Optum, a healthcare services provider, is owned by UnitedHealth Group, who scored a 100 on the 2023 Corporate Equality Index (CEI) from the Human Rights Campaign (HRC), a political stakeholder group. By complying with the HRC’s controversial demands, the company increases the risk of dividing employees, alienating customers and harming shareholders. The company covers transgender-related medical costs for its employees and their children and provides specific sexual orientation and gender identity-based benefits. It also uses sex and gender ideology criteria in employee recruitment, vendor selection, marketing, and philanthropic support. UnitedHealth Group forces employees to undergo multiple ideological trainings and uses its reputation, corporate funds, and political influence to support controversial sex and gender ideologies, organizations, and legislation. Optum does not provide viewpoint protections for its employees but has not publicly terminated business relationships based on views or beliefs. Optum uses its corporate reputation to support the Black Lives Matter movement. For these reasons, Optum receives a High Risk rating.