reglab/housing_qa huggingface dataset:
CO Code § 8-43-407 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 4 - Enforcement and Penalties|§ 8-43-407. Election to Waive Vocational Rehabilitation Benefits and Become Subject to Permanent Partial Disability Provisions

 In all cases arising under articles 40 to 47 of this title prior to July 1, 1987, the employee, the employer, and, if insured, the insurance carrier may elect, upon unanimous agreement, in writing to waive vocational rehabilitation which was awarded pursuant to section 8-49-101 as it existed prior to July 1, 1987, and become subject to the permanent partial disability provisions pursuant to section 8-42-110 , as said section existed prior to July 1, 1991. Such election shall be made in a form prescribed by the director and shall not affect payments made prior to the filing of such agreement. Failure to agree to the options available under the provisions of this section shall not be evidence of bad faith in any future litigation by either party.   History. Source: L. 90: Entire article R&RE, p. 515, § 1, effective July 1. L. 92: Entire section amended, p. 2165, § 2, effective June 2.    Editor's note:   This section is similar to former § 8-51-108.5 as it existed prior to 1990.
CO Code § 8-43-503 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 5 - Utilization Review Process - Independent Medical Examinations|§ 8-43-503. Utilization Review of Health-Care Providers

  The general assembly hereby finds and determines that health-care providers that provide medical care or health-care services that are not reasonably necessary or not reasonably appropriate according to accepted professional standards should not be allowed to provide such services to workers' compensation claimants. The general assembly, therefore, hereby declares that the purpose of the utilization review process authorized in this section is to provide a mechanism to review medical care or health-care services rendered pursuant to this article that may not be reasonably necessary or reasonably appropriate according to accepted professional standards and to provide a mechanism to prevent such health-care providers from providing medical care or health-care services.    The provisions relating to the procedures for utilization review found in section 8-43-501 (2), (3), (4), (5)(a), (5)(c), and (5)(d) shall apply to utilization review under this section. A unanimous vote by the committee created in section 8-43-501 (3) shall be required for a recommendation to the director that a health-care provider not be allowed to provide medical care or health-care services to claimants.    Employers, insurers, claimants, or their representatives shall not dictate to any physician the type or duration of treatment or degree of physical impairment. Nothing in this subsection (3) shall be construed to abrogate any managed care or cost containment measures authorized in articles 40 to 47 of this title.     History. Source: L. 94: Entire section added, p. 2003, § 7, effective July 1.
CO Code § 8-43-601 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-601. Short Title

 This part 6 shall be known and may be cited as the “Provider Review and Disclosure Act”.   History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1347, § 1, effective July 1.
CO Code § 8-43-602 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-602. Legislative Declaration

 The general assembly finds, determines, and declares that insurer performance programs are used in marketing, sales, and other efforts, and, as such, may impact an employer's selection of an authorized health-care provider. To protect patients, employers, and providers, and to avoid improper profiling, all performance programs must be fair, objective, consistently applied, and accord providers due process. Consistent with these goals, performance programs should align incentives not only with efficient operations, but also with cost-effective, high-quality care. Accordingly, the general assembly finds that requiring minimum standards and full disclosure of performance program data and methodologies will help improve the quality and efficiency of health care delivered to Colorado workers.   History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1347, § 1, effective July 1.
CO Code § 8-43-603 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-603. Definitions

 As used in this part 6, unless the context otherwise requires:    “Insurer” means an entity that provides workers' compensation insurance coverage required by article 44 of this title, including any third-party insurer or self-insured employer.    “Methodology” means the method by which an assessment or measurement is determined, including algorithms or studies, evaluation of data, application of guidelines, or performance measures.    “Patient” means a person who qualifies for health-care benefits under articles 40 to 47 of this title.    “Performance program” means any program, system, or process through which an insurer rates or recognizes the cost, efficiency, quality, or other assessment or measurement of a provider's care, whether through awards, payments, assignment, or characterization or representation that is disclosed to patients, other providers, employers, or the public.    “Provider” means a physician licensed under the “Colorado Medical Practice Act”, article 240 of title 12, or a clinic that provides health care pursuant to articles 40 to 47 of this title 8.     History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1348, § 1, effective July 1. L. 2019: (5) amended, (HB 19-1172), ch. 136, p. 1648, § 24, effective October 1.
CO Code § 8-43-604 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-604. Performance Programs

  All performance programs shall include, at a minimum:   A quality of care component that is satisfied by using standard treatment guidelines promulgated by the director pursuant to section 8-42-101 or evidence-based administrative, operational, or clinical performance measures that improve care;    A clear representation of the weight given to the quality of care component in comparison with other factors, which weight shall be equal to or greater than any other factor;    If a performance program includes an employer satisfaction element, a patient satisfaction element, which shall be weighted equal to or greater than the employer satisfaction element;    Statistical analyses that are objective, accurate, valid, reliable, and verifiable;    A period of assessment of data, pertinent to the performance program, which shall be updated at appropriate intervals;    If claims data are used, accurate claims data appropriately attributed to the provider. When reasonably available, the insurer shall use aggregated data from other insurers to supplement its own claims data.    The provider's responsibility for health-care decisions and the financial consequences of those decisions, which shall be fairly and accurately attributed to the provider.       Performance program results shall be reported to each provider reviewed in the program and shall include comparison of the provider's results to the results of the provider's peers.    Any disclosure to patients, other providers, employers, or the public of the results of a performance program shall be accompanied by a conspicuous disclaimer written in bold-faced type stating that the information is intended only as a guide, should not be the sole factor in selecting a provider, has a risk of error, and should be discussed with the provider.     History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1348, § 1, effective July 1.
CO Code § 8-43-605 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-605. Due Process

  At least forty-five days before disclosing the results of a performance program, an insurer shall give a provider written notice of the availability of the provider's individual result, specific instructions on how the provider can access the result, and a description of the implications to the provider. The written notice shall describe the procedures by which the provider may request:   The information required to be disclosed under subsection (2) of this section; and    An appeal of the result pursuant to subsection (3) of this section.         Within ten business days after receiving a request by or on behalf of a provider, an insurer shall disclose, in a manner that is reasonably understandable and that allows the provider to verify the data against his or her records, the methodology and all data upon which a provider's performance program result was calculated, with sufficient detail to allow the provider to determine the effect of the methodology on the data reviewed.    An insurer shall not use the “Uniform Trade Secrets Act”, article 74 of title 7, C.R.S., to avoid compliance with this section.       Insurers shall establish procedures for providers to appeal the results of a performance program. Such procedures, in addition to the disclosures and the written notice furnished, shall provide:   A reasonable method by which the provider may submit notice of the desire to appeal;    The name, title, qualifications, and relationship to the insurer of any person responsible for deciding the appeal, who shall be authorized to uphold, modify, or reject results or require additional action to ensure that results are fair, reasonable, accurate, and comply with the requirements of this part 6;    An opportunity for a provider to submit or have considered corrected data or other information relevant to the results or the appropriateness of the methodology used. If requested, a provider may appear at a face-to-face meeting with those responsible for the appeal decision at a location reasonably convenient to the provider or by teleconference. The provider shall submit in writing any corrected data or information in advance of the meeting.    The provider's right to be assisted by a representative, including an attorney;    A detailed written decision regarding the appeal that states the reasons for upholding, modifying, or rejecting the appeal;    Resolution of the appeal within forty-five days after the date upon which the data and methodology are disclosed unless otherwise agreed to by the parties to the appeal; and    A stay on the implementation, use, and disclosure of and action upon the individual results of the performance program until the appeal and any subsequent hearing requested pursuant to section 8-43-207 has become final.         History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1349, § 1, effective July 1.
CO Code § 8-43-606 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-606. Enforcement

  An insurer shall not limit, by contract or other means, the right of a provider to enforce this part 6.    This part 6 may be enforced through a hearing pursuant to section 8-43-207 or in a civil action, and any remedies at law and in equity are available.    A violation of this part 6 constitutes an unfair or deceptive act or practice under part 11 of article 3 of title 10, C.R.S.     History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1350, § 1, effective July 1.
CO Code § 8-43-607 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 43 - Procedure|Part 6 - Provider Review and Disclosure|§ 8-43-607. Filing With Director

 At least thirty days before implementing any new or amended performance program, an insurer shall file a detailed description of the performance program with the director.   History. Source: L. 2010: Entire part added, (SB 10-178), ch. 290, p. 1350, § 1, effective July 1.
CO Code § 8-44-103 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-103. Insurers to File System of Rating - Approval

 Every insurance carrier authorized to transact business in this state that insures employers against liability for compensation under the provisions of articles 40 to 47 of this title shall file with the commissioner of insurance its classification of risks, any premiums relating thereto, and any subsequent proposed classification of risks and premiums, together with all rates and any systems of rating.   History. Source: L. 90: Entire article R&RE, p. 521, § 1, effective July 1. L. 2000: Entire section amended, p. 470, § 10, effective August 2. L. 2002: Entire section amended, p. 1884, § 35, effective July 1. L. 2003: Entire section amended, p. 2201, § 2, effective July 1.    Editor's note:   This section is similar to former § 8-44-103 as it existed prior to 1990.   Cross references:   For the legislative declaration contained in the 2000 act amending this section, see section 1 of chapter 135, Session Laws of Colorado 2000.
CO Code § 8-44-104 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-104. Cutting Rates - Rebates - Penalty

 Every insurance carrier that writes compensation insurance shall write insurance at the rates filed with the commissioner of insurance. The cutting of rates, rebating, or any other method whereby, directly or indirectly, any employer is given the benefit of or obtains a rate lower than that approved by the commissioner of insurance is prohibited. The commissioner of insurance may suspend the license of any insurance carrier, agent, or broker who violates any provision of this section. Also, any insurance carrier, any employer, or any officer, agent, or employee thereof who violates any provision of this section is guilty of a misdemeanor and, upon conviction thereof, shall be punished by a fine of not more than one hundred dollars for each such violation.   History. Source: L. 90: Entire article R&RE, p. 521, § 1, effective July 1. L. 2000: Entire section amended, p. 471, § 11, effective August 2. L. 2002: Entire section amended, p. 1884, § 36, effective July 1. L. 2003: Entire section amended, p. 2201, § 3, effective July 1.    Editor's note:   This section is similar to former § 8-44-104 as it existed prior to 1990.   Cross references:   For the legislative declaration contained in the 2000 act amending this section, see section 1 of chapter 135, Session Laws of Colorado 2000.
CO Code § 8-44-106 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-106. Insurer Violation - Suspension or Revocation of License

 If any insurance carrier intentionally, knowingly, or willfully violates any of the provisions of articles 40 to 47 of this title, the commissioner of insurance, on the request of the director, shall suspend or revoke the license or authority of such carrier to do a compensation business in this state.   History. Source: L. 90: Entire article R&RE, p. 522, § 1, effective July 1.    Editor's note:   This section is similar to former § 8-44-106 as it existed prior to 1990.
CO Code § 8-44-107 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-107. Right of Insurer to Examine Books of Employer

 Any insurance carrier operating under the workers' compensation act may apply to the commissioner of insurance for permission to examine any of the books, payrolls, or other documents of any employer insured by such carrier or of any contractor, subcontractor, lessee, sublessee, or person covered by the employer's compensation insurance to determine the amount of wage expenditure of such employer or of any contractor, subcontractor, lessee, sublessee, or person during any period that such insureds were insured by the insurance carrier. The commissioner of insurance may grant such carrier authority in writing to make the investigation or may appoint any agents of the division of insurance to conduct the investigation.   History. Source: L. 90: Entire article R&RE, p. 522, § 1, effective July 1.    Editor's note:   This section is similar to former § 8-44-108 as it existed prior to 1990.
CO Code § 8-44-108 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-108. Repayments for Misclassifications

  Every insurance carrier authorized to transact business in this state, including Pinnacol Assurance, which insures employers against liability for compensation under the provisions of articles 40 to 47 of this title, is authorized to charge and collect any amount of money that should have been included in premiums paid by an insured but were not included in such premiums as a result of job misclassification. Upon written request by the employer, the issue of whether a job misclassification occurred shall be determined in writing by the insurance company. The employer's request shall be made within thirty working days after the anniversary date of the policy or the date of receipt by the employer of notice of a change in job classification. The insurance company's determination shall be made within thirty days after receipt of the employer's written request. An employer may appeal any determination of an insurance company made pursuant to this subsection (1) to the workers' compensation classification appeals board, pursuant to section 8-55-102. If it is determined that a job misclassification occurred and that such misclassification was caused by the failure of the insured to provide accurate or complete data in order to determine the proper classification as requested by the insurance carrier, the repayment may be collected during the term of the contract for such insurance plus an additional reasonable time not to exceed twelve months.    Any employer who has purchased insurance against liability for compensation under the provisions of articles 40 to 47 of this title is authorized to recover any amount of money which should not have been included in premiums paid by the employer but which were included in such premiums as a result of job misclassification. The repayment may be collected during the term of the contract for such insurance plus an additional reasonable time not to exceed twelve months.     History. Source: L. 90: Entire article R&RE, p. 522, § 1, effective July 1. L. 96: (1) amended, p. 1143, § 2, effective October 1. L. 2002: (1) amended, p. 1885, § 37, effective July 1.    Editor's note:   This section is similar to former § 8-44-113 as it existed prior to 1990.
CO Code § 8-44-109 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-109. Notice - Change in Rate by Classification - Policyholder's Right to Appeal Classifications - Availability of Medical Case Management Services

  Any insurance carrier authorized to transact business in this state, including Pinnacol Assurance, which insures employers against liability for compensation under the provisions of articles 40 to 47 of this title, shall supply information regarding a change in the rate by classification to any insured employer, if such employer has requested that such information be supplied. Such information shall be supplied within thirty days following release of such information to such insurer by the authorized rating organization and following approval of such rate change by the division of insurance. As soon as reasonably possible after the division of insurance's approval of a change in rate by classification, the authorized rating organization shall disseminate notice of such approval and change in rate.    Every insurance carrier authorized to transact business in Colorado, including Pinnacol Assurance, which insures employers against liability for compensation under the provisions of articles 40 to 47 of this title, shall clearly and conspicuously inform policyholders of their rights to appeal employee classification designations, the procedures to be used for such an appeal, and the types of medical case management that the carrier has available to employees to promote medical cost containment.     History. Source: L. 90: Entire article R&RE, p. 523, § 1, effective July 1. L. 2002: Entire section amended, p. 1885, § 38, effective July 1.    Editor's note:   This section is similar to former § 8-44-115 as it existed prior to 1990.
CO Code § 8-44-110 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-110. Notice of Cancellation

 Every insurance carrier authorized to transact business in this state, including Pinnacol Assurance, which insures employers against liability for compensation under the provisions of articles 40 to 47 of this title, shall notify any employer insured by the carrier or Pinnacol Assurance, and any agent or representative of such employer, if applicable, by certified mail of any cancellation of such employer's insurance coverage. Such notice shall be sent at least thirty days prior to the effective date of the cancellation of the insurance. However, if the cancellation is based on one or more of the following reasons, then such notice may be sent less than thirty days prior to the effective date of the cancellation of the insurance: Fraud, material misrepresentation, nonpayment of premium, or any other reason approved by the commissioner of insurance.   History. Source: L. 90: Entire article R&RE, p. 523, § 1, effective July 1. L. 2002: Entire section amended, p. 1886, § 39, effective July 1. L. 2003: Entire section amended, p. 838, § 3, effective August 6.    Editor's note:   This section is similar to former § 8-44-114 as it existed prior to 1990.   ANNOTATION   Law reviews. For article, “Update on Colorado Appellate Decisions in Workers' Compensation Law”, see 32 Colo. Law. 113 (Oct. 2003).   Substantial compliance with the mailing requirements of this section is sufficient, when the employer does not dispute actual notice of cancellation was received by the insurer and the court does not treat the notice as jurisdictional. An employer received notice of cancellation via regular mail prior to a worker being injured. The injured worker's benefits were therefore paid by the employer. EZ Bldg. Components Mfg., LLC v. Indus. Claim Appeals Office, 74 P.3d 516 (Colo. App. 2003).
CO Code § 8-44-114 (2021)
2021 Colorado Code|Title 8 - Labor and Industry|Article 44 - Insurance|Part 1 - General Provisions|§ 8-44-114. Determination of Premium

 The amount of the premium to be paid by an employer for a contract of insurance of compensation and benefits as provided in articles 40 to 47 of this title or against liability therefor shall be on the basis of the annual expenditure of money by said employer for the services of persons engaged in such employer's employment; except that no portion of such expenditure representing a per diem payment shall be considered unless such payment is considered wages for federal income tax purposes.   History. Source: L. 94: Entire section added, p. 1286, § 4, effective May 22.