based on proprietary models and current market conditions as of the date noted. These projections are not guarantees of future performance, and actual results may differ materially due to various risks and uncertainties, including changes in market conditions, interest rates, inflation, and geopolitical events.Hypothetical performance results have inherent limitations and are based on assumptions that may not reflect actual trading or investor experience. These projections do not represent actual client accounts, nor are they intended to indicate future performance of any specific strategy or product. Inspire does not represent that any account will achieve results similar to those shown.

The strategic portfolio allocations discussed may include investments in proprietary Exchange Traded Funds (ETFs) advised by Inspire Investing, LLC. Because Inspire receives management fees from these funds, a conflict of interest exists. Inspire seeks to mitigate this conflict through policies and procedures designed to ensure that recommendations are made in the best interest of clients and based on their unique objectives and risk tolerance. Additional information about this conflict is available in Inspire’s Form ADV Part 2A, available at www.adviserinfo.sec.gov.

Investment decisions should be made based on individual goals, time horizons, and risk tolerance. No portion of this article should be interpreted as personalized investment, legal, or tax advice. Please consult a qualified financial professional before implementing any investment strategy.
Advisory services are offered through Inspire Investing, LLC, a Registered Investment Adviser with the SEC. All expressions of opinion are subject to change without notice and are provided for informational purposes only. Nothing in this article should be construed as an offer, solicitation, recommendation, or endorsement of any particular security, strategy, or investment product. Investing involves risk, including the potential loss of principal. Please consult your financial advisor before making any investment decision. Inspire Investing integrates biblical principles into its investment philosophy through a Biblically Responsible Investing (BRI) approach. This values-based methodology reflects Inspire's interpretation of Scripture and may not align with the views or beliefs of all investors.
Inspire's engagement with public companies is part of its Biblically Responsible Investing (BRI) philosophy and aims to promote biblical values through corporate dialogue. Engagement outcomes are not guaranteed and may not directly impact investment returns. Shareholder advocacy is based on Inspire's internal values and may not reflect those of every investor. This article is not intended to solicit or request shareholder votes, nor is it filed as proxy material with the SEC. Any commentary related to proxy proposals reflects the author’s opinion and is not a recommendation to act.
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American Express: Coverage of Gender Transition Procedures for Minors?
Engagement
May 20, 2026

American Express: Coverage of Gender Transition Procedures for Minors?

De-transitioner Soren Aldaco addresses the American Express annual shareholder meeting and shares her story.
inspireinvesting.com/post/
american-express-coverage-of-gender-transition-procedures-for-minors

Inspire Investing recently presented a shareholder proposal at American Express regarding the company’s apparent coverage of gender transition interventions for minors, including cross-sex hormones and surgical procedures.

Rather than making the case ourselves, we believed it was important for shareholders to hear directly from someone impacted. De-transitioner Soren Aldaco addressed the annual shareholder meeting through a recording played during the session.

Her story is powerful, sobering, and deserves to be heard. Her experience underscores the real-world implications of these policies, as the procedures she underwent were covered by her mother’s employer-sponsored health plan.

Please take a few minutes to watch her message to American Express shareholders (with a short intro by me) below.

Personal experiences and third-party references reflect the views of the individuals or organizations cited and may not represent the views of all investors.

This issue was covered by The Washington Times. As I told them:

"Companies best serve shareholders by staying focused on their core business and avoiding involvement in highly contested social issues that create reputational and financial risk. It’s deeply troubling that American Express appears to be paying for these irreversible interventions without clearly disclosing the scope of that coverage to investors who have a right to know. These treatments raise serious medical, legal, and fiduciary concerns, particularly given growing global scrutiny and shifting standards of care.”

Soren emphasized this point in her presentation remarks as well:

“Shareholders deserve to know whether the company has evaluated the legal, ethical, and reputational risks of maintaining that coverage as the landscape shifts.”

She also pointed to a growing shift in the medical community’s approach to these procedures, underscoring that as standards evolve, companies should ensure their policies keep pace.

How companies structure their health plans has real-world consequences. This is not theoretical. It affects real people, real families, and long-term shareholder value. Companies like Walmart, one of the largest employers in the world, have already updated their policies to exclude coverage for minors. It is time for other companies, including American Express, to follow suit.

To stay up to date on how your investing dollars can impact the lives of people like Soren, follow Tim Schwarzenberger on LinkedIn.

inspireinvesting.com/post/
american-express-coverage-of-gender-transition-procedures-for-minors