Enforcing premium reductions
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. A carrier must file CO Option Plan premium rates with the Commissioner of Insurance at reduced premiums consistent with the premium rate reduction requirements in § 10-16-1305(2), C.R.S. If a carrier cannot reduce premiums for consumers, the Commissioner of Insurance may hold a public hearing.
Click on the image to the left or the button below to learn more about the Colorado Option Public Hearing process.
Public Hearings for CO Option Plans that fail to meet the premium rate reduction and network adequacy requirements will be held by the Commissioner during the Summer of 2024 for the 2025 plan year. This webpage will allow stakeholders to access the public hearing schedule and related documents, as they become available.
Notice from Commissioner of Insurance to Vacate Remaining Hearing Dates Between June 4 and July 17, 2024
Notice from Commissioner of Insurance to Vacate June 20 - July 10, 2024 Hearing Dates - May 29, 2024
Notice from Commissioner of Insurance to Vacate June 4 - June 18, 2024 Hearing Dates - May 29, 2024
Notice from Commissioner of Insurance Regarding Public Hearings - Requesting Status Update from the Division of Insurance - April 24, 2024
Division of Insurance - May 24, 2024 Status Update
Division of Insurance - May 17, 2024 Status Update
Division of Insurance - May 8, 2024 Status Update
Division of Insurance - April 26, 2024 Status Update
Individual Market - for 2025
Anthem (HMO Colorado)
Service of Process List for Anthem (HMO Colorado) - Individual Market (updated as of ___________)
- Notice Regarding HMO Colorado, Inc. / Anthem (Corrected) - 5-30-24
- Notice Regarding HMO Colorado, Inc. / Anthem - 5-30-24
- Animas Surgical Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 5-24-24
- Community Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 5-24-24
- Mercy Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 5-24-24
- Amended Final Agency Order Regarding HMO Colorado (Anthem) and Community Hospital - 7-30-24
- Motion to Amend Final Agency Order Regarding HMO Colorado (Anthem) and Community Hospital - 7-19-24
- Proposed Amended Final Agency Order Regarding HMO Colorado (Anthem) and Community Hospital
- Anthem - Final Agency Order Regarding Community Hospital, Animas Surgical and Mercy Hospital - 7-3-24
Cigna
Service of Process List for Cigna - Individual Market (updated as of ___________)
Denver Health
Service of Process List for Denver Health - Individual Market (updated as of ___________)
Kaiser Foundation Health Plan of Colorado (FHPC)
Service of Process List for Kaiser Foundation Health Plan of Colorado - Individual Market (updated as of ___________)
Rocky Mountain HMO
Service of Process List for Rocky Mountain HMO - Individual Market (updated as of ___________)
- Notice Regarding Rocky Mountain HMO - 6-28-24
- Community Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 6-14-24
- Montrose Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 6-14-24
- St. Mary's Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 6-14-24
- Vail Hospital - Notice of Hospital Reimbursement Rate Achievements and Premium Reductions - 6-14-24
- Amended Rocky Mountain HMO Final Agency Order - 7-30-24
- Rocky Mountain HMO - Motion to Amend Final Agency Order - 7-19-24
- Proposed Amended Rocky Mountain HMO Final Agency Order
- Rocky Mountain HMO - Final Agency Order - Regarding Montrose Memorial Hospital, Vail Health, Community Hospital, Intermountain Health St. Mary's Regional Hospital - 7-3-24
Select Health
Service of Process List for Select Health - Individual Market (updated as of ___________)
Small Group Market - for 2025
Notice Regarding Public Hearings for Small Group Market Carriers - 5-31-24 -- No complaints were filed regarding any Small Group Market Carriers, and the Division of Insurance does not intent to file notices, filings or pleadings regarding Small Group Market Carriers
Anthem (HMO Colorado)
Service of Process List for Anthem (HMO Colorado) - Small Group Market (updated as of ___________)
Anthem BCBS (dba Rocky Mountain Hospital and Medical Services)
Service of Process List for Anthem (dba Rocky Mountain Hospital and Medical Services) - Small Group Market (updated as of ___________)
Kaiser Foundation Health Plan of Colorado (FHPC)
Service of Process List for Kaiser Foundation Health Plan of Colorado - Small Group Market (updated as of ___________)
Kaiser Permanente Insurance Company
Service of Process List for Kaiser Permanente Insurance Company - Small Group Market (updated as of ___________)
UnitedHealthcare Insurance Company
Service of Process List for UnitedHealthcare Insurance Company - Small Group Market (updated as of ___________)
UnitedHealthcare of Colorado
Service of Process List for UnitedHealthcare of Colorado - Small Group Market (updated as of ___________)
Proposed Hearing Schedule
Below are the proposed hearing schedules for carriers operating in the individual and small group markets in Colorado for plan year 2025. A Notice of Proposed Public Hearing Dates was posted on December 13, 2023.
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 15 (fifteen) days prior to the final hearing date. Final hearing dates will be updated on this webpage, once available.
PY25 Individual Market Documents | PY25 Small Group Market Documents |
PY24 Individual Market Documents | PY24 Small Group Market Documents |
- Party Filing Contact Information as of 2-29-24
- Public Hearing Process Regulation (4-2-92)
- Hospital/Provider Reimbursement Rate Setting Regulation (4-2-91)
- Carrier Premium Rate Reduction Filing Instructions and Templates can be found on the Division's Industry Webpage