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Code of Colorado Regulations eDocket
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 |
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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
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Is this rule adopted in response to recent legislation? |
No
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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 |
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Adopted rule
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