COL INS Premium Rate Reductions

Updated on: Apr 30, 2025

Latest Event


  • Apr. 2025 COL INS Rule Approval
  • On Apr. 23, 2025, COL INS issued notice of adoption of Amended regulation 4-2-85, for methodology for calculating premium rate reductions; effective Jun. 14, 2025.

On Oct. 4, COL INS drafted rule regarding premium rate reductions.

  • COL INS drafted proposal to regulation COL INS 4-2-85 re methodology for calculating premium rate reductions for the Colorado option standardized health benefit plans.
  • Follows COL INS Jun. 2024 amended rule on premium rate reduction, see #200875.
  • Proposed Amendments
  • Regulation COL INS 4-2-85 is subject to Revised statutes COL INS 10-16-1308(2)(b).
  • Applies Commissioner definition to Revised statutes COL INS 10-16-102(13).
  • Annual premium rate increase limited to rate no greater than medical inflation, relative to Maximum Colorado Option Standardized Plan Premium of the previous benefit year.
  • Revised calculation for Colorado option standardized plan cost-sharing reduction load.
  • For premium rates applicable in 2026 or any subsequent year, carriers will notify the Commissioner by Mar. 1 of the preceding year whether plan will comply with required premium rate reductions per COL INS 10-16-1305(2), and calculated per this rule.
  • Request for Comments
  • The comments on draft proposed regulation must be submitted by Oct. 11, 2024.
  • Mar. 2025 COL INS Notice of Hearing
  • On Mar. 17, 2025, COL INS issued notice of virtual hearing re draft COL INS 4-2-85.
  • Hearing scheduled for April. 15, 2025, comments must be submitted by Apr. 18, 2025.
  • Mar. 25, 2025 COL INS Proposal Publication
  • On Mar. 25, 2025, COL INS published proposal in State register, hearing Apr. 15, 2025.
  • Apr. 2025 COL INS Rule Approval
  • On Apr. 23, 2025, COL INS issued notice of adoption of Amended regulation 4-2-85, for methodology for calculating premium rate reductions; effective Jun. 14, 2025.
Regulators
COL INS
Entity Types
IB; Ins
Reference
Nt, 4/23/2025; RF 2025-00117, COL SR Vol. 48 No. 6, 3/25/2025; Nt, 3/17/2025; RF 4-2-85, 10/4/2024; Citation: *COL INS* 4-2-85, 10-16-1308, 10-16-102, 10-16-1305;
Functions
Compliance; Financial; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Oct 4, 2024
Effective Date
Jun 14, 2025
Rule ID
228854
Linked to
Reg. Last Update
Apr 23, 2025
Report Section
US Insurance