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Code of Colorado Regulations eDocket
Official Publication of the State Administrative Rules (24-4-103(11) C.R.S.)

Details of Tracking Number   2018-00242


CCR details

Tracking Number 2018-00242
Type of Filing Permanent Rule
Department 700 Department of Regulatory Agencies
Agency 702 Division of Insurance
CCR Number 3 CCR 702-4 Series 4-6
CCR Title LIFE, ACCIDENT AND HEALTH, Series 4-6 Group Health Insurance, Small Group Health Plans

Proposed rule

Notice Filed with SOS 05/31/2018
Rule ProposedRuleAttach2018-00242.doc
Statutory Authority §§ 10-1-109 and 10-16-109, C.R.S.
Description of Subjects/Issues 4-6-2 The purpose of this regulation is to: A. Permit, but not require, plans to include a coordination of benefits (COB) provision unless prohibited by federal law; B. Establish a uniform order-of-benefit determination under which plans pay claims; C. Provide authority for the orderly transfer of necessary information and funds between plans; D. Reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, pursuant to rules established by this regulation, do not have to pay their benefits first; E. Reduce claims payment delays; F. Require that COB provisions be consistent with this regulation.
Purpose/Objective of Rule A.Permit, but not require, plans to include a coordination of benefits (COB) provision unless prohibited by federal law; B.Establish a uniform order-of-benefit determination under which plans pay claims; C.Provide authority for the orderly transfer of necessary information and funds between plans; D.Reduce duplication of benefits by permitting a reduction of the benefits to be paid by plans that, pursuant to rules established by this regulation, do not have to pay their benefits first; E.Reduce claims payment delays; F.Require that COB provisions be consistent with this regulation.
Submitted in response to issues raised by COLS/OLLS? No
Is this rule adopted in response to recent legislation? No
Hearing Date 07/02/2018
Hearing Time 10:00 AM
Hearing Location 1560 Broadway, Ste 110 D
Contact Name Christine Gonzales-Ferrer
Contact Title Rulemaking Coordinator
Contact Telephone 303-894-2157
Contact email christine.gonzales-ferrer@state.co.us

Adopted rule

Adopted Rules AdoptedRules02018-00242.doc
Redline Redline2018-00242.doc
Adopted Date 07/10/2018
AGO requested date 07/16/2018
Attorney General Opinion 07/26/2018
Colorado Register publication date 08/10/2018
Effective Date 09/01/2018
Inserted into CCR 08/31/2018
  
  
  
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