The Commissioner of Insurance (“Commissioner”) must provide notice of the proposed dates for Colorado Option public hearings no later than January 31 of the year in which the hearings will be held on the proposed dates for public hearings. Pursuant to Amended Regulation 4-2-92, Section 5.A., this notice is provided to health insurance carriers offering individual and small group Colorado Option Standardized Plans on or after January 1, 2025, and to hospitals and health-care providers subject to the requirements in § 10-16-1306, C.R.S.
PURPOSE & SCOPE OF COLORADO OPTION PUBLIC HEARINGS
Carriers operating in the Colorado individual and small group markets must offer a Colorado Option Standardized Plan (“CO Option Plan”) at the bronze, silver, and gold metal levels in counties where they offer non-CO Option Plans. For the plan year beginning January 1, 2025, a carrier must offer CO Option plans at a premium rate that is at least fifteen (15) percent less than the premium rate for health benefit plans that the carrier offered in the 2021 calendar year, as adjusted for medical inflation, in the individual and small group markets. Pursuant to § 10-16-1305.5, C.R.S., a carrier must file CO Option Plan premium rates with the Commissioner consistent with the premium rate reduction requirements in § 10-16-1305(2), C.R.S. If a carrier is unable to offer the CO Option Plan at the premium rate reduction requirement for plan year 2025 or in compliance with network adequacy requirements, the carrier must notify the Commissioner as to why the carrier is unable to meet the requirements.
A public hearing may be held, and detailed information on the structure of these hearings can be found in Amended Regulation 4-2-92.
PROPOSED HEARING SCHEDULE
Please use the link below to view the proposed hearing schedule for carriers operating in the individual and small group markets in Colorado for plan year 2025. Hearings may be held virtually, in-person, or in a hybrid manner with virtual and in-person options. A Final Notice of Hearing will be sent to all Parties at least fifteen (15) days prior to the final hearing date. Please note that there are two dates proposed for each carrier. The date labeled “Overflow Date” will allow the Commissioner to hold an additional hearing in the case that more time is needed for decision-making. Both the hearing date and “overflow date” will run from 8:00 am - 5:00 pm.
Pursuant to Amended Regulation 4-2-92, Section 24, the Commissioner may issue orders to control the scope, course, and outcome of the proceeding.
Colorado Option Public Hearings Schedule and Information
The Commissioner’s filing information is:
Colorado Commissioner of Insurance
1560 Broadway, Suite 850
Denver, Colorado 80202
Fax: (303) 894-7455
If you have questions about these hearings or the schedule, please send an email to dora_ins_co_option@state.co.us.