Colorado Code § 10-18-105

Loss ratio standards and filing requirements
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(1) Every insurer providing
group or individual medicare supplement insurance benefits to a resident of this state pursuant to
section 10-18-102 shall file a copy of the group master policy or individual policy and any
certificate used in this state in accordance with the filing requirements and procedures of
sections 10-16-107.2 and 10-16-406; except that no insurer shall be required to make a filing
earlier than thirty days after insurance was provided to a resident of this state under a group
master policy issued for delivery outside this state.
(2) Group and individual medicare supplement policies shall return to policyholders
benefits which are reasonable in relation to the premium charged. The commissioner shall issue
reasonable regulations to establish minimum standards for loss ratios of medicare supplement
policies on the basis of incurred claims experience or incurred health-care expenses where
coverage is provided by a health maintenance organization on a service rather than
reimbursement basis and on the basis of earned premiums in accordance with accepted actuarial
principles and practices. Every entity providing medicare supplement policies or certificates in
this state shall file annually its rates, rating schedule, and supporting documentation
demonstrating that it is in compliance with the applicable loss ratio standards of this state. All
filings of rates and rating schedules shall demonstrate that the actual and expected losses in
relation to premiums comply with the requirements of this article.
(3) No entity shall provide compensation to its agents or other producers which is greater
than the renewal compensation which would have been paid on an existing policy if the existing
policy had been replaced by another policy with the same company and the new policy benefits
had been substantially similar to the benefits under the old policy and the old policy had been
issued by the same insurer or insurer group.

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