2016 Colorado Revised Statutes
Title 10 - Insurance
Health Care Coverage
Article 16 - Health Care Coverage
Part 1 - General Provisions

• § 10-16-101. Short title
• § 10-16-102. Definitions
• § 10-16-103. Proposal of mandatory health care coverage provisions
• § 10-16-103.3. Commission on mandated health insurance benefits - cash fund - purpose - creation - duties - repeal. (Repealed)
• § 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
• § 10-16-104.3. Health coverage for persons under twenty-six years of age - coverage for students who take medical leave of absence
• § 10-16-104.4. Child-only plans - legislative declaration - open enrollment - reporting requirements - repeal. (Repealed)
• § 10-16-104.5. Autism - treatment - not mental illness - repeal
• § 10-16-104.6. Off-label use of cancer drugs
• § 10-16-104.7. Substance abuse - court-ordered treatment coverage
• § 10-16-104.8. Mental health 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
• § 10-16-105.5. Individual health plans - federally eligible individual - limited guarantee issue. (Repealed)
• § 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
• § 10-16-108.3. Continuation privileges - special election period - notice requirements - definitions - repeal. (Repealed)
• § 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
• § 10-16-114. Short title. (Repealed)
• § 10-16-115. Definitions. (Repealed)
• § 10-16-116. Catastrophic health insurance - coverage - premium payments - reporting requirements - definitions - short title
• § 10-16-117. Premium payments - pre-tax - election - reporting requirements. (Repealed)
• § 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
• § 10-16-120. Legislative review of requirements for guaranteed issue of basic and standard health benefit plans. (Repealed)
• § 10-16-121. Required contract provisions in contracts between carriers and providers
• § 10-16-122. Access to prescription drugs
• § 10-16-122.5. Pharmacy benefit manager - audit of pharmacies
• § 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
• § 10-16-125. 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
• § 10-16-131. Health care reform project - blue ribbon commission for health care reform - repeal. (Repealed)
• § 10-16-132. Study of factors driving health care costs in Pueblo county - repeal. (Repealed)
• § 10-16-133. Health carrier information disclosure - website - insurance producer disclosure requirements - legislative declaration
• § 10-16-134. Health care transparency - information required - website - definition
• § 10-16-135. Health benefit plan information cards - rules - standardization - contents
• § 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)
• § 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. Single geographic rating area - individual plans - study - report - repeal
• § 10-16-144. Health care services provided by pharmacists