0 chapters · 1,354 sections in this title.
Colo. Rev. Stat. § 10-16-202 Required provisions in individual sickness and accident policies
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(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 sub…
Colo. Rev. Stat. § 10-16-203 Optional provisions in individual sickness and accident insurance policies
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(1) Except as provided in section 10-16-204, no individual sickness and accident insurance policy delivered or issued for delivery to any person in this state shall contain provisions respecting the matters set forth below unless such provisions are in the words in which the same…
Colo. Rev. Stat. § 10-16-204 Inapplicable or inconsistent provisions in individual policies of sickness and accident insurance
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If any provision of part 1 of this article or this part 2 is in whole or in part inapplicable to or inconsistent with the coverage provided by a particular form of policy, the insurer, with the approval of the commissioner, shall omit from such policy any inapplicable provision o…
Colo. Rev. Stat. § 10-16-205 Order of certain policy provisions in individual policies of sickness and accident insurance
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The provisions which are the subject of sections 10-16-202 and 10-16-203, or any corresponding provisions which are used in lieu thereof in accordance with such sections, shall be printed in the consecutive order of the provisions in such sections, or, at the option of the insure…
Colo. Rev. Stat. § 10-16-206 Third-party ownership of individual sickness and accident insurance policies
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The word “insured”, as used in part 1 of this article and this part 2, shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a po…
Colo. Rev. Stat. § 10-16-207 Requirements of other jurisdictions
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(1) Any policy of a foreign or alien insurer, when delivered or issued for delivery to any person in this state, may contain any provision which is not less favorable to the insured or the beneficiary than the provisions of part 1 of this article and this part 2 and which is pres…
Colo. Rev. Stat. § 10-16-208 Conforming to statute
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(1) No policy provision which is not subject to section 10-16-202 or 10-16-203 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to part 1 of this article and this part 2. (2)…
Colo. Rev. Stat. § 10-16-209 Application for policy
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(1) The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is attached to or endorsed on the policy when issued as a part thereof. If any such policy delivered or issued for delivery to any person in this state is rei…
Colo. Rev. Stat. § 10-16-210 Notice - waiver
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The acknowledgment by any insurer of the receipt of notice given under any policy covered by part 1 of this article or this part 2, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim under such policy shall no…
Colo. Rev. Stat. § 10-16-211 Age limit
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If any such policy contains a provision establishing, as an age limit or otherwise, a date after which coverage provided by the policy will not be effective, and if such date falls within a period for which a premium is accepted by the insurer or if the insurer accepts a premium …
Colo. Rev. Stat. § 10-16-212 Exemption from attachment and execution
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So much of any benefits under all policies of sickness and accident insurance as does not exceed two hundred dollars for each month during any period of disability covered by such policy shall not be liable to attachment, trustee process, or other process, or to be seized, taken,…
Colo. Rev. Stat. § 10-16-213 Industrial sickness and accident insurance
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(1) Repealed. (2) Any insurer authorized to write sickness and accident insurance in this state has the power to issue industrial sickness and accident policies. (3) No policy of industrial sickness and accident insurance may be delivered or issued for delivery in this state unle…
Colo. Rev. Stat. § 10-16-214 Group sickness and accident insurance
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(1) Group sickness and accident insurance is declared to be that form of sickness and accident insurance covering groups of persons, with or without their dependents, and issued upon the following bases: (a) Under a policy issued to an employer, who shall be deemed the policyhold…
Colo. Rev. Stat. § 10-16-215 Blanket sickness and accident insurance
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(1) Blanket sickness and accident insurance is declared to be that form of sickness and accident insurance covering special groups of not less than ten persons as enumerated under a policy or contract issued: (a) To any common carrier, which shall be deemed the policyholder, cove…
Colo. Rev. Stat. § 10-16-216 Examinations
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(1) The commissioner may, at any reasonable time, make or cause to be made an examination of every admitted health insurer transacting any insurance to which the provisions of part 1 of this article and this part 2 are applicable to ascertain whether each insurer and every rate u…
Colo. Rev. Stat. § 10-16-216.5 Hearing procedure and judicial review - violations - penalty
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(1) Any person aggrieved by any rate charged, underwriting rule, policy form, certificate, contract of insurance, or rider followed or adopted by a health insurer may request the insurer to review the manner in which the rate, underwriting rule, policy form, certificate, contract…
Colo. Rev. Stat. § 10-16-217 Application of part 1 of this article and part 2
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(1) Nothing in part 1 of this article or this part 2 shall apply to or affect any policy of workers' compensation insurance or any policy of liability insurance with or without supplementary expense coverage in said policy; or life insurance, endowment, or annuity contracts, or c…
Colo. Rev. Stat. § 10-16-218 Judicial review
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Any final action of the commissioner pursuant to part 1 of this article and this part 2 shall be subject to judicial review by the court of appeals pursuant to section 24-4-106 (11), C.R.S. Source: L. 92: Entire article R&RE, p. 1680, � 1, effective July 1; entire section amended…
Colo. Rev. Stat. § 10-16-219 Benefits for care in tax-supported institutions - behavioral health disorders - mental health disorders - intellectual and developmental disabilities
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(1) On and after July 1, 1977, an individual or group policy of sickness, health, or accident insurance or small group sickness and accident insurance delivered or issued for delivery to any person in this state that provides coverage for behavioral or mental health disorders or …
Colo. Rev. Stat. § 10-16-220 Minimum standards for sickness and accident plans
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The commissioner may promulgate regulations prescribing minimum standards applicable to the valuation of sickness and accident plans or products, and in conformance with standards as adopted by the national association of insurance commissioners. Source: L. 92: Entire section add…
Colo. Rev. Stat. § 10-16-221 Statewide health care review committee - creation - membership - duties - repeal
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(1) The statewide health care review committee is hereby created in order to study health-care issues that affect Colorado residents throughout the state, including the following: (a) Emerging trends in Colorado health care and their effects on consumers, providers, and payers; (…
Colo. Rev. Stat. § 10-16-222 Termination of policies
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A carrier shall not retroactively terminate a policy issued pursuant to this part 2 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 cancell…
Colo. Rev. Stat. § 10-16-301 Legislative declaration
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(1) It is the policy of the general assembly, and the intent and purpose of this article, to promote the availability of hospital care, medical-surgical care, and other health services on a voluntary nonprofit prepaid basis, and to thereby promote the health and welfare of the pe…
Colo. Rev. Stat. § 10-16-302 Incorporation and organization - exemptions
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(1) Any nonprofit corporation organized under the laws of Colorado for the purpose of establishing, maintaining, and operating a nonprofit plan whereby prepaid hospital care, medical-surgical care, and other health services are made available to persons who become subscribers to …
Colo. Rev. Stat. § 10-16-303 Filing of articles of incorporation
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(1) Whenever any number of persons associate to form a corporation for any of the purposes named in section 10-16-302, they shall submit articles of incorporation which shall be issued in triplicate to the commissioner and the attorney general for examination. After being approve…
Colo. Rev. Stat. § 10-16-304 Contents of articles
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(1) In addition to the contents required or permitted by the general corporation laws of this state relating to corporations not for profit, the articles of incorporation of any corporation shall comply with the following: (a) The name of the corporation shall not include the wor…
Colo. Rev. Stat. § 10-16-305 Directors
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(1) The property and lawful business of every such corporation subject to the provisions of part 1 of this article and this part 3 shall be held and managed by a board of trustees or directors with such powers and authority as shall be necessary or incidental to the complete exec…
Colo. Rev. Stat. § 10-16-306 Contracts - benefits for long-term care insurance
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Corporations subject to the provisions of part 1 of this article and this part 3 may enter into contracts for the rendering of long-term care insurance, as defined in section 10-19-103 (5), on behalf of any of their subscribers. Such contracts shall comply with article 19 of this…
Colo. Rev. Stat. § 10-16-307 Authority to do business
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No corporation subject to the provisions of part 1 of this article and this part 3 shall transact any business in this state unless it first procures from the commissioner a certificate of authority stating that the requirements of the laws of this state have been complied with a…
Colo. Rev. Stat. § 10-16-308 Automatic extension of certificate
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When the annual statement of a corporation subject to the provisions of part 1 of this article and this part 3 has been filed and all fees due from the corporation have been tendered, the corporation's certificate of authority to do business in this state shall automatically be e…
Colo. Rev. Stat. § 10-16-309 Requirements for certificate of authority
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(1) The commissioner shall not issue or renew a certificate of authority to any corporation operating or proposing to operate a nonprofit hospital, medical-surgical, and other health services plan, unless: (a) The subscription or membership certificates which the corporation offe…
Colo. Rev. Stat. § 10-16-310 Surplus - guarantee fund deposit - regulations
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(1) No corporation subject to the provisions of part 1 of this article and this part 3 shall be permitted to do any business in this state unless, in addition to the other requirements of law, it has and maintains surplus in an amount not less than five percent of the corporation…
Colo. Rev. Stat. § 10-16-311 Group benefits for depositors of banks - benefits for subscribers in public institutions
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(1) Nonprofit hospitals and health service corporations may contract with any bank located and doing business in any community in this state, the population of which does not exceed ten thousand inhabitants, as shown by the last preceding federal census, to provide group hospital…
Colo. Rev. Stat. § 10-16-312 Contracts with other organizations
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Any corporation subject to the provisions of part 1 of this article and this part 3 may contract with any agency, instrumentality, or political subdivision of the United States of America, or of the state of Colorado for the making available of hospital, medical-surgical, and oth…
Colo. Rev. Stat. § 10-16-313 Licensing of representatives. (Repealed)
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Source: L. 92: Entire article R&RE, p. 1687, � 1, effective July 1; (2) amended, p. 1598, � 121, effective July 1. L. 94: Entire section repealed, p. 597, � 4, effective April 7. Editor's note: Prior to its repeal in 1994, the provisions of this section were similar to provisions…
Colo. Rev. Stat. § 10-16-314 Payment for examinations of corporations
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A corporation periodically examined by the commissioner shall pay to the commissioner the cost of such examination, as determined by the commissioner. Source: L. 92: Entire article R&RE, p. 1688, � 1, effective July 1. L. 94: Entire section amended, p. 598, � 5, effective April 7…
Colo. Rev. Stat. § 10-16-315 Revocation of certificate - appeal
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(1) The commissioner shall not make public the result of any examination or investigation of any corporation found to be insolvent or with its capital impaired prior to suspending or revoking the authority of such company to do business in this state. If the commissioner determin…
Colo. Rev. Stat. § 10-16-316 Complaints
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Any individual subscriber of a corporation subject to the provisions of part 1 of this article and this part 3 who is aggrieved by any act or omission of such corporation or its officers, directors, agents, or representatives, may file a statement in writing of such grievance in …
Colo. Rev. Stat. § 10-16-317 Exemption of direct payment methods
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Nothing contained in part 1 of this article or this part 3 shall be construed to affect or apply to hospitals, or other licensed health-care institutions, nor to any individuals, partnerships, associations, or corporations which are the direct purveyors of health services; nor sh…
Colo. Rev. Stat. § 10-16-317.5 Assignment of benefits
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(1) An individual or group nonprofit hospital or medical service contract issued pursuant to the provisions of this article shall not prohibit a subscriber under the contract from assigning, in writing, benefits payable under the contract to a licensed hospital or other licensed …
Colo. Rev. Stat. § 10-16-318 Prospective reimbursement
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(1) No corporation subject to the provisions of part 1 of this article and this part 3 which provides a service contract as distinguished from a fixed dollar benefit contract shall provide reimbursement for the rendering of hospital care, medical-surgical care, or other health se…
Colo. Rev. Stat. § 10-16-319 Effective date
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Sections 10-16-317 and 10-16-318 shall take effect January 1, 1974, and shall be implemented with the beginning of each hospital's fiscal year. Source: L. 92: Entire article R&RE, p. 1693, � 1, effective July 1. Editor's note: This section is similar to former � 10-16-133 as it e…
Colo. Rev. Stat. § 10-16-320 Investment of funds
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The investable funds of a corporation subject to the provisions of part 1 of this article and this part 3 may only be invested in those types of investments which are permitted by law for the investment of the assets of life insurance companies and in such other types of investme…
Colo. Rev. Stat. § 10-16-321 Medicare supplement benefit standards
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The provisions of article 18 of this title shall apply to corporations organized pursuant to the provisions of this part 3. On and after July 1, 1983, no corporation subject to the provisions of part 1 of this article and this part 3 shall deliver or issue for delivery in this st…
Colo. Rev. Stat. § 10-16-322 Filing of health policies
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Nonprofit hospital and health service corporations shall be subject to the requirements regarding the filing of health policies pursuant to section 10-16-107.2. Source: L. 92: Entire section added, p. 1747, � 7, effective June 2. Editor's note: Although the effective date of the …
Colo. Rev. Stat. § 10-16-323 Conversion of corporation to mutual insurance company. (Repealed)
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C.R.S. 10-16-323Statutes current through Chapter 65 of the 2026 Regular Session, effective as of April 20, 2026. The text of this section is not final. It will not be final until compared to, and updated from, the text provided by the Colorado Office of Legislative Legal Services…
Colo. Rev. Stat. § 10-16-324 Conversion of corporation to a stock insurance company
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(1) It is the intent of the general assembly by the enactment of this section to create a procedure for nonprofit hospital, medical-surgical, and health service corporations subject to the provisions of part 1 of this article and this part 3 to elect to convert to a stock insuran…
Colo. Rev. Stat. § 10-16-325 Termination of health policies
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A corporation shall not retroactively terminate a policy issued pursuant to this part 3 except for fraud or intentional misrepresentation. For any termination other than for fraud or intentional misrepresentation, the corporation shall provide notice thirty days in advance of the…
Colo. Rev. Stat. § 10-16-401 Establishment of health maintenance organizations
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(1) The general assembly recognizes that health-care coverage may be offered to the citizens of this state by various entities with distinct organizational and functional forms. The placement of this part 4 in this article should in no way be construed so as to alter the distinct…
Colo. Rev. Stat. § 10-16-402 Issuance of certificate of authority - denial
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(1) (a) Repealed. (b) The commissioner shall determine whether the applicant for a certificate of authority, with respect to health-care services to be furnished: (I) Has demonstrated the willingness and potential ability to assure that such health-care services will be provided …