The Division would like to provide notice that the Commissioner has adopted the following amended regulations and amended bulletin:
The purpose and intent of this regulation is to establish a hospital and health-care provider reimbursement rate setting methodology for the Colorado Option premium rate reduction requirements on standardized health benefits plans.
The purpose of this regulation is to establish the procedures for noticing and conducting public hearings on proposed Colorado Option Standardized Plans that fail to meet the premium rate reduction or network adequacy requirements, as required by § 10-16-1306, C.R.S.
These regulations are being amended to implement the process improvements identified during the plan year 2025 public hearing process.
These regulations will become effective on January 31, 2025.
The purpose of this bulletin is to provide carriers with additional guidance to comply with the premium rate reduction requirements of the Colorado Option Standardized Plans pursuant to Colorado Insurance Regulation 4–2-85.
This bulletin is being amended to update the medical inflation estimate in order for carriers to develop their standardized plans to ensure compliance with state law for plan year 2026.
To support these regulations, the Division has also published the Plan Year 2026 Colorado Option Hospital Specific Reimbursement Floors.
Regulations that have been adopted, but are not yet effective can be found on the Division's Regulations Adopted But Not Yet Effective website.
This bulletin, and other Division bulletins, can be found on the Division's website.