Colorado § 10-22-103 Definitions

Colorado Statutes

§ 10-22-103 — Definitions

Colorado·Title 10 Insurance·Art. Colorado Health Benefit Exchange

As used in this article 22, unless the context otherwise requires:

(1)Board means the board of directors of the exchange, appointed in accordance with section 10-22-105.

(2)Committee means the Colorado health insurance exchange oversight committee created in section 10-22-107.

(3)Exchange means the Colorado health benefit exchange created in this article.

(4)Federal act means the Patient Protection and Affordable Care Act, Pub.L. 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, Pub.L. 111-152.

(5)Group health plan means an employee welfare benefit plan as defined in 29 U.S.C. sec. 1002 (1) of the federal Employee Retirement Income Security Act of 1974 to the extent that the plan provides health-care services, including items and services p

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As used in this article 22, unless the context
otherwise requires:

(1) Board means the board of directors of the exchange, appointed in
accordance with section 10-22-105.

(2) Committee means the Colorado health insurance exchange oversight
committee created in section 10-22-107.

(3) Exchange means the Colorado health benefit exchange created in this
article.

(4) Federal act means the Patient Protection and Affordable Care Act,
Pub.L. 111-148, as amended by the Health Care and Education Reconciliation Act of
2010, Pub.L. 111-152.

(5) Group health plan means an employee welfare benefit plan as defined
in 29 U.S.C. sec. 1002 (1) of the federal Employee Retirement Income Security Act
of 1974 to the extent that the plan provides health-care services, including items
and services paid for as health-care services, to employees or their dependents
directly or through insurance reimbursement or otherwise. A group health plan
includes a government or church plan.

(6) Health benefit plan has the same meaning set forth in section 10-16-102; except that the term includes a dental plan.

(6.5) Health-care coverage affordability program means:

(a) A medical assistance program under the Colorado Medical Assistance
Act, articles 4, 5, and 6 of title 25.5;

(b) The Children's Basic Health Plan Act, article 8 of title 25.5; or

(c) A health benefit plan offered through the exchange for which a premium
tax credit or cost-sharing reductions are available.

(7) Insurer means any entity that provides group health plans or individual
health benefit plans subject to insurance regulation in this state, as well as any
entity that directly or indirectly provides stop-loss or excess loss insurance to a
self-insured group health plan including a property and casualty insurance
company.

(8) Medicaid means federal insurance or assistance as provided by Title
XIX of the federal Social Security Act, as amended.

(9) Medicare means federal insurance or assistance as provided by Title
XVIII of the federal Social Security Act, as amended.

(10) Number of lives insured means the number of employees and retired
employees and individual policyholders or subscribers in the individual and group
markets on March 1 of the previous calendar year for which a special fee is being
assessed. For insurers providing stop-loss, excess loss, or reinsurance, number of
lives insured does not include employees, retired employees, or individual
policyholders or subscribers who have been counted by the primary insurer or
primary reinsurer.

(11) Secretary means the secretary of the United States department of
health and human services.

Colorado § 10-22-103 (Definitions) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

Source: L. 2011: Entire article added, (SB 11-200), ch. 246, p. 1074, � 1, effective June 1. L. 2013: (5) amended and (6) to (11) added, (HB 13-1245), ch. 258, p. 1359, � 1, effective May 23. L. 2015: (2) amended, (SB 15-256), ch. 284, p. 1166, � 1, effective June 5. L. 2020: IP amended and (6.5) added, (HB 20-1236), ch. 236, p. 1144, � 2, effective September 14.