Excerpt: Three months have passed since the Iowa Supreme Court legalized same-sex marriage, and gay couples are finding out that being married doesn't necessarily translate into spousal health benefits. Of 27 major Iowa and Nebraska employers contacted by The World-Herald, four provide health insurance benefits to gay married couples. Most employers have not changed their health insurance benefits to include gay spouses and, according to federal law, they don't have to.... Most of these employers already offer domestic partner benefits, including health insurance, but that has drawbacks: Those receiving domestic partner health benefits pay higher taxes and must jump through hoops most married couples don't face.