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Section
10-16-101
Short title.
Section
10-16-102
Definitions.
Section
10-16-103
Proposal of mandatory health care coverage provisions.
Section
10-16-103.3
Commission on mandated health insurance benefits - cash fund purpose - creation - duties - repeal. (Repealed)
Section
10-16-103.4
Essential health benefits - requirements - rules.
Section
10-16-103.5
Payment of premiums - required term in contract - rules - definition.
Section
10-16-104
Mandatory coverage provisions - rules - definitions.
Section
10-16-104.2
Coverage for contraception - definitions.
Section
10-16-104.3
Health coverage for persons under twenty-six years of age - coverage for students who take medical leave of absence.
Section
10-16-104.4
Child-only plans - legislative declaration - open enrollment - reporting requirements - repeal. (Repealed)
Section
10-16-104.5
Autism - treatment - not mental illness - repeal. (Repealed)
Section
10-16-104.6
Off-label use of cancer drugs.
Section
10-16-104.7
Substance use disorders - court-ordered treatment coverage.
Section
10-16-104.8
Behavioral, mental health, or substance use disorder services coverage - court-ordered.
Section
10-16-104.9
Geographic areas for small employers.
Section
10-16-105
Guaranteed issuance of health insurance coverage - individual and small employer health benefit plans.
Section
10-16-105.1
Guaranteed renewability - exceptions - individual and small employer health benefit plans - rules.
Section
10-16-105.2
Small employer health insurance availability program.
Section
10-16-105.3
Health benefit plans - not prohibited.
Section
10-16-105.5
Individual health plans - federally eligible individual - limited guarantee issue. (Repealed)
Section
10-16-105.6
Rate usage.
Section
10-16-105.7
Health benefit plan open enrollment periods - special enrollment periods - rules.
Section
10-16-106
Group replacement - extension of benefits.
Section
10-16-106.3
Uniform claims - billing codes - electronic claim forms.
Section
10-16-106.5
Prompt payment of claims - legislative declaration - rules.
Section
10-16-106.7
Assignment of health insurance benefits.
Section
10-16-107
Rate filing regulation - benefits ratio - rules.
Section
10-16-107.1
False or misleading information - penalties.
Section
10-16-107.2
Filing of health policies - rules.
Section
10-16-107.3
Health insurance policies - plain language required - rules.
Section
10-16-107.5
Uniform application form - use by all carriers - rules.
Section
10-16-107.7
Nondiscrimination against providers.
Section
10-16-108
Continuation privileges.
Section
10-16-108.3
Continuation privileges - special election period - notice requirements definitions - repeal. (Repealed)
Section
10-16-108.5
Fair marketing standards - rules.
Section
10-16-109
Rules.
Section
10-16-110
Fees paid by health coverage entities.
Section
10-16-111
Annual statements and reports - rules.
Section
10-16-112
Private utilization review - health care coverage entity responsibility definitions.
Section
10-16-112.5
Prior authorization for health care services - disclosures and notice determination deadlines - criteria - limits and exceptions - definitions - rules.
Section
10-16-113
Procedure for denial of benefits - internal review - rules - definitions.
Section
10-16-113.5
Independent external review of adverse determinations - legislative declaration - definitions - rules.
Section
10-16-113.7
Reporting the denial of benefits to division.
Section
10-16-114
Short title. (Repealed)
Section
10-16-115
Definitions. (Repealed)
Section
10-16-116
Catastrophic health insurance - coverage - premium payments reporting requirements - definitions - short title.
Section
10-16-116.5
State innovation waiver for nonemployer catastrophic health plans notice of decision by secretary - effect of secretary's decision - notice to revisor of statutes definitions - rules - state measurement for accountable, responsive, and transparent (SMART) government act report - repeal.
Section
10-16-117
Premium payments - pre-tax - election - reporting requirements. (Repealed)
Section
10-16-118
Prohibition against preexisting condition exclusions.
Section
10-16-119
Requirements for excess loss or stop-loss health insurance used in conjunction with self-insured employer benefit plans under the federal "Employee Retirement Income Security Act" - data collection 2013-18 - rules.
Section
10-16-119.5
Stop-loss health insurance for small employers of not more than fifty employees - requirements - definitions - rules.
Section
10-16-120
Legislative review of requirements for guaranteed issue of basic and standard health benefit plans. (Repealed)
Section
10-16-121
Required contract provisions in contracts between carriers and providers - definitions.
Section
10-16-121.5
Prohibited contract provisions in contracts between carriers and providers for dental services - definition.
Section
10-16-121.7
Prohibited contract provisions in contracts between carriers and eye care providers - definitions.
Section
10-16-122
Access to prescription drugs.
Section
10-16-122.3
Pharmacy benefit management firm payments - retroactive reduction prohibited - enforcement - rules - definitions. [Editor's note: For the applicability of this section on or after January 1, 2021, see the editor's note following this section.]
Section
10-16-122.5
Pharmacy benefit manager - audit of pharmacies.
Section
10-16-122.7
Disclosures between pharmacists and patients - carrier prohibitions short title - legislative declaration - preemption by federal law.
Section
10-16-123
Telehealth - definitions.
Section
10-16-124
Prescription information cards - legislative declaration.
Section
10-16-124.5
Prior authorization form - drug benefits - rules of commissioner definitions.
Section
10-16-124.7
Opioid analgesics with abuse-deterrent properties - study - definitions.
Section
10-16-124.8
Colorado consortium for prescription drug abuse prevention - create process for recovery - report.
Section
10-16-125
Reimbursement to nurses.
Section
10-16-126
Fee-for-service dental plans.
Section
10-16-127
Coinsurance and deductibles.
Section
10-16-128
Annual report to general assembly.
Section
10-16-129
Health savings accounts.
Section
10-16-130
Disclosure of rate increases to public entities - legislative declaration definitions.
Section
10-16-131
Health care reform project - blue ribbon commission for health care reform - repeal. (Repealed)
Section
10-16-132
Study of factors driving health care costs in Pueblo county - repeal. (Repealed)
Section
10-16-133
Health carrier information disclosure - website - insurance producer fees and disclosure requirements - legislative declaration - rules.
Section
10-16-134
Health care transparency - information required - website - definition.
Section
10-16-135
Health benefit plan information cards - rules - standardization contents.
Section
10-16-136
Wellness and prevention programs - individual and small group health coverage plans - voluntary participation - incentives or rewards - rules - definitions legislative declaration - repeal. (Repealed)
Section
10-16-137
Policy forms - explanation of benefits - standardization of forms - rules.
Section
10-16-138
Pathology services - direct billing required.
Section
10-16-139
Access to care - rules - definitions.
Section
10-16-140
Grace periods - premium payments - rules.
Section
10-16-141
Medication synchronization services - cost-sharing for partial refills dispensing fees.
Section
10-16-142
Physical rehabilitation services - copayments and coinsurance research.
Section
10-16-143
Single geographic rating area - individual plans - study - report - repeal.
Section
10-16-143.5
Pharmacy reimbursement - substance use disorders - injections patient counseling.
Section
10-16-144
Health care services provided by pharmacists.
Section
10-16-145
Step therapy - prohibited - definition.
Section
10-16-145.5
Step therapy prohibited - stage four advanced metastatic cancer definition.
Section
10-16-146
Periodic updates to provider directory.
Section
10-16-147
Parity reporting - commissioner - carriers - rules - examination of complaints.
Section
10-16-148
Medication-assisted treatment - limitations on carriers - rules definition.
Section
10-16-149
Commissioner report - parity effects on premiums - repeal.
Section
10-16-150
Primary care payment reform collaborative - created - powers and duties - report - definition - repeal.
Section
10-16-151
Cost sharing in prescription insulin drugs - limits - definition - rules.
Section
10-16-152
HIV prevention medication - limitations on carriers - step therapy prior authorization.
Section
10-16-153
Coverage for opiate antagonists provided by a hospital - definition.
Section
10-16-201
Form and content of individual sickness and accident insurance policies.
Section
10-16-201.5
Renewability of health benefit plans - modification of health benefit plans. (Repealed)
Section
10-16-202
Required provisions in individual sickness and accident policies.
Section
10-16-203
Optional provisions in individual sickness and accident insurance policies.
Section
10-16-204
Inapplicable or inconsistent provisions in individual policies of sickness and accident insurance.
Section
10-16-205
Order of certain policy provisions in individual policies of sickness and accident insurance.
Section
10-16-206
Third-party ownership of individual sickness and accident insurance policies.
Section
10-16-207
Requirements of other jurisdictions.
Section
10-16-208
Conforming to statute.
Section
10-16-209
Application for policy.
Section
10-16-210
Notice - waiver.
Section
10-16-211
Age limit.
Section
10-16-212
Exemption from attachment and execution.
Section
10-16-213
Industrial sickness and accident insurance.
Section
10-16-214
Group sickness and accident insurance.
Section
10-16-215
Blanket sickness and accident insurance.
Section
10-16-216
Examinations.
Section
10-16-216.5
Hearing procedure and judicial review - violations - penalty.
Section
10-16-217
Application of part 1 of this article and part 2.
Section
10-16-218
Judicial review.
Section
10-16-219
Benefits for care in tax-supported institutions - behavioral health disorders - mental health disorders - intellectual and developmental disabilities.
Section
10-16-220
Minimum standards for sickness and accident plans.
Section
10-16-221
Statewide health care review committee - creation - membership - duties - repeal.
Section
10-16-222
Termination of policies.
Section
10-16-301
Legislative declaration.
Section
10-16-302
Incorporation and organization - exemptions.
Section
10-16-303
Filing of articles of incorporation.
Section
10-16-304
Contents of articles.
Section
10-16-305
Directors.
Section
10-16-306
Contracts - benefits for long-term care insurance.
Section
10-16-307
Authority to do business.
Section
10-16-308
Automatic extension of certificate.
Section
10-16-309
Requirements for certificate of authority.
Section
10-16-310
Surplus - guarantee fund deposit - regulations.
Section
10-16-311
Group benefits for depositors of banks - benefits for subscribers in public institutions.
Section
10-16-312
Contracts with other organizations.
Section
10-16-313
Licensing of representatives. (Repealed)
Section
10-16-314
Payment for examinations of corporations.
Section
10-16-315
Revocation of certificate - appeal.
Section
10-16-316
Complaints.
Section
10-16-317
Exemption of direct payment methods.
Section
10-16-317.5
Assignment of benefits.
Section
10-16-318
Prospective reimbursement.
Section
10-16-319
Effective date.
Section
10-16-320
Investment of funds.
Section
10-16-321
Medicare supplement benefit standards.
Section
10-16-322
Filing of health policies.
Section
10-16-323
Conversion of corporation to mutual insurance company. (Repealed)
Section
10-16-324
Conversion of corporation to a stock insurance company.
Section
10-16-325
Termination of health policies.
Section
10-16-401
Establishment of health maintenance organizations.
Section
10-16-403
Powers of health maintenance organizations.
Section
10-16-404
Governing body.
Section
10-16-405
Fiduciary responsibilities.
Section
10-16-406
Evidence of coverage - rules.
Section
10-16-407
Information to enrollees.
Section
10-16-408
Open enrollment.
Section
10-16-409
Complaint system.
Section
10-16-410
Investments.
Section
10-16-411
Protection against insolvency.
Section
10-16-412
Statutory deposit.
Section
10-16-413
Prohibited practices.
Section
10-16-413.5
Return to home - legislative declaration - definitions.
Section
10-16-414
Regulation of agents.
Section
10-16-415
Powers of insurers and nonprofit hospital, medical-surgical, and health service corporations.
Section
10-16-416
Examination.
Section
10-16-417
Suspension or revocation of certificate of authority.
Section
10-16-418
Rehabilitation, liquidation, or conservation of health maintenance organization.
Section
10-16-419
Administrative procedures.
Section
10-16-420
Penalties and enforcement.
Section
10-16-421
Statutory construction and relationship to other laws.
Section
10-16-421.5
Acquisition of control of or merger of a health maintenance organization.
Section
10-16-422
Filings and reports as public documents.
Section
10-16-424
Commissioner's authority to contract.
Section
10-16-425
Applicability of provisions.
Section
10-16-426
Medicare supplement benefit standards.
Section
10-16-427
Contractual relations.
Section
10-16-428
Prohibition concerning state-funded medical assistance. (Repealed)
Section
10-16-429
Termination of contract.
Section
10-16-501
Legislative declaration.
Section
10-16-502
Establishment of prepaid dental care plan organizations.
Section
10-16-503
Application for certificate of authority.
Section
10-16-504
Issuance of certificate of authority.
Section
10-16-505
Guarantee fund deposit.
Section
10-16-506
Reserve requirement - exception.
Section
10-16-507
Enrollee coverage by prepaid dental care plan organizations - form filing requirements.
Section
10-16-508
Examination of prepaid dental care plan organization.
Section
10-16-510
Suspension or revocation of certificate of authority.
Section
10-16-511
Rehabilitation, liquidation, or conservation of prepaid dental care plan organization.
Section
10-16-512
Other laws applicable.
Section
10-16-601
Legislative declaration.
Section
10-16-602
Definitions.
Section
10-16-603
Independent medical examinations - governing standard.
Section
10-16-604
Financial interest in future care of patient prohibited.
Section
10-16-605
Independence of examiners.
Section
10-16-606
Applicability.
Section
10-16-701
Short title.
Section
10-16-702
Legislative declaration.
Section
10-16-703
Applicability.
Section
10-16-704
Network adequacy - rules - legislative declaration - definitions.
Section
10-16-705
Requirements for carriers and participating providers.
Section
10-16-705.5
Participating provider networks - definitions - selection standards informal reconsideration - enforcement - legislative declaration.
Section
10-16-706
Intermediaries.
Section
10-16-707
Enforcement.
Section
10-16-708
Rule-making authority of commissioner.
Section
10-16-709
Evaluation - nonparticipating health care providers - legislative declaration - rules.
Section
10-16-710
Reporting to commissioner - medication-assisted treatment - rules.
Section
10-16-801
(Repealed)
Sections
10-16-901 to 10-16-910
(Repealed).
Section
10-16-1001
Legislative declaration.
Section
10-16-1002
Definitions.
Section
10-16-1003
Privacy of health information.
Section
10-16-1004
Health care coverage cooperatives - establishment - fees.
Section
10-16-1005
Issuance of certificate of authority by commissioner for cooperative to purchase health care coverage.
Section
10-16-1006
Authority to deny application for, revoke, or suspend certificate of authority.
Section
10-16-1007
Prohibition on cooperatives transacting insurance business.
Section
10-16-1008
Administrative structure of cooperatives - board of directors - officers employees.
Section
10-16-1009
Powers, duties, and responsibilities of cooperatives.
Section
10-16-1010
Marketing requirements of cooperatives.
Section
10-16-1011
Requirements for waivered health care coverage cooperatives - rules.
Section
10-16-1012
Application of rating factors inside a waivered cooperative. (Repealed)
Section
10-16-1013
Violations of article by persons involved with operations of cooperatives - enforcement - penalties.
Section
10-16-1014
Technical assistance to authorized cooperatives from division of insurance.
Section
10-16-1015
Health care cooperatives - rule-making authority.
Section
10-16-1016
State innovation waiver - authority to apply.
Section
10-16-1101
Short title.
Section
10-16-1102
Legislative declaration.
Section
10-16-1103
Definitions.
Section
10-16-1104
Commissioner powers and duties - rules - study and report.
Section
10-16-1105
Reinsurance program - creation - enterprise status - subject to waiver or funding approval - operation - payment parameters - calculation of reinsurance payments - eligible carrier requests - definition.
Section
10-16-1106
Accounting - reports - audits.
Section
10-16-1107
Funding for reinsurance program - sources - permitted uses reinsurance program cash fund - calculation of total funding for program.
Section
10-16-1108
Special assessments against hospitals and carriers - rules enforcement. (Repealed)
Section
10-16-1109
State innovation waiver - federal funding - Colorado reinsurance program.
Section
10-16-1110
Repeal of part - notice to revisor of statutes.
Section
10-16-1201
Short title.
Section
10-16-1202
Legislative declaration.
Section
10-16-1204
Health insurance affordability enterprise - creation - powers and duties - assess and allocate health insurance affordability fee and special assessment.
Section
10-16-1205
Health insurance affordability fee - special assessment on hospitals allocation of revenues.
Section
10-16-1206
Health insurance affordability cash fund - creation.
Section
10-16-1207
Health insurance affordability board - creation - membership - powers and duties - subject to open meetings and public records laws - commissioner rules.
Section
10-16-1208
Limitation on authority - public option.