C.R.S. Section 10-16-202
Required provisions in individual sickness and accident policies

(1)

Except as provided in section 10-16-204, each such policy delivered or issued for delivery to any person in this state shall contain the provisions specified in this section in the words in which the same appear in this section; except that the insurer, at its option, may substitute for one or more of such provisions corresponding provisions of different wording approved by the commissioner which are in each instance not less favorable in any respect to the insured or the beneficiary. Such provisions shall be preceded individually by the caption appearing in this section or, at the option of the insurer, by such appropriate individual or group captions or subcaptions as the commissioner may approve.

(2)

A provision as follows: “Entire contract--changes: This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurer and unless such approval be endorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of its provisions.”

(3)

Provisions as follows: “Time limit on certain defenses: (a) Two years after the date of issue of this policy no misstatements, except fraudulent misstatements, made by the applicant in the application for such policy shall be used to void the policy or to deny a claim for loss incurred or disability (as defined in the policy) commencing after the expiration of such two-year period. The policy cannot be retroactively terminated except for fraud or intentional misrepresentation. For any termination other than for fraud or intentional misrepresentation, the carrier shall provide notice thirty days in advance of the cancellation of the policy.”
“(The foregoing policy provision does not affect any legal requirement for avoidance of a policy or denial of a claim during such initial two-year period, nor limit the application of section 10-16-203 in the event of misstatement with respect to age or occupation or other insurance.)”
(A policy that the insured has the right to continue in force subject to its terms by the timely payment of premium until at least age fifty, or in the case of a policy issued after age forty-four, for at least five years after its date of issue, may contain, in lieu of the foregoing, the following provision, from which the clause in parentheses may be omitted at the insurer’s option, under the caption “Incontestable”:
“After this policy has been in force for a period of two years during the lifetime of the insured (excluding any period during which the insured is disabled), it becomes incontestable as to the statements contained in the application.”)

(b)

Except for individual disability income insurance policies, no claim for loss incurred or disability, as defined in the policy, commencing one year after the date of issue of this policy shall be reduced or denied on the ground that a disease or physical condition not excluded from coverage by name or a specific description effective on the date of loss had existed prior to the effective date of coverage of this policy.

(c)

If this is an individual disability income insurance policy then no claim for loss incurred or disability, as defined in this individual disability income insurance policy, commencing two years after the date of issue of the policy shall be reduced or denied on the ground that a disease or physical condition not excluded from coverage by name or a specific description effective on the date of loss had existed prior to the effective date of coverage of this policy.

(4)

Intentionally left blank —Ed.

(a)

Except as required by section 10-16-140, in a policy other than a health benefit plan, a provision as follows: “Grace period: A grace period of ........ (insert a number not less than ’7’ for weekly premium policies, ’10’ for monthly premium policies, and ’31’ for all other policies) days will be granted for the payment of each premium falling due after the first premium, during which grace period the policy shall continue in force.”

(b)

A policy in which the insurer reserves the right to refuse any renewal shall have, at the beginning of the provision referred to in paragraph (a) of this subsection (4), “Unless not less than thirty days prior to the premium due date the insurer has delivered to the insured or has mailed to the insured’s last address as shown by the records of the insurer written notice of its intention not to renew this policy beyond the period for which the premium has been accepted.”

(5)

Intentionally left blank —Ed.

(a)

A provision as follows: “Reinstatement: If any renewal premium is not paid within the time granted the insured for payment, a subsequent acceptance of premium by the insurer or by any agent duly authorized by the insurer to accept such premium, without requiring in connection therewith an application for reinstatement, shall reinstate the policy. If the insurer or such agent requires an application for reinstatement and issues a conditional receipt for the premium tendered, the policy will be reinstated upon approval of such application by the insurer or, lacking such approval, upon the forty-fifth day following the date of such conditional receipt unless the insurer has previously notified the insured in writing of its disapproval of such application. The reinstated policy shall cover only loss resulting from such accidental injury as may be sustained after the date of reinstatement and loss due to such sickness as may begin more than ten days after such date. In all other respects the insured and insurer shall have the same rights thereunder as they had under the policy immediately before the due date of the defaulted premium, subject to any provisions endorsed hereon or attached hereto in connection with the reinstatement. Any premium accepted in connection with a reinstatement shall be applied to a period for which premium has not been previously paid, but not to any period more than sixty days prior to the date of reinstatement.”

(b)

The last sentence of the above provision may be omitted from any policy which the insured has the right to continue in force subject to its terms by the timely payment of premiums until at least age fifty or, in the case of a policy issued after age forty-four, for at least five years from its date of issue.

(6)

Intentionally left blank —Ed.

(a)

Provisions as follows: “Notice of claim: Written notice of claim must be given to the insurer within twenty days after the occurrence or commencement of any loss covered by the policy or as soon thereafter as is reasonably possible. Notice given by or on behalf of the insured or the beneficiary to the insurer at ........ (insert the location of such office as the insurer may designate for the purpose), or to any authorized agent of the insurer, with information sufficient to identify the insured, shall be deemed notice to the insurer.”

(b)

In a policy providing a loss-of-time benefit which may be payable for at least two years, an insurer may at its option insert the following between the first and second sentences of the provision set forth in paragraph (a) of subsection (6) of this section:
“Subject to the qualifications set forth below, if the insured suffers loss of time on account of disability for which indemnity may be payable for at least two years, the insured shall, at least once in every six months after having given notice of claim, give to the insurer notice of continuance of said disability, except in the event of legal incapacity. The period of six months following any filing of proof by the insured or any payment by the insurer on account of such claim or any denial of liability in whole or in part by the insurer shall be excluded in applying this provision. Delay in the giving of such notice shall not impair the insured’s right to any indemnity which would otherwise have accrued during the period of six months preceding the date on which such notice is actually given.”

(7)

A provision as follows: “Claim forms: The insurer, upon receipt of a notice of claim, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not furnished within fifteen days after the giving of such notice, the claimant shall be deemed to have complied with the requirements of this policy as to proof of loss upon submitting, within the time fixed in the policy for filing proofs of loss, written proof covering the occurrence, the character, and the extent of the loss for which claim is made.”

(8)

A provision as follows: “Proofs of loss: Written proof of loss must be furnished to the insurer at its said office in case of claim for loss for which this policy provides any periodic payment contingent upon continuing loss within ninety days after the termination of the period for which the insurer is liable and in case of claim for any other loss within ninety days after the date of such loss. Failure to furnish such proof within the time required shall not invalidate nor reduce any claim if it was not reasonably possible to give proof within such time, if such proof is furnished as soon as reasonably possible and in no event, except in the absence of legal capacity, later than one year from the time proof is otherwise required.”

(9)

A provision as follows: “Time of payment of claims: Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment will be paid immediately upon receipt of due written proof of such loss. Subject to due written proof of loss, all accrued indemnities for loss for which this policy provides periodic payment will be paid ........ (insert period for payment which must not be less frequently than monthly) and any balance remaining unpaid upon the termination of liability will be paid immediately upon receipt of due written proof.”

(10)

Intentionally left blank —Ed.

(a)

A provision as follows: “Payment of claims: Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the insured. Any other accrued indemnities unpaid at the insured’s death may, at the option of the insurer, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the insured.”

(b)

The following provisions, or either of them, may be included with the provision set forth in paragraph (a) of this subsection (10) at the option of the insurer:
“If any indemnity of this policy shall be payable to the estate of the insured, or to an insured or beneficiary who is a minor or otherwise not competent to give valid release, the insurer may pay such indemnity, up to an amount not exceeding $ ........ (insert an amount which shall not exceed $1000), to any relative by blood or connection by marriage of the insured or beneficiary who is deemed by the insurer to be equitably entitled thereto. Any payment made by the insurer in good faith pursuant to this provision shall fully discharge the insurer to the extent of such payment.”
“Subject to any written direction of the insured in the application or otherwise, all or a portion of any indemnities provided by this policy on account of hospital, nursing, medical, or surgical services may, at the insurer’s option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the service be rendered by a particular hospital or person.”

(11)

A provision as follows: “Physical examinations and autopsy: The insurer at its own expense shall have the right and opportunity to examine the person of the insured when and as often as it may reasonably require during the pendency of a claim hereunder and to make an autopsy in case of death where it is not forbidden by law.”

(12)

A provision as follows: “Legal actions: No action at law or in equity shall be brought to recover on this policy prior to the expiration of sixty days after written proof of loss has been furnished in accordance with the requirements of this policy. No such action shall be brought after the expiration of three years after the time written proof of loss is required to be furnished.”

(13)

Intentionally left blank —Ed.

(a)

A provision as follows: “Change of beneficiary: Unless the insured makes an irrevocable designation of beneficiary, the right to change of beneficiary is reserved to the insured and the consent of the beneficiary or beneficiaries shall not be requisite to surrender or assignment of this policy or to any change of beneficiary or beneficiaries, or to any other changes in this policy.”

(b)

The first clause of this provision, relating to the irrevocable designation of beneficiary, may be omitted at the insurer’s option.

Source: Section 10-16-202 — Required provisions in individual sickness and accident policies, https://leg.­colorado.­gov/sites/default/files/images/olls/crs2023-title-10.­pdf (accessed Oct. 20, 2023).

10–16–101
Short title 10–16–102
Definitions 10–16–103
Proposal of mandatory health-care coverage provisions 10–16–103.4
Essential health benefits - requirements - rules 10–16–103.5
Payment of premiums - required term in contract - rules - definition 10–16–103.6
Copayment-only prescription payment structures - required inclusion in health benefit plans - rules 10–16–104
Mandatory coverage provisions - definitions - rules - applicability 10–16–104.1
Prohibition on discrimination for organ transplants based solely on disability - definition 10–16–104.2
Coverage for contraception - rules - definitions 10–16–104.3
Health coverage for persons under twenty-six years of age - coverage for students who take medical leave of absence 10–16–104.6
Off-label use of cancer drugs 10–16–104.7
Substance use disorders - court-ordered treatment coverage 10–16–104.8
Behavioral, mental health, or substance use disorder services coverage - court-ordered 10–16–104.9
Geographic areas for small employers 10–16–105
Guaranteed issuance of health insurance coverage - individual and small employer health benefit plans 10–16–105.1
Guaranteed renewability - exceptions - individual and small employer health benefit plans - rules 10–16–105.2
Small employer health insurance availability program 10–16–105.3
Health benefit plans - not prohibited 10–16–105.6
Rate usage 10–16–105.7
Health benefit plan open enrollment periods - special enrollment periods - rules 10–16–106
Group replacement - extension of benefits 10–16–106.3
Uniform claims - billing codes - electronic claim forms 10–16–106.5
Prompt payment of claims - legislative declaration - rules 10–16–106.7
Assignment of health insurance benefits 10–16–107
Rate filing regulation - benefits ratio - rules 10–16–107.1
False or misleading information - penalties 10–16–107.2
Filing of health policies - rules 10–16–107.3
Health insurance policies - plain language required - rules 10–16–107.4
Health-care sharing plan or arrangement - required reporting and certification - noncompliance - information posted on division website - rules 10–16–107.5
Uniform application form - use by all carriers - rules 10–16–107.7
Nondiscrimination against providers 10–16–108
Continuation privileges 10–16–108.5
Fair marketing standards - rules 10–16–109
Rules 10–16–110
Fees paid by health coverage entities 10–16–111
Annual statements and reports - rules 10–16–112
Private utilization review - health-care coverage entity responsibility - definitions 10–16–112.5
Prior authorization for health-care services - disclosures and notice - determination deadlines - criteria - limits and exceptions - definitions - rules 10–16–113
Procedure for denial of benefits - internal review - rules - definitions 10–16–113.5
Independent external review of adverse determinations - legislative declaration - definitions - rules 10–16–113.7
Reporting the denial of benefits to division 10–16–116
Catastrophic health insurance - coverage - premium payments - reporting requirements - definitions - short title 10–16–118
Prohibition against preexisting condition exclusions 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 10–16–119.5
Stop-loss health insurance for small employers of not more than fifty employees - requirements - definitions - rules 10–16–121
Required contract provisions in contracts between carriers and providers - definitions 10–16–121.3
Limitations on provisions in contracts between carriers and licensed health-care providers - methods of payment - fees 10–16–121.5
Prohibited contract provisions in contracts between carriers and providers for dental services - definition 10–16–121.7
Prohibited contract provisions in contracts between carriers and eye care providers - definitions 10–16–122
Access to prescription drugs 10–16–122.1
Contracts between PBMs and pharmacies - carrier submit list of PBMs - PBM registration - fees - prohibited practices - exception - rules - enforcement - short title - definitions 10–16–122.3
Pharmacy benefit management firm payments - retroactive reduction prohibited - enforcement - rules - definitions 10–16–122.4
Pharmacy benefits - formulary change prohibition - exceptions - enforcement - definition - rules 10–16–122.5
Pharmacy benefit manager - audit of pharmacies - time limits on on-site audits - enforcement - rules 10–16–122.6
Pharmacy benefit managers - contracts with pharmacies - maximum allowable cost pricing - enforcement - rules 10–16–122.7
Disclosures between pharmacists and patients - carrier and PBM prohibitions - enforcement - short title - legislative declaration - preemption by federal law - rules 10–16–122.9
Prescription drug benefits - real-time access to benefit information - enforcement - definitions - rules 10–16–123
Telehealth - definitions 10–16–124
Prescription information cards - legislative declaration 10–16–124.5
Prior authorization form - drug benefits - rules of commissioner - definitions - repeal 10–16–124.7
Opioid analgesics with abuse-deterrent properties - study - definitions 10–16–124.8
Colorado consortium for prescription drug abuse prevention - create process for recovery - report 10–16–125
Reimbursement to nurses 10–16–126
Fee-for-service dental plans 10–16–127
Coinsurance and deductibles 10–16–128
Annual report to general assembly 10–16–129
Health savings accounts 10–16–130
Disclosure of rate increases to public entities - legislative declaration - definitions 10–16–133
Health carrier information disclosure - website - insurance producer fees and disclosure requirements - legislative declaration - rules 10–16–134
Health-care transparency - information required - website - definition 10–16–135
Health coverage plan information cards - rules - standardization - contents 10–16–137
Policy forms - explanation of benefits - standardization of forms - rules 10–16–138
Pathology services - direct billing required 10–16–139
Access to care - rules - definitions 10–16–140
Grace periods - premium payments - rules 10–16–141
Medication synchronization services - cost sharing for partial refills - dispensing fees 10–16–142
Physical rehabilitation services - copayments and coinsurance - research 10–16–143.5
Pharmacy reimbursement - substance use disorders - injections - patient counseling 10–16–144
Health-care services provided by pharmacists 10–16–145
Step therapy - limitations - exceptions - definitions - rules 10–16–145.5
Step therapy - prior authorization - prohibited - stage four advanced metastatic cancer - opioid prescription - definitions 10–16–146
Periodic updates to provider directory 10–16–147
Parity reporting - commissioner - carriers - rules - examination of complaints 10–16–148
Medication-assisted treatment - limitations on carriers - rules 10–16–150
Primary care payment reform collaborative - created - powers and duties - report - definition - repeal 10–16–151
Cost sharing in prescription insulin drugs - limits - definition - rules 10–16–152
HIV prevention and treatment medication - limitations on carriers - step therapy - prior authorization - study - repeal 10–16–153
Coverage for opiate antagonists provided by a hospital - definition 10–16–154
Disclosures - physical therapists - occupational therapists - chiropractors - acupuncturists - patients - carrier prohibitions - enforcement 10–16–155
Actuarial reviews of proposed health-care legislation - division to contract with third parties - required considerations - confidentiality - limits on expenditures - repeal 10–16–155.5
Actuarial review of doula services - report - definition 10–16–156
Prescription drugs - rebates - consumer cost reduction - point of sale - study - report - rules - definitions 10–16–157
Alternative payment model parameters - parameters to include an aligned quality measure set - primary care providers - requirement for carriers to submit alternative payment models to the division - legislative declaration - report - rules - definitions 10–16–158
Treatment of sexually transmitted infection - cost sharing - rules - definition 10–16–159
Coverage for sterilization services - cost sharing 10–16–160
Cost sharing - prescription epinephrine - limits - rules - definition 10–16–161
Calculation of contribution to out-of-pocket and cost-sharing requirements - exception - definitions - rules 10–16–162
Prohibition on discrimination for coverage based solely on natural medicine consumption - definitions 10–16–163
Contracts - health benefit plans - pharmacy benefit managers - policyholders - transparency requirements - rules - definitions 10–16–164
Hospital facility fee report - data collection 10–16–165
Dental coverage plans - dental loss ratio - rules - definitions 10–16–166
Prohibition on using the body mass index or ideal body weight - medical necessity criteria - rules 10–16–201
Form and content of individual sickness and accident insurance policies 10–16–202
Required provisions in individual sickness and accident policies 10–16–203
Optional provisions in individual sickness and accident insurance policies 10–16–204
Inapplicable or inconsistent provisions in individual policies of sickness and accident insurance 10–16–205
Order of certain policy provisions in individual policies of sickness and accident insurance 10–16–206
Third-party ownership of individual sickness and accident insurance policies 10–16–207
Requirements of other jurisdictions 10–16–208
Conforming to statute 10–16–209
Application for policy 10–16–210
Notice - waiver 10–16–211
Age limit 10–16–212
Exemption from attachment and execution 10–16–213
Industrial sickness and accident insurance 10–16–214
Group sickness and accident insurance 10–16–215
Blanket sickness and accident insurance 10–16–216
Examinations 10–16–216.5
Hearing procedure and judicial review - violations - penalty 10–16–217
Application of part 1 of this article and part 2 10–16–218
Judicial review 10–16–219
Benefits for care in tax-supported institutions - behavioral health disorders - mental health disorders - intellectual and developmental disabilities 10–16–220
Minimum standards for sickness and accident plans 10–16–221
Statewide health care review committee - creation - membership - duties - repeal 10–16–222
Termination of policies 10–16–301
Legislative declaration 10–16–302
Incorporation and organization - exemptions 10–16–303
Filing of articles of incorporation 10–16–304
Contents of articles 10–16–305
Directors 10–16–306
Contracts - benefits for long-term care insurance 10–16–307
Authority to do business 10–16–308
Automatic extension of certificate 10–16–309
Requirements for certificate of authority 10–16–310
Surplus - guarantee fund deposit - regulations 10–16–311
Group benefits for depositors of banks - benefits for subscribers in public institutions 10–16–312
Contracts with other organizations 10–16–314
Payment for examinations of corporations 10–16–315
Revocation of certificate - appeal 10–16–316
Complaints 10–16–317
Exemption of direct payment methods 10–16–317.5
Assignment of benefits 10–16–318
Prospective reimbursement 10–16–319
Effective date 10–16–320
Investment of funds 10–16–321
Medicare supplement benefit standards 10–16–322
Filing of health policies 10–16–324
Conversion of corporation to a stock insurance company 10–16–325
Termination of health policies 10–16–401
Establishment of health maintenance organizations 10–16–402
Issuance of certificate of authority - denial 10–16–403
Powers of health maintenance organizations 10–16–404
Governing body 10–16–405
Fiduciary responsibilities 10–16–406
Evidence of coverage - rules 10–16–407
Information to enrollees 10–16–408
Open enrollment 10–16–409
Complaint system 10–16–410
Investments 10–16–411
Protection against insolvency 10–16–412
Statutory deposit 10–16–413
Prohibited practices 10–16–413.5
Return to home - legislative declaration - definitions 10–16–414
Regulation of agents 10–16–415
Powers of insurers and nonprofit hospital, medical-surgical, and health service corporations 10–16–416
Examination 10–16–417
Suspension or revocation of certificate of authority 10–16–418
Rehabilitation, liquidation, or conservation of health maintenance organization 10–16–419
Administrative procedures 10–16–420
Penalties and enforcement 10–16–421
Statutory construction and relationship to other laws 10–16–421.5
Acquisition of control of or merger of a health maintenance organization 10–16–422
Filings and reports as public documents 10–16–423
Confidentiality of health information 10–16–424
Commissioner’s authority to contract 10–16–425
Applicability of provisions 10–16–426
Medicare supplement benefit standards 10–16–427
Contractual relations 10–16–429
Termination of contract 10–16–501
Legislative declaration 10–16–502
Establishment of prepaid dental care plan organizations 10–16–503
Application for certificate of authority 10–16–504
Issuance of certificate of authority 10–16–505
Guarantee fund deposit 10–16–506
Reserve requirement - exception 10–16–507
Enrollee coverage by prepaid dental care plan organizations - form filing requirements 10–16–508
Examination of prepaid dental care plan organization 10–16–509
Operational expenses 10–16–510
Suspension or revocation of certificate of authority 10–16–511
Rehabilitation, liquidation, or conservation of prepaid dental care plan organization 10–16–512
Other laws applicable 10–16–601
Legislative declaration 10–16–602
Definitions 10–16–603
Independent medical examinations - governing standard 10–16–604
Financial interest in future care of patient prohibited 10–16–605
Independence of examiners 10–16–606
Applicability 10–16–701
Short title 10–16–702
Legislative declaration 10–16–703
Applicability 10–16–704
Network adequacy - required disclosures - balance billing - rules - legislative declaration - definitions 10–16–705
Requirements for carriers and participating providers - definitions 10–16–705.5
Participating provider networks - definitions - selection standards - informal reconsideration - enforcement - legislative declaration 10–16–705.7
Timely credentialing of physicians by carriers - notice of receipt required - notice of incomplete applications required - delegated credentialing agreements - discrepancies - denials of claims prohibited - disclosures - recredentialing - enforcement - rules - definitions 10–16–706
Intermediaries 10–16–707
Enforcement 10–16–708
Rule-making authority of commissioner 10–16–709
Evaluation - nonparticipating health-care providers - legislative declaration - rules 10–16–710
Reporting to commissioner - medication-assisted treatment - rules 10–16–1001
Legislative declaration 10–16–1002
Definitions 10–16–1003
Privacy of health information 10–16–1004
Health-care coverage cooperatives - establishment - fees 10–16–1005
Issuance of certificate of authority by commissioner for cooperative to purchase health-care coverage 10–16–1006
Authority to deny application for, revoke, or suspend certificate of authority 10–16–1007
Prohibition on cooperatives transacting insurance business 10–16–1008
Administrative structure of cooperatives - board of directors - officers - employees 10–16–1009
Powers, duties, and responsibilities of cooperatives 10–16–1010
Marketing requirements of cooperatives 10–16–1013
Violations of article by persons involved with operations of cooperatives - enforcement - penalties 10–16–1014
Technical assistance to authorized cooperatives from division of insurance 10–16–1015
Health-care cooperatives - rule-making authority 10–16–1016
State innovation waiver - authority to apply 10–16–1101
Short title 10–16–1102
Legislative declaration 10–16–1103
Definitions 10–16–1104
Commissioner powers and duties - rules - study and report 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 10–16–1106
Accounting - reports - audits 10–16–1107
Funding for reinsurance program - sources - permitted uses - reinsurance program cash fund - calculation of total funding for program 10–16–1109
State innovation waiver - federal funding - Colorado reinsurance program 10–16–1110
Repeal of part - notice to revisor of statutes 10–16–1201
Short title 10–16–1202
Legislative declaration 10–16–1203
Definitions 10–16–1204
Health insurance affordability enterprise - creation - powers and duties - assess and allocate health insurance affordability fee and special assessment 10–16–1205
Health insurance affordability fee - special assessment on hospitals - allocation of revenues 10–16–1206
Health insurance affordability cash fund - creation 10–16–1207
Health insurance affordability board - creation - membership - powers and duties - subject to open meetings and public records laws - commissioner rules 10–16–1208
Limitation on authority - public option 10–16–1301
Short title 10–16–1302
Legislative declaration - intent 10–16–1303
Definitions 10–16–1304
Standardized health benefit plan - established - components - rules - independent analysis - repeal 10–16–1305
Standardized health benefit plan - carriers required to offer - premium rates - rules 10–16–1305.5
Rate filings 10–16–1306
Failure to meet premium rate requirements - notice - public hearing - rules 10–16–1307
Advisory board - members - rules 10–16–1308
Federal waiver - commissioner application - use of money 10–16–1309
Standardized plan - cost shift 10–16–1310
Reports required - repeal 10–16–1311
State measurement for accountable, responsive, and transparent (SMART) government act report 10–16–1312
Rules 10–16–1313
Severability 10–16–1401
Definitions 10–16–1402
Colorado prescription drug affordability review board - created - membership - terms - conflicts of interest 10–16–1403
Colorado prescription drug affordability review board - powers and duties - rules 10–16–1404
Colorado prescription drug affordability review board meetings - required to be public - exceptions 10–16–1405
Colorado prescription drug affordability review board - reports from carriers and pharmacy benefit management firms required - confidential materials 10–16–1406
Colorado prescription drug affordability review board - affordability reviews of prescription drugs - repeal 10–16–1407
Colorado prescription drug affordability review board - upper payment limits for certain prescription drugs - rules - severability 10–16–1408
Colorado prescription drug affordability review board - judicial review 10–16–1409
Colorado prescription drug affordability advisory council - created - membership - powers and duties 10–16–1410
Use of savings - report - rules 10–16–1411
Unlawful acts - enforcement - penalties 10–16–1412
Notice of withdrawal of prescription drugs with upper payment limits required - rules - penalty 10–16–1413
Optional participating plans - notice of election to participate required 10–16–1414
Reports 10–16–1415
Exemption - prescription drugs derived from cannabis 10–16–1416
Repeal of part 10–16–1501
Short title 10–16–1502
Legislative declaration 10–16–1503
Definitions 10–16–1504
Applicability - exclusions 10–16–1505
Prohibition on 340B discrimination 10–16–1506
Enforcement - rules
Green check means up to date. Up to date

Current through Fall 2024

§ 10-16-202’s source at colorado​.gov