Notice of Adoption of Emergency Regulation 20-E-13 - Coverage and Cost Sharing for Commercial Insurance COVID-19 Claims

Hide Featured Image
true

The Division would like to notify interested stakeholders that the Commissioner of Insurance has adopted the following emergency regulation:

Emergency Regulation 20-E-13 - Concerning Coverage and Cost Sharing Requirements for Commercial Insurance Market Coverage of COVID-19 Claims


On March 11, 2020, Governor Polis issued Executive Order D 2020 003 declaring a disaster emergency due to the presence of COVID-19 in Colorado. That Executive Order has been extended, most recently on October 30, 2020 by Executive Order D 2020 234, which is subject to further extension by Executive Order. In order to protect the general public and to direct health insurers toward a policy that advances the welfare of the public through overall efficiency, affordability, improved health care quality, and appropriate access, pursuant to § 10-1-108(7), C.R.S., the purpose of this regulation is to establish coverage and cost-sharing requirements for commercial insurance carriers related to claims arising from the testing and treatment of COVID-19 and to ensure covered persons have access to prescription drugs during the COVID-19 emergency.

The Division of Insurance finds, pursuant to § 24-4-103(6)(a), C.R.S., that immediate adoption of this regulation is imperatively necessary for the preservation of public health, safety, or welfare as establishing coverage and cost sharing requirements for the testing and treatment of COVID-19 is imperative to preserve the health of the citizens of Colorado. Therefore, compliance with the requirements of § 24-4-103, C.R.S., would be contrary to the public interest.

This Emergency Regulation replaces Emergency Regulation 20-E-09, which became effective July 18, 2020.

This emergency regulation, and other Division emergency regulations, can be found on the Division's Regulations page.

Find additional information on insurance and the COVID-19 public health emergency on the COVID-19 & Insurance page. This emergency regulation can be found under the health insurance tab.

Show Post Date