reglab/housing_qa huggingface dataset:
CO Code § 10-16-424 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 4 - Health Maintenance Organizations|§ 10-16-424. Commissioner's Authority to Contract

 The commissioner, in carrying out his or her obligations pursuant to sections 10-16-402 (1)(b) and 10-16-417 (1) , may contract with qualified persons concerning the determinations required to be made by the commissioner.   History. Source: L. 92: Entire article R&RE, p. 1713, § 1, effective July 1. L. 2017: Entire section amended,(SB 17-249), ch. 283, p. 1548, § 14, effective June 1.    Editor's note:   The provisions of this section were similar to provisions of several former sections as they existed prior to 1992. For a detailed comparison, see the comparative tables located in the back of the index.
CO Code § 10-16-425 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 4 - Health Maintenance Organizations|§ 10-16-425. Applicability of Provisions

 Nothing contained in part 1 of this article or this part 4 shall be construed to affect or apply to any trust, association, or nonprofit corporation which is established and administered by an employer, a labor organization or labor organizations, or jointly by an employer and a labor organization or labor organizations, and which on or after July 6, 1973, provides or arranges for health-care services only for employees of such employer and members of the families of such employees, or only for members of such labor organization or labor organizations and the families of such members, and for no other person or persons.   History. Source: L. 92: Entire article R&RE, p. 1713, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-17-129 as it existed prior to 1992.
CO Code § 10-16-426 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 4 - Health Maintenance Organizations|§ 10-16-426. Medicare Supplement Benefit Standards

 Except for the requirements of section 10-18-105 , the provisions of article 18 of this title shall not apply to all health maintenance organizations granted a certificate of authority under part 1 of this article or this part 4.   History. Source: L. 92: Entire article R&RE, p. 1713, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-17-132 as it existed prior to 1992.
CO Code § 10-16-427 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 4 - Health Maintenance Organizations|§ 10-16-427. Contractual Relations

  Every contract between a health maintenance organization and a medical group, independent practice association, or health professional employed by a health maintenance organization shall be written and include a hold harmless provision which shall provide that in the event a health maintenance organization fails to pay for health-care services rendered to an enrollee pursuant to a written contract between the health maintenance organization and a medical group, independent practice association, or health professional employed by the health maintenance organization, the enrollee shall not be liable for any moneys owed by the health maintenance organization.    No medical group, independent practice association, or health professional employed by a health maintenance organization referred to in subsection (1) of this section or any agent, trustee, or contractee thereof may maintain any action against an enrollee for sums owed by the health maintenance organization.     History. Source: L. 92: Entire article R&RE, p. 1713, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-17-133 as it existed prior to 1992.
CO Code § 10-16-429 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 4 - Health Maintenance Organizations|§ 10-16-429. Termination of Contract

 A health maintenance organization shall not retroactively terminate a policy or contract issued pursuant to this part 4 except for fraud or intentional misrepresentation. For any termination other than for fraud or intentional misrepresentation, the health maintenance organization shall provide notice thirty days in advance of the cancellation of the policy or contract.   History. Source: L. 2013: Entire section added,(HB 13-1266), ch. 217, p. 981, § 34, effective May 13.
CO Code § 10-16-501 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-501. Legislative Declaration

 It is the policy of the general assembly and the intent and purpose of this part 5 to promote the availability and assure the competent quality of dental care on a prepaid basis, and to thereby promote the health and welfare of the people of Colorado. The general assembly recognizes that health-care coverage may be offered to the citizens of this state by various entities with distinct organizational and functional forms. The placement of this part 5 in this article should in no way be construed so as to alter the distinct organizational and functional character of prepaid dental care plans or to alter the legal distinctions between such plans and other health-care coverage entities.   History. Source: L. 92: Entire article R&RE, p. 1714, § 1, effective July 1. L. 94: Entire section amended, p. 1649, § 92, effective May 31.    Editor's note:   This section is similar to former § 10-16.5-102 as it existed prior to 1992.
CO Code § 10-16-502 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-502. Establishment of Prepaid Dental Care Plan Organizations

  No person, unless otherwise authorized pursuant to this title, may establish or operate a prepaid dental care plan organization in this state or sell or offer to sell, or solicit offers to purchase, or receive advanced or periodic consideration in conjunction with a prepaid dental care plan without obtaining and maintaining a certificate of authority pursuant to part 1 of this article and this part 5.    Within ninety days after January 1, 1980, every prepaid dental care plan organization operating in this state and pursuant to part 1 of this article and this part 5 shall submit an application for a certificate of authority to the commissioner. Each such applicant may continue to operate as an organization until the commissioner acts upon the application.    A prepaid dental care plan organized under part 1 of this article and this part 5 shall be subject to part 5 and part 11 of article 3 of this title but shall not be subject to any other laws of this state relating to insurance or insurance companies.     History. Source: L. 92: Entire article R&RE, p. 1714, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-104 as it existed prior to 1992.
CO Code § 10-16-504 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-504. Issuance of Certificate of Authority

  Issuance of a certificate of authority shall be granted by the commissioner if the commissioner is satisfied that the following conditions are met:   The requirements of section 10-16-503 have been fulfilled;    The prepaid dental care plan organization is financially responsible and may reasonably be expected to meet its obligations to enrollees and prospective enrollees;    The agreement with providers for the provision of prepaid dental care services has been deemed sufficient;    Each officer responsible for conducting the affairs of the prepaid dental care plan organization has filed with the commissioner, subject to the commissioner's approval, a fidelity bond in the amount of fifty thousand dollars.       A certificate of authority shall expire at 12 midnight on June 30 next following the date of issuance or renewal and shall be renewed as provided in section 10-3-117. A prepaid dental care plan organization shall pay a renewal fee as prescribed pursuant to section 10-3-207.     History. Source: L. 92: Entire article R&RE, p. 1717, § 1, effective July 1; (2) amended, p. 1601, § 130, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-106 as it existed prior to 1992.
CO Code § 10-16-505 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-505. Guarantee Fund Deposit

  A prepaid dental care plan organization subject to the provisions of part 1 of this article and this part 5 shall place on deposit with the commissioner a guarantee fund of cash, approved securities, or letter of credit approved by the commissioner in the amount of two dollars per enrollee for all enrollees entitled to dental care services pursuant to contracts issued by the prepaid dental care plan or ten thousand dollars, whichever is greater.    The cash or securities representing the guarantee fund required by this section shall be deposited with the commissioner under joint control in the same manner as prescribed in sections 10-3-206, 10-3-210, and 10-3-211.    An unpaid final judgment arising upon an enrollee coverage shall be a lien on the deposit prescribed by subsection (1) of this section, subject to execution after thirty days from the entry of final judgment. If the deposit is reduced, it shall be replenished within ninety days by the prepaid dental care plan organization.    Upon liquidation or dissolution of a prepaid dental care plan organization formed under part 1 of this article and this part 5 and the satisfaction of all its debts and liabilities, any balance remaining of the deposit prescribed in subsection (1) of this section together with any other assets of the prepaid dental care plan organization shall be returned by the commissioner to the prepaid dental care plan organization.    The deposit prescribed by subsection (1) of this section shall not apply with respect to a prepaid dental care plan organization which is funded by a federal, state, or municipal government or by any political subdivision thereof to the extent and for such period of time that the prepaid dental care plan organization can demonstrate to the commissioner the presence of operational commitments from such sources equivalent to such deposit.     History. Source: L. 92: Entire article R&RE, p. 1717, § 1, effective July 1; (2) amended, p. 1601, § 131, effective July 1. L. 96: (2) amended, p. 97, § 3, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-107 as it existed prior to 1992.
CO Code § 10-16-506 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-506. Reserve Requirement - Exception

  A prepaid dental care plan organization formed under part 1 of this article and this part 5 at all times shall maintain for protection of enrollees a financial reserve consisting of two percent of prepaid charges collected from enrollees for the plan, until such reserve totals five hundred thousand dollars. Such reserve shall be in addition to the deposit prescribed by section 10-16-505.    The reserve prescribed by subsection (1) of this section shall not apply with respect to a prepaid dental care plan organization which is funded by a federal, state, or municipal government or by any political subdivision thereof and which meets the requirements of section 10-16-505 (5).     History. Source: L. 92: Entire article R&RE, p. 1718, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-108 as it existed prior to 1992.
CO Code § 10-16-508 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-508. Examination of Prepaid Dental Care Plan Organization

  The commissioner may visit once in each six months for the first three years after organization and once each year thereafter, or more often if deemed necessary by the commissioner, each prepaid dental care plan organization organized under part 1 of this article and this part 5 and examine its financial condition and its ability to meet its liabilities and its compliance with the laws of this state affecting the conduct of its business. The commissioner may visit and examine annually each prepaid dental care plan organization not organized under the laws of this state but authorized to transact business in this state.    The commissioner may in like manner examine each prepaid dental care plan organization applying for an initial certificate of authority to do business in this state under part 1 of this article and this part 5.    In lieu of making an examination, the commissioner may accept a full report of the most recent examination of a foreign or alien prepaid dental care plan organization, certified to by the appropriate examining official of another state, territory, commonwealth, or district of the United States.     History. Source: L. 92: Entire article R&RE, p. 1719, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-110 as it existed prior to 1992.
CO Code § 10-16-509 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-509. Operational Expenses

 No more than thirty percent of prepaid charges in the first year of any contract, twenty-five percent of prepaid charges in the second year of any contract, and twenty percent of prepaid charges in any subsequent contract year shall be used for the marketing and administrative expenses of a prepaid dental care plan organization, including all costs related to soliciting enrollees and providers.   History. Source: L. 92: Entire article R&RE, p. 1720, § 1, effective July 1.    Editor's note:   This section is similar to former § 10-16.5-112 as it existed prior to 1992.
CO Code § 10-16-511 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-511. Rehabilitation, Liquidation, or Conservation of Prepaid Dental Care Plan Organization

 Any rehabilitation, liquidation, or conservation of a prepaid dental care plan organization shall be deemed to be the rehabilitation, liquidation, or conservation of an insurer and shall be conducted pursuant to part 5 of article 3 of this title.   History. Source: L. 92: Entire article R&RE, p. 1723, § 1, effective July 1; entire section amended, p. 1499, § 31, effective July 1.    Editor's note:    This section is similar to former § 10-16.5-115 as it existed prior to 1992.    Amendments made to § 10-16.5-115 by section 31 of chapter 203, Session Laws of Colorado 1992, have been harmonized with this section since article 16.5 was repealed and the substantive provisions of former § 10-16.5-115 were moved to this section.
CO Code § 10-16-512 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 5 - Prepaid Dental Care Plans|§ 10-16-512. Other Laws Applicable

 In addition to the provisions of part 1 of this article and this part 5, the laws governing insurance companies, except as they are inconsistent with the provisions or purposes of this article, shall apply to prepaid dental care plans regulated pursuant to the provisions of part 1 of this article and this part 5.   History. Source: L. 92: Entire section added, p. 1602, § 133, effective July 1.
CO Code § 10-16-601 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-601. Legislative Declaration

 The general assembly declares that the intent of this part 6, which shall only apply to this title and not to articles 40 to 47 of title 8, C.R.S., is to ensure that patients have access to the best possible health-care decisions and information and to increase the confidence of consumers that doctors will be truly independent medical examiners.   History. Source: L. 96: Entire part added, p. 566, § 1, effective April 24.
CO Code § 10-16-602 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-602. Definitions

 As used in this part 6, unless the context otherwise requires:    “Doctor” means a person licensed as a doctor under title 12, C.R.S., to provide health care to a patient.    “Insurer” means a sickness and accident insurer and any health maintenance organization; fraternal benefit society; nonprofit hospital, medical-surgical, and health services corporation; prepaid health plans; or other entity providing health-care coverage or health benefits or health-care services, whether as a principal, indemnitor, surety, or contractor, authorized by the commissioner to conduct business in Colorado. “Insurer” also includes a self-insurer providing any health coverage or health benefit or health-care services certificate, agreement, contract, policy, or plan; except that the term “insurer” under this part 6 shall apply only to this part 6 and shall not include an insurer or self-insured employer under articles 40 to 47 of title 8, C.R.S.    “Patient” means an individual covered by, or denoted as an insured, subscriber, enrollee, or purchaser under any health coverage or health benefit or health-care services certificate, agreement, contract, policy, or plan. “Patient” also includes a covered employee or dependent of an insured person.     History. Source: L. 96: Entire part added, p. 566, § 1, effective April 24. L. 2004: (2) amended, p. 903, § 25, effective May 21.
CO Code § 10-16-603 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-603. Independent Medical Examinations - Governing Standard

 All independent medical examinations performed by a doctor shall be performed in accordance with generally accepted professional standards of practice or care. It shall be unprofessional conduct for a doctor to perform an independent medical examination not in accordance with generally accepted professional standards of practice or care.   History. Source: L. 96: Entire part added, p. 567, § 1, effective April 24.
CO Code § 10-16-604 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-604. Financial Interest in Future Care of Patient Prohibited

 No doctor that performs an independent medical examination shall have a financial or economic interest in the type or duration of treatment or the results of the examination.   History. Source: L. 96: Entire part added, p. 567, § 1, effective April 24.
CO Code § 10-16-605 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-605. Independence of Examiners

 No insurer, employer, employee, patient, or agent or representative thereof shall attempt to dictate to any doctor performing an independent medical examination the type or duration of treatment or the results of the examination.   History. Source: L. 96: Entire part added, p. 567, § 1, effective April 24.
CO Code § 10-16-606 (2021)
2021 Colorado Code|Title 10 - Insurance|Article 16 - Health Care Coverage|Part 6 - Accountability of Independent Medical Examiners to Their Patients|§ 10-16-606. Applicability

 Nothing in this part 6 shall be construed to apply to any action under articles 40 to 47 of title 8, C.R.S.   History. Source: L. 96: Entire part added, p. 567, § 1, effective April 24.
CO Code § 10-16-701 (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|§ 10-16-701. Short Title

 This part 7 shall be known and may be cited as the “Consumer Protection Standards Act for the Operation of Managed Care Plans”.   History. Source: L. 97: Entire part added, p. 1325, § 2, effective July 1.    ANNOTATION   Law reviews. For article, “Managed Health Care in Colorado: Current Consumer Protection Standards”, see 27 Colo. Law. 91 (July 1998).
CO Code § 10-16-702 (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|§ 10-16-702. Legislative Declaration

  The general assembly hereby finds, determines, and declares that the purposes of this part 7 are:   To incorporate consumer protections in the creation and maintenance of provider networks by carriers;    To establish standards to assure the adequacy, accessibility, and quality of health-care services offered under a managed care plan; and    To establish requirements for written agreements between carriers offering managed care plans and participating providers regarding the standards, terms, and provisions under which the participating provider will provide services to covered persons.        History. Source: L. 97: Entire part added, p. 1325, § 2, effective July 1.
CO Code § 10-16-703 (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|§ 10-16-703. Applicability

 This part 7 applies to all managed care plans, except for workers' compensation and automobile insurance contracts, that are issued, renewed, extended, or modified on or after January 1, 1998.   History. Source: L. 97: Entire part added, p. 1325, § 2, effective July 1.
CO Code § 10-16-706 (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|§ 10-16-706. Intermediaries

  In addition to any other applicable requirements of this part 7, a contract between a carrier and an intermediary shall satisfy all the requirements of this section.    Intermediaries and participating providers with whom they contract shall comply with all the applicable requirements of section 10-16-705.    The responsibility to ensure that participating providers have the capacity and legal authority to furnish covered benefits shall be retained by the carrier.    A carrier shall have the right to approve or disapprove participation status of a subcontracted provider in its own or a contracted network for the purpose of delivering covered benefits to the carrier's covered persons.    A carrier shall maintain copies of all intermediary health-care subcontracts.    If applicable, an intermediary shall transmit utilization documentation and claims paid documentation to the carrier. The carrier shall monitor the timeliness and appropriateness of payments made to participating providers and health-care services received by covered persons.    If applicable, an intermediary shall maintain books, records, financial information, and documentation of services provided to covered persons at the intermediary's place of business in this state.    An intermediary shall allow the commissioner access to the intermediary's books, records, financial information, and any documentation of services provided to covered persons as necessary to determine compliance with this part 7.    A carrier shall have the right, in the event of the intermediary's insolvency, to require the assignment to the carrier of the provisions of a participating provider's contract addressing the provider's obligation to furnish covered services.     History. Source: L. 97: Entire part added, p. 1331, § 2, effective July 1.