reglab/housing_qa huggingface dataset:
CO Code § 10-16-707 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 7 - Consumer Protection Standards Act for the Operation of Managed Care Plans|§ 10-16-707. Enforcement

  If it is determined that a carrier has not contracted with enough participating providers to assure that covered persons have accessible health-care services in a geographic area, that a carrier's access plan does not assure reasonable access to covered benefits, that a carrier has entered into a contract that does not comply with this part 7, or that a carrier has not complied with a provision of this part 7, the commissioner may institute a corrective action that shall be followed by the carrier or may use any of the commissioner's other enforcement powers to obtain the carrier's compliance with this part 7.    The commissioner shall not act to arbitrate, mediate, or settle disputes between a managed care plan and a provider concerning a provider's inclusion or termination from the network.    Failure of a provider to comply with the requirements of section 10-16-705 (16) shall preclude a carrier from contracting with a provider.     History. Source: L. 97: Entire part added, p. 1332, § 2, effective July 1. L. 2002: (3) added, p. 1299, § 15, effective January 1, 2003.
CO Code § 10-16-708 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 7 - Consumer Protection Standards Act for the Operation of Managed Care Plans|§ 10-16-708. Rule-Making Authority of Commissioner

 The commissioner may promulgate rules as necessary for carrying out the commissioner's duties under this part 7.   History. Source: L. 97: Entire part added, p. 1332, § 2, effective July 1.
CO Code § 10-16-710 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 7 - Consumer Protection Standards Act for the Operation of Managed Care Plans|§ 10-16-710. Reporting to Commissioner - Medication-Assisted Treatment - Rules

  A carrier shall report to the commissioner:   The number of in-network providers who are federally licensed to prescribe medication-assisted treatment for substance use disorders, including buprenorphine; and    The number of prescriptions filled by enrollees for medication-assisted treatment for substance use disorders; and    The carrier's efforts to ensure sufficient capacity for and access to medication-assisted treatment for substance use disorders.       The commissioner shall promulgate rules concerning the reporting requirements specified in subsection (1) of this section, including the reporting period, the frequency of reporting, and any other provisions necessary to comply with the reporting requirement.     History. Source: L. 2020: Entire section added,(SB 20-007), ch. 286, p. 1391, § 9, effective July 13.
CO Code § 10-16-1003 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1003. Privacy of Health Information

  Individually identifiable health information collected for or by a cooperative is subject to HIPAA.      All disclosures of individually identifiable health information shall be restricted to the minimum amount of information necessary to accomplish the purpose for which the information is being disclosed.    Any cooperative shall implement administrative, technical, and physical safeguards for the security of identifiable health information.         Subject to appropriate procedures established by a cooperative, an individual has the right to know whether any individual or entity uses or maintains individually identifiable health information concerning the individual and for what purpose the information may be used or maintained.    Subject to appropriate procedures established by a cooperative, an individual has the right, with respect to identifiable health information concerning the individual that is recorded in any form or medium, to:   See such information;    Copy such information; and    Have a notation made with or in such information including suggestions for amendments or corrections to such information requested by the individual or the individual's representative.          Provider networks and providers in a network shall maintain the confidentiality of medical records as otherwise required by section 18-4-412, C.R.S., or other applicable law.     History. Source: L. 2004: Entire part added, p. 995, § 14, effective August 4. L. 2019: (1) amended,(SB 19-004), ch. 205, p. 2191, § 4, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1006 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1006. Authority to Deny Application For, Revoke, or Suspend Certificate of Authority

  On and after August 4, 2004, the commissioner may deny an application for a certificate of authority pursuant to section 10-16-1005 or revoke or suspend a certificate of authority of any cooperative found to be in violation of this part 10.      Any party may request a hearing pursuant to article 4 of title 24, C.R.S., on any action of the commissioner denying an application for a certificate of authority or revoking or suspending a certificate of authority.    Any hearing conducted under this section shall be conducted pursuant to article 4 of title 24, C.R.S., and section 10-1-127, and the commissioner may use the services of an administrative law judge appointed pursuant to part 10 of article 30 of title 24, C.R.S.    Any final decision of the commissioner under this part 10 shall be subject to judicial review by the court of appeals pursuant to section 24-4-106 (11), C.R.S.         History. Source: L. 2004: Entire part added, p. 999, § 14, effective August 4.
CO Code § 10-16-1007 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1007. Prohibition on Cooperatives Transacting Insurance Business

 A cooperative shall not perform any activity included in the definition of transacting insurance business in this state, as provided in section 10-3-903 , except as otherwise authorized in the powers, duties, and responsibilities of cooperatives as set forth in section 10-16-1009 . A cooperative shall not establish or engage in the activities of a health maintenance organization.   History. Source: L. 2004: Entire part added, p. 999, § 14, effective August 4. L. 2013: Entire section amended,(HB 13-1266), ch. 217, p. 990, § 53, effective May 13.
CO Code § 10-16-1010 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1010. Marketing Requirements of Cooperatives

  A cooperative shall use appropriate, efficient, and standardized means to notify members and prospective members and their eligible employees of the availability of sponsored health-care coverage from the cooperative.    A cooperative shall make available to members and prospective members and their eligible employees marketing materials that accurately summarize the health benefit plans that are offered by its licensed provider networks, licensed individual providers, and other carriers, and rates, costs, and accreditation information relating to those plans. A cooperative shall also summarize the services offered by all other provider networks and individual providers the cooperative offers, the rates for those services, and accreditation information relating to those provider networks.    A cooperative may offer nonlicensed provider networks or individual providers only to self-insured members of the cooperative. Nonlicensed provider networks or individual providers may also be offered to members not self-insured if the services offered do not involve transacting insurance business, as defined in section 10-3-903. The members may choose which health benefit plans shall be offered to eligible employees and may change the selection each year. The employee may be given options with regard to health benefit plans and the type of managed care system under which benefits will be provided.     History. Source: L. 2004: Entire part added, p. 1004, § 14, effective August 4.
CO Code § 10-16-1011 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1011. Requirements for Waivered Health Care Coverage Cooperatives - rules.(repealed)

 History. Source: L. 2004: Entire part added, p. 1004, § 14, effective August 4. L. 2013: (5)(b)(II)(A) amended,(HB 13-1266), ch. 217, p. 990, § 54, effective May 13. L. 2019: Entire section repealed,(SB 19-004), ch. 205, p. 2194, § 8, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1012 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1012. Application of Rating Factors Inside a Waivered cooperative.(repealed)

 History. Source: L. 2004: Entire part added, p. 1007, § 14, effective August 4. L. 2019: Entire section repealed,(SB 19-004), ch. 205, p. 2196, § 9, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1013 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1013. Violations of Article by Persons Involved With Operations of Cooperatives - Enforcement - Penalties

  As used in this section, unless the context otherwise requires, “responsible party” means a member of the governing body or an executive officer of a cooperative.      After notice and the opportunity for a hearing pursuant to article 4 of title 24, C.R.S., the commissioner may enforce the provisions of this part 10 by issuing orders directed to any responsible party, including but not limited to cease-and-desist orders, as are deemed necessary if the commissioner finds that:   Such person has violated this part 10 or any lawful rule promulgated pursuant to this part 10, engaged in any unsafe or unsound practice in connection with a cooperative, engaged in an act, omission, or practice that constitutes a breach of fiduciary duty to a cooperative, or has been found liable for or guilty of a civil or criminal offense affecting such person's qualification to serve in such capacity; or    (A) The cooperative has suffered or appears likely to suffer substantial financial loss or that the interests of its members and eligible employees could be seriously prejudiced by reason of such violation, practice, breach of fiduciary duty, or offense;       In addition to the actions authorized in paragraph (a) of this subsection (2), the commissioner may impose a civil penalty of up to twenty-five thousand dollars for each violation.    In addition to the penalty provided in paragraph (b) of this subsection (2), if the commissioner determines that any person is in violation of the provisions of section 10-16-1004 (2)(c) or 10-16-1008 (3), the commissioner may order the responsible party suspended or removed from office.    If the commissioner finds that extraordinary circumstances exist that require immediate action, such action may be taken immediately pursuant to section 24-4-105 (12), C.R.S., but a subsequent hearing shall promptly be afforded upon application to rescind the action taken.    The commissioner may initiate informal actions to enforce this part 10 under this section. Such informal actions may include written agreements with, informal commitment letters from, or the forwarding of a letter of reprimand to, a cooperative or responsible party.       Any person adversely affected by an order issued pursuant to this section may, within twenty days after the date of the order, request judicial review under section 24-4-106 (11). An action for judicial review shall not operate to stay or vacate a decision or order; except that the court may issue a stay pending review.     History. Source: L. 2004: Entire part added, p. 1007, § 14, effective August 4. L. 2019: (3) amended,(SB 19-004), ch. 205, p. 2196, § 10, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1014 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1014. Technical Assistance to Authorized Cooperatives From Division of Insurance

  Subject to available appropriations, the commissioner may provide technical assistance to any cooperative that:   Repealed.    Repealed.    Repealed.    Establishes rules that specify that employer members shall take no action to limit their employees' choice of plans offered through the cooperative or to encourage or discourage employees from making particular choices of plans offered through the cooperative;    Repealed.    Develops and implements a marketing plan to publicize the cooperative to potential members and develops and implements methods for informing the public about the cooperative and its services;    Develops specific plans to expand health-care coverage and to expand access to health care in this state; and    Gives each covered member the opportunity to choose among carriers that contract with the cooperative.       The technical assistance the commissioner may provide pursuant to subsection (1) of this section may include:   Providing technical assistance in the formation of a cooperative pursuant to this part 10 so long as the cooperative is not formed or administered by the commissioner as an entity or instrumentality of the state;    Educating communities, businesses, and nonprofit organizations about cooperatives; and    Advertising or otherwise publicizing successful cooperatives that have been formed in the state.        History. Source: L. 2004: Entire part added, p. 1008, § 14, effective August 4. L. 2019: (1)(a), (1)(b), (1)(c), and (1)(e) repealed, (1)(h) amended, and (2) added,(SB 19-004), ch. 205, p. 2196, § 11, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1015 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1015. Health-Care Cooperatives - Rule-Making Authority

 The commissioner may promulgate rules consistent with this part 10 for purposes of carrying out the commissioner's duties under this part 10.   History. Source: L. 2004: Entire part added, p. 1009, § 14, effective August 4. L. 2019: Entire section amended,(SB 19-004), ch. 205, p. 2197, § 12, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1016 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 10 - Health Care Coverage Cooperatives|§ 10-16-1016. State Innovation Waiver - Authority to Apply

 As necessary to implement this part 10, the commissioner may apply to the secretary of the United States department of health and human services for a five-year state innovation waiver in accordance with section 1332 of the federal act, codified at 42 U.S.C. sec. 18052, and 45 CFR 155.1300. The commissioner shall ensure that a waiver application submitted pursuant to this section complies with the requirements specified in section 1332 of the federal act, codified at 42 U.S.C. sec. 18052, and 45 CFR 155.1308.   History. Source: L. 2019: Entire section added,(SB 19-004), ch. 205, p. 2197, § 13, effective August 2.    Cross references:   For the legislative declaration in SB 19-004, see section 1 of chapter 205, Session Laws of Colorado 2019.
CO Code § 10-16-1101 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1101. Short Title

 The short title of this part 11 is the “Colorado Reinsurance Program Act”.   History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2176, § 1, effective May 17.
CO Code § 10-16-1102 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1102. Legislative Declaration

  The general assembly hereby finds and declares that:   All Coloradans deserve access to high-quality, affordable health care to help support their well-being and economic security;    Increasing costs of health care in Colorado have led to premium increases for health insurance in the individual market that have created a financial burden for some Coloradans purchasing insurance in the individual market;    That burden is heightened in rural areas of the state, where premiums are considerably higher than in metropolitan areas of the state and there is a lack of competition among health-care providers and carriers;    Because of the financial burden high-cost health insurance places on consumers in rural areas, a considerable number of these cost-burdened consumers may not purchase health insurance, exacerbating the problems of few carriers, few plan options, and high health insurance costs in rural regions, as well as increasing the number of uninsured Coloradans; and    Colorado has historically been a national leader in health-care innovation, and it is important to use that innovative spirit to address the rising costs of health care in the state by directing the commissioner of insurance to create a reinsurance program that will:   Make private health insurance in the individual market more accessible and affordable;    Encourage participation and competition by carriers throughout the state, but particularly in rural areas of the state, in order to give consumers the ability to seek value in health insurance coverage;    Decrease costs of care, leading to lower premiums and restraining, if not decreasing, the growth in federal spending commitments in the individual market; and    Support and empower, and increase access to affordable, high-value health insurance for, consumers who are ineligible for premium tax credit subsidies while minimizing any potential negative effects on access to affordable, high-value insurance for consumers who are eligible for premium tax credit subsidies and cost-sharing reductions.           History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2176, § 1, effective May 17.
CO Code § 10-16-1103 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 11 - Colorado Reinsurance Program|§ 10-16-1103. Definitions

 As used in this part 11, unless the context otherwise requires:    “Attachment point” means the amount set by the commissioner pursuant to section 10-16-1105 (2) for claims costs incurred by an eligible carrier for a covered person's covered benefits in a benefit year, above which the claims costs for benefits are eligible for reinsurance payments under the reinsurance program.    “Benefit year” means the calendar year for which an eligible carrier provides coverage through an individual health benefit plan.    “Coinsurance rate” means the rate set by the commissioner pursuant to section 10-16-1105 (2) at which the reinsurance program will reimburse an eligible carrier for claims incurred for a covered person's covered benefits in a benefit year, which claims exceed the attachment point but are below the reinsurance cap.    “Commissioner” means the commissioner of insurance, the commissioner's deputies, or the division of insurance, as appropriate.    “Eligible carrier” means a carrier that:   Offers individual health benefit plans that comply with the federal act; and    Incurs claims costs for a covered person's covered benefits in the applicable benefit year.       “Hospital” means a hospital licensed or certified by the department of public health and environment pursuant to section 25-1.5-103 (1)(a).    “Medicaid” means federal insurance or assistance as provided by Title XIX of the federal “Social Security Act”, as amended, and the “Colorado Medical Assistance Act”, articles 4, 5, and 6 of title 25.5.    “Medicare” means federal insurance or assistance provided by the “Health Insurance for the Aged Act”, Title XVIII of the federal “Social Security Act”, as amended, 42 U.S.C. sec. 1395 et seq.    “Payment parameters” means the attachment point, reinsurance cap, and coinsurance rate for the reinsurance program.    “Reinsurance cap” means the amount set by the commissioner pursuant to section 10-16-1105 (2) for claims costs incurred by an eligible carrier for a covered person's covered benefits, above which amount the claims costs for benefits are no longer eligible for reinsurance payments.    “Reinsurance payment” means an amount paid to an eligible carrier under the reinsurance program.    “Reinsurance program” or “program” means the Colorado reinsurance program established under section 10-16-1105.    “State innovation waiver” means a waiver of one or more requirements of the federal act authorized by section 1332 of the federal act, codified in 42 U.S.C. sec. 18052, and applicable federal regulations.     History. Source: L. 2019: Entire part added,(HB 19-1168), ch. 204, p. 2177, § 1, effective May 17.