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Lawsuit Over Employment Status Could Expand Access to Alternative Health Plans

A potential settlement in a lawsuit against the Department of Labor could expand access to health plans that bypass state insurance regulations and ACA benefit requirements.

Published September 15, 2026 at 5:05 AM EDT

The short answer

A potential settlement in a lawsuit against the Department of Labor could expand access to health plans that bypass state insurance regulations and ACA benefit requirements.

Lawsuit Over Employment Status Could Expand Access to Alternative Health Plans

The Facts

Who
Department of Labor, Data Marketing Partnership, health policy analysts, and state insurance commissioners.
What
A potential settlement in a lawsuit regarding the definition of an employee for health insurance purposes.
When
Ongoing litigation; source notes 19 advocacy groups sent a letter on Aug. 11.
Where
United States District Court and U.S. Court of Appeals for the 5th Circuit
Why
The case determines whether companies can classify data-sharing participants as employees to offer health insurance that avoids state regulations and certain federal benefit mandates.

A lawsuit between the Department of Labor and Data Marketing Partnership is being monitored by health policy analysts as court filings indicate a potential settlement may be in progress. The case centers on whether individuals who provide personal data to a company can be legally classified as employees, a status that would allow them to access job-based health insurance plans. These plans are governed by federal law rather than state regulations and are often offered at a lower cost than Affordable Care Act (ACA) marketplace plans.

The litigation began in 2019 when Data Marketing Partnership sued the Department of Labor to gain official recognition as an employer. The company offers health coverage to individuals who download an app that tracks their internet searches, allowing the company to sell that data. Proponents, including attorneys general from seven states, argue this provides a necessary, lower-cost option for those who do not qualify for ACA subsidies. However, the Department of Labor previously issued an advisory opinion in 2020 stating that software users are not "employees or bona fide partners."

A Texas district court judge initially ruled in favor of the data marketer, calling the department's stance "arbitrary and capricious." The U.S. Court of Appeals for the 5th Circuit later upheld much of that ruling but instructed the lower court to further examine if software users qualify as "working owners" or "bona fide partners." While the Department of Labor defended its position through the first Trump administration and the Biden era, the current possibility of a settlement has raised questions about whether the agency will change its defense of the case.

For the average consumer, this could mean a difference in monthly costs and coverage levels. Proponents argue these plans offer relief from surging ACA premiums, which have recently seen double-digit increase requests from insurers. Conversely, state insurance commissioners and patient advocacy groups, including 19 organizations that wrote to the Department of Labor on August 11, warn that these plans lack comprehensive medical coverage and could leave households with large, unexpected medical bills. Regulators in Maryland, Washington, Maine, and Connecticut have already issued fines or warnings against similar entities, with Washington fining one company $25,000 in 2021 and Maryland fining The Vitamin Patch in 2024.

The case also sets a precedent for the stability of the broader insurance market. If healthier, younger individuals move to limited-partnership plans, health policy analysts and officials like Maryland Insurance Commissioner Marie Grant warn that those remaining in the ACA marketplace—often older or sicker individuals—could face even higher premiums. The Department of Labor and the White House have not publicly confirmed if a settlement has been reached or if the department's stance has officially shifted. The next steps depend on the district court's reconsideration of the employment definitions or the finalization of a settlement agreement.

Timeline of what happened

Key dates and decisions, in the order they occurred.

  1. January 1, 2019

    Data Marketing Partnership files lawsuit against Department of Labor

  2. January 1, 2020

    Department of Labor issues advisory opinion on software users as employees

  3. January 2, 2020

    District court judge rules in favor of Data Marketing Partnership

  4. January 1, 2021

    Washington state fines a limited-partnership provider $25,000

  5. January 1, 2024

    Maryland fines The Vitamin Patch; Maine and Connecticut issue consumer warnings

  6. August 11, 2024

    Patient advocacy groups urge Department of Labor to continue defending the case

Summaries are written by The Plain Record to state the facts of a story plainly and without political slant. Drafted with AI assistance and checked against the source record before publication. See how we report, or report a correction.

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Questions readers ask

What happened: Lawsuit Over Employment Status Could Expand Access to Alternative Health Plans?

A potential settlement in a lawsuit regarding the definition of an employee for health insurance purposes.

Who is involved?

Department of Labor, Data Marketing Partnership, health policy analysts, and state insurance commissioners.

When did this happen?

Ongoing litigation; source notes 19 advocacy groups sent a letter on Aug. 11.

Where did this happen?

United States District Court and U.S. Court of Appeals for the 5th Circuit

Why does this matter?

The case determines whether companies can classify data-sharing participants as employees to offer health insurance that avoids state regulations and certain federal benefit mandates.