Colorado’s accident and health (also called sickness and accident) insurance laws set key consumer protections, require minimum benefit standards, and regulate how insurers market, issue, and administer health coverage in the state. These laws apply to individual, group, small-group, and specialized health insurance products, including Medicare Supplement policies, long-term care coverage, disability income policies, and major medical plans.
Understanding these regulations matters for two main reasons:
The Colorado-specific portion of the licensing exam places heavy emphasis on accident and health regulations. Pearson VUE’s content outline expects you to know key areas such as:
This chapter follows the exam outline closely, so you’ll learn the material in the same structure you’ll see on the test.
As a licensed Accident & Health producer in Colorado, these statutes guide day-to-day work, including:
If you don’t know these regulations, you’re more likely to run into compliance violations, consumer complaints, and potential loss of licensure. This chapter focuses on the practical knowledge you need to stay compliant and provide competent, ethical service.
Each topic corresponds directly to a section of the Colorado Revised Statutes (C.R.S.) Title 10 and applicable Colorado Division of Insurance Regulations. You’ll find clear explanations of:
Examples and plain-language explanations are used throughout to translate legal requirements into situations you’ll actually encounter.
Throughout the chapter, you’ll see citations like:
C.R.S. 10-16-104 (refers to Title 10, Article 16, Section 104 of the Colorado Revised Statutes)
Reg. 4-2-8 (refers to a Colorado Division of Insurance regulation within Series 4, Part 2, Section 8)
You are not required to memorize statute numbers for the exam. However, understanding what these references mean helps you:
By the end of this chapter, you will be able to: