COL INS Repeal Out-of-Network Data

On Apr. 19, COL INS issued repeal of data reporting requirements.

  • COL INS proposed to repeal COL INS 4-2-74, Division of Insurance life, accident and health insurance regulations for carrier out-of-network data reporting requirements.
  • As proposed, repeal of the regulation would become effective on Tues., Jul. 30, 2024.
  • Proposed Repeal
  • Regulation established data reporting for carriers using of out-of-network providers.
  • Objective to leverage data to monitor and assess premiums and premium affordability.
  • Carriers to report data for calendar year Jan. 1 - Dec. 31 on or before Mar. 1, annually.
  • Give aggregated out-of-network claims data by geographic area for non-emergencies.
  • Include total amounts charged and paid to top five out-of-network health providers.
  • RepealED reporting changes to services per HB 19-1174 (in-network adequacy, rate filings, Medicare reimbursements, disclosures, out-of-network billing), see #113856.
  • Consultation
  • Department requests all public comment on proposed repeal by Apr. 25, 2024.
  • Apr. 30, 2024 COL INS Rule Hearing
  • On Apr. 30, 2024, COL INS scheduled rule hearing for May 30; comments due Jun. 4.
  • May 10, 2024 COL INS State Register
  • On May 10, 2024, COL INS published notice of rule hearing in the State register.
  • Jun. 2024 COL INS Final Rule
  • On Jun. 11, 2024, COL INS issued final version of the repeal effective Jul. 30, 2024.
  • Jul. 2024 COL INS State Register
  • On Jul. 10, 2024, COL INS published final repeal in the State register, in effect Jul. 30.

Regulators COL INS
Entity Types IB; Ins
Reference COL SR Vol. 47, No. 13, 7/10/2024; RF 6/11/2024; COL SR Vol. 47 No. 9, 5/10/2024; Nt, 4/30/2024; RF, 4/19/2024; Citation: COL INS 4-2-74;
Functions Claims/Accelerated Benefits; Compliance; Privacy; Record Retention; Reporting
Countries United States of America
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/19/2024
Effective Date 7/30/2024
Rule Id 209058
Linked to N/A
Reg. Last Update 7/10/2024
Report Section US Insurance

Last substantive update on 07/15/2024