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Home » US Law » 2022 Colorado Code » Title 10 - Insurance » Article 16 - Health-Care Coverage » Part 2 - Sickness and Accident Insurance

§ 10-16-201. Form and Content of Individual Sickness and Accident Insurance Policies

No such policy shall be delivered or issued for delivery in this state unless: The entire money and other considerations therefor are expressed therein; and The time at which insurance takes effect and terminates is expressed therein; and It purports to insure only one person, except as provided in sections 10-16-214 and 10-16-215, and except […]

§ 10-16-202. Required Provisions in Individual Sickness and Accident Policies

Except as provided in section 10-16-204, each such policy delivered or issued for delivery to any person in this state shall contain the provisions specified in this section in the words in which the same appear in this section; except that the insurer, at its option, may substitute for one or more of such provisions […]

§ 10-16-207. Requirements of Other Jurisdictions

Any policy of a foreign or alien insurer, when delivered or issued for delivery to any person in this state, may contain any provision which is not less favorable to the insured or the beneficiary than the provisions of part 1 of this article and this part 2 and which is prescribed or required by […]

§ 10-16-208. Conforming to Statute

No policy provision which is not subject to section 10-16-202 or 10-16-203 shall make a policy, or any portion thereof, less favorable in any respect to the insured or the beneficiary than the provisions thereof which are subject to part 1 of this article and this part 2. A policy delivered or issued for delivery […]

§ 10-16-209. Application for Policy

The insured shall not be bound by any statement made in an application for a policy unless a copy of such application is attached to or endorsed on the policy when issued as a part thereof. If any such policy delivered or issued for delivery to any person in this state is reinstated or renewed, […]

§ 10-16-210. Notice – Waiver

The acknowledgment by any insurer of the receipt of notice given under any policy covered by part 1 of this article or this part 2, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim under such policy shall not operate as a […]

§ 10-16-211. Age Limit

If any such policy contains a provision establishing, as an age limit or otherwise, a date after which coverage provided by the policy will not be effective, and if such date falls within a period for which a premium is accepted by the insurer or if the insurer accepts a premium after such date, the […]

§ 10-16-212. Exemption From Attachment and Execution

So much of any benefits under all policies of sickness and accident insurance as does not exceed two hundred dollars for each month during any period of disability covered by such policy shall not be liable to attachment, trustee process, or other process, or to be seized, taken, appropriated, or applied by any legal or […]

§ 10-16-213. Industrial Sickness and Accident Insurance

The term “industrial sickness and accident insurance”, as used in this part 2, means sickness and accident insurance under individual policies for which the premium is payable weekly and includes any such policy which covers sickness only or accident only. Any insurer authorized to write sickness and accident insurance in this state has the power […]

§ 10-16-214. Group Sickness and Accident Insurance

Group sickness and accident insurance is declared to be that form of sickness and accident insurance covering groups of persons, with or without their dependents, and issued upon the following bases: Under a policy issued to an employer, who shall be deemed the policyholder, insuring at least ten employees of such employer for the benefit […]

§ 10-16-215. Blanket Sickness and Accident Insurance

Blanket sickness and accident insurance is declared to be that form of sickness and accident insurance covering special groups of not less than ten persons as enumerated under a policy or contract issued: To any common carrier, which shall be deemed the policyholder, covering a group defined as all persons who are passengers on the […]

§ 10-16-216. Examinations

The commissioner may, at any reasonable time, make or cause to be made an examination of every admitted health insurer transacting any insurance to which the provisions of part 1 of this article and this part 2 are applicable to ascertain whether each insurer and every rate used by it for every such class of […]

§ 10-16-216.5. Hearing Procedure and Judicial Review – Violations – Penalty

Any person aggrieved by any rate charged, underwriting rule, policy form, certificate, contract of insurance, or rider followed or adopted by a health insurer may request the insurer to review the manner in which the rate, underwriting rule, policy form, certificate, contract of insurance, or rider has been applied with respect to insurance afforded to […]

§ 10-16-217. Application of Part 1 of This Article and Part 2

Nothing in part 1 of this article or this part 2 shall apply to or affect any policy of workers’ compensation insurance or any policy of liability insurance with or without supplementary expense coverage in said policy; or life insurance, endowment, or annuity contracts, or contracts supplemental to said policy which contain only such provisions […]

§ 10-16-218. Judicial Review

Any final action of the commissioner pursuant to part 1 of this article and this part 2 shall be subject to judicial review by the court of appeals pursuant to section 24-4-106 (11), C.R.S. Source: L. 92: Entire article R&RE, p. 1680, § 1, effective July 1; entire section amended, p. 1596, § 118, effective […]

§ 10-16-219. Benefits for Care in Tax-Supported Institutions – Behavioral Health Disorders – Mental Health Disorders – Intellectual and Developmental Disabilities

On and after July 1, 1977, an individual or group policy of sickness, health, or accident insurance or small group sickness and accident insurance delivered or issued for delivery to any person in this state that provides coverage for behavioral or mental health disorders or intellectual and developmental disabilities must not exclude or be construed […]