Current ACA Benchmark Plan for Colorado - Starting 2023
- The benchmark plan establishes the minimum essential health benefits for ACA health plans in Colorado.
- This is the benchmark health insurance plan for health plans for 2023 and beyond. It went into effect on January 1, 2023.
In 2021, the Centers for Medicare & Medicaid Services (CMS) approved Colorado's benchmark plan to start in the 2023 plan year.
The Colorado Division of Insurance (DOI) worked with stakeholders and the actuarial consulting firm Wakely from January - April of 2021 to evaluate the State's benchmark health insurance plan, and developed a set of proposed changes to that plan for the 2023 plan year. The benchmark plan is the plan used to set minimum standards for essential health benefits (EHBs) within Colorado for individual and small group plans.
All changes to Colorado's benchmark plan required approval by the Centers of Medicare and Medicaid services (CMS). DOI posted all final proposed changes to the benchmark plan and associated documents for public notice (45 CFR § 156.111.c). Final versions of the documents submitted to CMS regarding the proposed changes to the benchmark plan, are found below.
On June 30, 2015, the Division of Insurance (DOI) and the Governor's Office selected the State of Colorado Kaiser HMO Plan as the benchmark health insurance plan for health plans for 2017. This benchmark plan was effective through December 31, 2022.