§ 10-16-1203 — Definitions

Colorado § 10-16-1203

• Jurisdiction: Colorado
• Title 10: Insurance
• Art.: Health-care Coverage

Text

As used in this part 12, unless the context otherwise
requires:

(1) Board means the health insurance affordability board created in section
10-16-1207.

(2) Children's basic health plan has the meaning set forth in section 25.5-8-103 (2).

(2.5) Enhanced premium tax credit means the premium tax credit, as
amended by the federal American Rescue Plan Act of 2021, Pub.L. 117-2, and the
federal Inflation Reduction Act of 2022, Pub.L. 117-169, 136 Stat. 1818 (2022),
which expanded eligibility for and the amount of the premium tax credit.

(3) Enterprise means the Colorado health insurance affordability
enterprise created in section 10-16-1204.

(4) Federal poverty line has the same meaning as poverty line, as defined
in 42 U.S.C. sec. 9902 (2).

(5) Fee means the health insurance affordability fee established and
assessed pursuant to section 10-16-1205.

(6) Fund means the health insurance affordability cash fund created in
section 10-16-1206.

(7) Household income has the same meaning as set forth in 26 U.S.C. sec.
36B (d)(2) of the federal Internal Revenue Code of 1986, as amended.

(8) Medicaid means federal insurance or assistance as provided by Title
XIX of the federal Social Security Act, as amended, and the Colorado Medical
Assistance Act, articles 4, 5, and 6 of title 25.5.

(9) Medicare means federal insurance or assistance provided by the
Health Insurance for the Aged Act, Title XVIII of the federal Social Security Act,
as amended, 42 U.S.C. sec. 1395 et seq.

(10) Premium tax credit means the refundable tax credit available pursuant
to the federal act to assist certain individuals in purchasing a health benefit plan on
the exchange.

(11) Public benefit corporation means a public benefit corporation formed
pursuant to part 5 of article 101 of title 7 that is organized and operated by the
exchange pursuant to section 10-22-106 (3) for the purpose of administering and
operating a subsidy to reduce the costs of health care coverage offered under a
state-subsidized individual health coverage plan.

(12) Qualified individual means an individual, regardless of immigration
status, who:

(a) Is a Colorado resident;

(b) Has a household income of not more than three hundred percent of the
federal poverty line; and

(c) Is not eligible for the premium tax credit, medicaid, medicare, or the
children's basic health plan, except for individuals eligible pursuant to section 25.5-5-201 (6) or section 25.5-8-109 (7).

(13) Reinsurance program means the Colorado reinsurance program
created in part 11 of this article 16.

(14) Reinsurance program cash fund means the reinsurance program cash
fund created in section 10-16-1107.

(15) State-subsidized individual health coverage plan means a subsidized
individual health coverage plan offered by carriers to qualified individuals through
the public benefit corporation.

Legislative History

Source: L. 2020: Entire part added, (SB 20-215), ch. 201, p. 987, � 1, effective June 30. L. 2025: (12)(c) amended, (HB 25-1213), ch. 276, p. 1434, � 1, effective August 6. L. 2025, 1st Ex. Sess.: (2.5) added, (HB 25B-1006), ch. 10, p. 41, � 1, effective August 28.