COL INS Benefit Manager Registration

Updated on: Nov 5, 2025

Latest Event


  • Oct. 2025 COL INS Notice of Hearing
  • On Oct. 31, 2025, COL INS published a notice of hearing on a proposed amendment, which would extend the effective date from Nov. 15, 2025 to Jan. 30, 2026.
  • Virtual hearing will be held on Dec. 1, 2025 at 11 am; comments due by Dec. 4, 2025.

On Apr. 10, COL INS issued draft rule re pharmacy benefit managers

  • COL INS proposed amended Regulation 4-2-97 concerning the requirements for pharmacy benefit managers (PBMs) to register annually with Ins Division in Colorado.
  • PBM Applications
  • The proposed amendments allow a third-party vendor to review PBM applications and renewals as well as changes the application renewal timeline to a rolling 12 months.
  • Prior to doing business in Colorado, each PBM will complete registration application.
  • Also, complete annual attestation with PBM’s initial registration or renewal application.
  • Upon review, Division may decide to approve, deny, revoke, suspend, renew registration, and give PBM notice in writing data supporting the Division’s decision.
  • PBM will have the opportunity to submit written data, views, arguments re decision.
  • Commissioner may utilize a third-party vendor to process PBM applications/renewals.
  • Consultation
  • Comments on the draft proposed regulation must be submitted by Apr. 16. 2025.
  • Aug. 2025 COL INS Notice of Hearing
  • On Aug. 1, 2025, COL INS issued notice of hearing scheduled Sep. 2, 2025 at 1:00PM.
  • Aug. 10, 2025 COL INS Hearing Publication
  • On Aug. 10, 2025, COL INS published Reg 4-2-97 hearing notice in State register.
  • Sep. 11, 2025 COL INS Rule Adoption
  • On Sep. 11, 2025, COL INS adopted Regulation 4-2-97 effective as of Nov. 15, 2025.
  • Oct. 2025 COL INS Notice of Hearing
  • On Oct. 31, 2025, COL INS published a notice of hearing on a proposed amendment, which would extend the effective date from Nov. 15, 2025 to Jan. 30, 2026.
  • Virtual hearing will be held on Dec. 1, 2025 at 11 am; comments due by Dec. 4, 2025.
Regulators
COL INS
Entity Types
IB; Ins
Reference
Nt, 10/31/2025; PR, RF 4-2-97, 9/11/2025; COL SR Vol. 48 No. 15, RF 2025-00364, 8/10/2025; Nt, 8/1/2025; RF 4-2-97, 4/10/2025
Functions
Compliance; Legal; Record Retention; Registration/Licensing; Reporting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health; PBM
Rule Type
Final
Regions
Am
Rule Date
Apr 10, 2025
Effective Date
Dec 4, 2025
Rule ID
250562
Linked to
N/A
Reg. Last Update
Oct 31, 2025
Report Section
US Insurance