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Regulations

The Colorado Division of Insurance maintains the current versions of insurance regulations as well as information concerning rule-making on this website.  However, the Colorado Division of Insurance acknowledges the code of Colorado regulations and the Colorado register as the sole official publications for rules, regulations, notices of rule-making, and proposed rules pursuant to § 24-4-103(11)(a), C.R.S.

The code of Colorado regulations and the Colorado register can be accessed online by clicking here: code of Colorado regulations and the Colorado register
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For more information or questions, email DOI Rules and Records.

Regulation Number and Description

1-1-1 Actuarial Qualifications pdf file

 
 1-1-2 Public Adjuster Representation Contracts

repealed in full February 15, 2014

1-1-3 Concerning Rules Governing the Filing of Declaratory Judgment Petitions with the Colorado Insurance Commissioner pdf file

1-1-4 Concerning the Requirement for all Domestic Insurance Companies to Maintain Offices in this State

repealed in full February 1, 2012

1-1-6 Concerning the Elements of Certification for Certain Forms and Contracts

repealed in full October 1, 2013

1-1-7 Market Conduct Record Retention pdf file

1-1-8 Penalties and Timelines Concerning Division Inquiries And Document Request pdf file

1-1-9 Exceptions to Electronic Rate Filings pdf file

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For more information or questions, email DOI Rules and Records.

Regulation Number and Description

1-2-1 Concerning Agent Fiduciary Responsibilities pdf file

1-2-4 CONTINUING EDUCATION REQUIREMENTS FOR LICENSED INSURANCE PRODUCERS, INCLUDING PUBLIC ADJUSTERS pdf file

1-2-5 Insurance Producer Prelicensing Education Requirements for Residents pdf file

1-2-6 Concerning Reinsurance Intermediaries pdf file

1-2-7 Concerning Managing General Agents pdf file
1-2-9 Fees Charged by Producers pdf file
1-2-10 CONCERNING THE REGULATION OF INSURANCE PRODUCERS, INCLUDING PUBLIC ADJUSTERS, AND AUTHORIZED INSURERS BY THE COLORADO DIVISION OF INSURANCE pdf file
1-2-11 Standards and Approval for Required Education Course for Producers to be Appointed by a Bail Insurance Company pdf file
1-2-12 Concerning Public Insurance Adjusters

repealed in full January 15, 2014
1-2-13 CASH-BONDING AGENT AND PROFESSIONAL CASH-BAIL AGENT PROVISIONS FOR RELEASE OF QUALIFICATION BOND pdf file
 
1-2-15 Bail Bond Premium Rate Filing Requirements
repealed October 15, 2012
1-2-16 Insurance Producer Appointment and Termination Requirements for Bail Insurance Companies and Credentials Required by § 10-2-418(2), C.R.S. pdf file
1-2-17 Standard Compensation Disclosure for Health Insurance Producers pdf file
1-2-18 Use of Senior-Specific Certifications and Professional Designations in the Sale of Life Insurance and Annuities pdf file
1-2-19 CONTRACT AND RECORD RETENTION RULES FOR PUBLIC ADJUSTERS pdf file  
Please note this regulation becomes effective January 1, 2014
 
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For more information or questions, email DOI Rules and Records.

Regulation Number and Description

3-2-1 Proxies, Consents and Authorizations of Domestic Stock Insurers pdf file
3-2-2 Insider Trading of Equity Securities of a Domestic Stock Insurance Company pdf file
3-2-4 Participation Loans pdf file

3-2-6 Securities Deposited with the Commissioner

repealed August 1, 2012

3-2-7 Concerning the Definition of Instrumentality and Investments in Mortgage-Backed Securities

repealed December 1, 2012

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For more information or questions, email DOI Rules and Records.

Regulation Number and Description

3-3-1 Assumption Reinsurance Agreements pdf file

3-3-2 Ceding Reinsurance Agreements

Repealed effective Jan. 1, 2007

3-3-3 Credit for Reinsurance pdf file
3-3-4 Life and Health Reinsurance Agreements pdf file
3-3-5 Property and Casualty Reinsurance Agreements pdf file
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For more information or questions, email DOI Rules and Records

Regulation Number and Description

4-2-1 Replacement of Individual Accident and Sickness Insurance pdf file
4-2-2 Hospital Indemnity and Disability Income Policies pdf file
4-2-3 ADVERTISEMENTS OF ACCIDENT AND SICKNESS INSURANCE pdf file

4-2-5 General Hospital Definition

Repealed in full May 1, 2010

4-2-6 Concerning the Definition of the Term "Complications of Pregnancy" for Use in Accident and Health Insurance Contracts and Certificates pdf file
4-2-8 Concerning Required Health Insurance Benefits for Home Health Services and Hospice Care pdf file
4-2-9 Concerning Non-Discriminatory Treatment of Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) Related Illness by Issuers of Life and Health Carriers pdf file
4-2-10 REPORTING REQUIREMENTS FOR MULTIPLE EMPLOYER WELFARE ARRANGEMENTS (MEWAS) pdf file
4-2-11 RATE FILING SUBMISSIONS FOR HEALTH INSURANCE, LIMITED BENEFIT PLANS, EXCESS LOSS INSURANCE, SICKNESS AND ACCIDENT INSURANCE, OTHER THAN HEALTH BENEFIT PLANS pdf file

4-2-13 Mammography Minimum Benefit Level

Repealed in full January 1, 2010

4-2-15 REQUIRED PROVISIONS IN CARRIER CONTRACTS WITH PROVIDERS, CARRIER CONTRACTS WITH INTERMEDIARIES NEGOTIATING ON BEHALF OF PROVIDERS, AND CARRIER CONTRACTS WITH INTERMEDIARIES CONDUCTING UTILIZATION REVIEWS pdf file
4-2-16 Women's Access to Obstetricians and Gynecologists Under Managed Care Plans pdf file  

REPEALED IN FULL JANUARY 1, 2014
4-2-17 PROMPT INVESTIGATION OF HEALTH CLAIMS INVOLVING UTILIZATION REVIEW AND DENIAL OF BENEFITS AND RULES RELATED TO INTERNAL CLAIMS AND APPEALS PROCESSES pdf file
4-2-18 Concerning the Method of Crediting and Certifying Creditable Coverage for Pre-Existing Conditions pdf file
REPEALED IN FULL JANUARY 1, 2014
4-2-20 CONCERNING THE COLORADO SUPPLEMENT TO THE SUMMARY OF BENEFITS AND COVERAGE FORM pdf file
4-2-21 External Review of Benefit Denials of Health Coverage Plans pdf file
4-2-22 Insurer Assessments For CoverColorado pdf file  

Repealed in full December 1st, 2013
4-2-23 Procedure for Provider-Carrier Dispute Resolution pdf file
4-2-24 Concerning Clean Claim Requirements for Health Carriers pdf file  
4-2-24 Attachment 1 sample ADA Dental Claim Form pdf file
4-2-24 Attachment 2 sample Health Insurance Claim Form pdf file
4-2-24 Attachment 3 sample Uniform Billing Claim Form pdf file

4-2-25 Pilot Program for Multiple Employer Welfare Arrangements

Repealed in full April 1, 2009

4-2-26 Insurer Assessments for Commission on Mandated Health Insurance Benefits

Repealed in full November 1, 2010

4-2-27 Procedures for Reasonable Modifications to Individual and Small Group Health Plans pdf file
4-2-28 CONCERNING THE PAYMENT OF EARLY INTERVENTION SERVICES FOR CHILDREN ELIGIBLE FOR BENEFITS UNDER PART C OF THE FEDERAL INDIVIDUALS WITH DISABILITIES EDUCATION ACT pdf file
4-2-29 CONCERNING THE RULES FOR STANDARDIZED CARDS ISSUED TO PERSONS COVERED BY HEALTH BENEFIT PLANS pdf file
4-2-30 The Rules for Complying with Mandated Coverage of Hearing Aids and Prosthetics pdf file
4-2-31 Annual Health Reporting and Data Retention Requirements pdf file
4-2-32 Standardized Electronic Identification And Communication Systems Guidelines For Health Benefit Plans pdf file

REPEALED IN FULL JANUARY 1, 2014
4-2-34 Section Names and the Placement of those Sections in Policy Forms by Health Carriers pdf file
4-2-35 Required Information for Carriers to Provide on Explanation of Benefits Forms pdf file
4-2-36 Prescreening Questionnaire for Individual Health Benefit Plans

Repealed in full October 15, 2013
4-2-37 Required Information for Carriers to Obtain on All Full-Length Applications for Individual Health Benefit Plans pdf file
4-2-38 Contraceptive Benefits pdf file
4-2-39 CONCERNING PREMIUM RATE SETTING FOR INDIVIDUAL, SMALL AND LARGE GROUP HEALTH BENEFIT PLANS pdf file
4-2-40 CONCERNING THE ELEMENTS OF CERTIFICATION FOR CERTAIN LIMITED BENEFIT PLANS, CREDIT LIFE AND HEALTH, PRENEED FUNERAL CONTRACTS, EXCESS LOSS INSURANCE FORMS, AND SICKNESS AND ACCIDENT INSURANCE, OTHER THAN HEALTH BENEFIT PLANS pdf file
4-2-41 CONCERNING THE ELEMENTS FOR FORM FILINGS FOR HEALTH BENEFIT PLANS AND CERTAIN DENTAL COVERAGE FORMS AND CONTRACTS pdf file
4-2-42 CONCERNING ESSENTIAL HEALTH BENEFITS pdf file
4-2-43 Enrollment Periods Relating to Individual and Group Health Benefit Plans
 
Replaced by Emergency Regulation 14-E-03
4-2-44 TRANSITION OF INDIVIDUAL HEALTH BENEFIT PLANS, BASIC AND STANDARD HEALTH BENEFIT PLANS, BUSINESS GROUP OF ONE PLANS, AND CONVERSION PLANS pdf file
4-2-45 UNIFORM INDIVIDUAL AND SMALL GROUP HEALTH BENEFIT PLAN APPLICATIONS pdf file  
4-2-45 Sample Application Attachments for Individual Major Medical and for Small Group Health Benefit Plans pdf file  
4-2-46 CONCERNING PREMIUM RATE SETTING FOR GRANDFATHERED INDIVIDUAL, SMALL GROUP, AND LARGE GROUP HEALTH BENEFIT PLANS AND STUDENT HEALTH COVERAGE pdf file
4-2-47 CONCERNING THE REQUIRED BENEFIT FOR APPLIED BEHAVIOR ANALYSIS THERAPY FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS FOR A CHILD pdf file
4-2-48 CONCERNING GRACE PERIODS FOR POLICYHOLDERS RECEIVING ADVANCE PAYMENT TAX CREDITS pdf file
4-2-49 CONCERNING THE DEVELOPMENT AND IMPLEMENTATION OF A UNIFORM DRUG BENEFIT PRIOR AUTHORIZATION PROCESS pdf file
4-2-50 CONCERNING PEDIATRIC DENTAL COVERAGE REQUIREMENTS pdf file

 

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For more information or questions, email DOI Rules and Records.

Medicare

Regulation Number and Description

4-3-1 Minimum Standards for Medicare Supplement Policies pdf file

Long Term Care

Regulation Number and Description

4-4-1 Concerning Requirements for Long Term Care Insurance pdf file
4-4-4 Concerning Long-Term Care Partnership Program pdf file
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For more information or questions, email DOI Rules and Records

Regulation Number and Description

5-2-1 Relative Value Schedule for No Fault

repealed June 1, 2012

5-2-2 Renewal of Automobile Insurance Policies - Excluded Named Drivers pdf file

5-2-3 Auto Accident Reparations Act (No Fault) Rules and Regulations

repealed June 1, 2012

5-2-5 Fees for Arbitrators

repealed June 1, 2012

5-2-6 Automobile No Fault Cost Containment Options

repealed June 1, 2012

5-2-7 Voluntary Arbitration for PIP Disputes

repealed June 1, 2012

5-2-8 TIMELY PAYMENT OF PERSONAL INJURY PROTECTION BENEFITS pdf file
5-2-9 Personal Injury Protection Examination Program pdf file

5-2-11 Transition From No-Fault Auto To Tort System

repealed June 1, 2012

5-2-12 CONCERNING AUTOMOBILE INSURANCE CONSUMER PROTECTIONS pdf file

5-2-13 Automobile Insurance Coverage For U.S. Military Personnel Called To Active Duty

repealed June 1, 2012

5-2-15 CONCERNING CONSUMER PROTECTION FOR VEHICLE VALUATION AND RENTAL REIMBURSEMENT pdf file
5-2-16 Disclosure Requirements for Private Passenger Automobile Policies pdf file
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or more information or questions, email DOI Rules and Records.

Unfair Trade Practices

Regulation Number and Description
6-1-1 Limiting Coverage pdf file

Consumer Complaint and Investigations

Regulation Number and Description

6-2-1 Complaint Record Maintenance

repealed June 1, 2012


Market Regulation

Regulation Number and Description

6-3-1 Concerning the Use of Independent Market Conduct Examiners and Appeal Process for Expenses pdf file
6-3-2 Concerning The Use of Independent Contractors For Informal Investigations and Appeal Process For Expenses pdf file

Confidentiality Provisions

Regulation Number and Description

6-4-1 Privacy Of Consumer Financial And Health Information pdf file
6-4-2 Standards for Safeguarding Customer Information pdf file

Fraud

Regulation Number and Description

6-5-1 CONCERNING THE REPORTING OF SUSPECTED INSURANCE FRAUD pdf file

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1560 Broadway, Suite 850, Denver, CO 80202 Email
(303) 894-7490 - Phone (800) 930-3745 - Toll Free (303) 894-7455 - Fax