Individuals & Families
Small Businesses
Nonprofits
Employers
Employee Benefits Brokers
PEOs
Credit Unions
Membership Groups
Legal Information
Sign In
/
U.S. State Codes
/
Colorado
/
Title 10 - Insurance
/
Health Care Coverage
/
Article 16 - Health Care Co...
/
Part 1 - General Provisions
Part 1 - General Provisions
§ 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
§ 10-16-104. Mandatory coverage provisions - definitions - rules
§ 10-16-104.2. Coverage for contraception - 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
§ 10-16-107.5. 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
§ 10-16-113. Procedure for denial of benefits - internal review - rules
§ 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
§ 10-16-116.5. 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
§ 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 - repeal
§ 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
§ 10-16-121.5. 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. [Editor's note: This section is effective January 1, 2019.]
§ 10-16-122. Access to prescription drugs
§ 10-16-122.5. Pharmacy benefit manager - audit of pharmacies
§ 10-16-122.7. Disclosures between pharmacists and patients - carrier prohibitions - short title - legislative declaration - preemption by federal law
§ 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 - definition
§ 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 benefit 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
§ 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
§ 10-16-144. Health care services provided by pharmacists
§ 10-16-145. Step therapy - prohibited - definitions
§ 10-16-145.5. Step therapy prohibited - stage four advanced metastatic cancer - definition. [Editor's note: This section is effective January 1, 2019.]
§ 10-16-146. Periodic updates to provider directory
§ 10-16-147. Parity reporting - commissioner - definition