Transparency in Coverage
Transparency in Coverage
Transparency in Coverage is a federal rule by the Internal Revenue Service, the Employee Benefits Security Administration, and the Health and Human Services Department created on 11/12/2020 and further supported and clarified by Colorado Senate Bill 24-080, Transparency in Health-Care Coverage. The act requires health insurance carriers (carriers) to comply with federal price transparency laws and to make available an internet-based self-service tool that provides real-time responses to a covered person's questions concerning carrier prices that are based on cost-sharing information. The act also requires carriers to submit information required by federal pharmacy benefit and drug cost reporting laws to the commissioner of insurance and to make certain information regarding price transparency publicly available.
TiC Email List
To receive TiC updates directly in your inbox, please request to be added to the email list by emailing dora_ins_data@state.co.us. Please include your name, position and contact information in the email.
Carrier Guidance
Please find the most up-to-date carrier guidance below:
Contact Information
If you have questions or require further clarification on TiC, please contact dora_ins_data@state.co.us
2026 January Submission:
To ensure continued compliance with all federal guidelines, carriers are requested to adhere to the following schedule for Machine-Readable File (MRF) submissions:
- January 2, 2026: Submission utilizing the federal 1.0 schema.
- July 1, 2026: Submission utilizing the federal 2.0 schema.