3 CCR 702-1
DEPARTMENT OF REGULATORY AGENCIES Division of Insurance ADMINISTRATIVE PROCEDURES 3 CCR 702-1 [Editor’s Notes follow the text of the rules at the end of this CCR Document.] Regulation 1-1-1 ACTUARIAL QUALIFICATIONS I. AUTHORITY This regulation is promulgated pursuant to the authority of § § 10-1-108(8) and 10-1-109, Colorado Revised Statutes.
II. PURPOSE The purpose of this regulation is to assure that the consulting actuary, actuary or other person acting in the capacity of an actuary is properly qualified to perform the actuarial duties in a competent and professional manner by establishing qualifications for such persons. The actuarial opinion and other documents included in the scope of this regulation are relied upon for determinations of financial soundness and for the protection of the general public. For these reasons, the qualifications of the person signing the documents must be verified and periodically reevaluated.
III. SCOPE The provisions of this regulation apply to any and all financial statements, rate filings or other documents which require the signature of a qualified actuary, and which are required to be submitted to the Commissioner.
IV. QUALIFICATIONS Any person acting in the capacity of an actuary, in order to be considered qualified, must fulfill the following requirements:
1. In the case of documents relating to property and casualty types of coverage, the person must be:
2. In the case of documents relating to other types of insurance or regulated products, the person must be:
V. CONTINUED QUALIFICATION Persons qualifying under either IV(1)(b) or IV(2)(b) must be re-qualified by the Commissioner no less frequently than every three years. At the time of re-qualification, the actuary must demonstrate to the satisfaction of the Commissioner that duties consistent with the qualification have been performed, and that knowledge of currently accepted actuarial principles and techniques in the area for which qualification has been received, have been maintained. Completion of these requirements may be evidenced by education credits consistent with the qualification, of the sort which would be sufficient to maintain American Academy of Actuary membership, or other comparable educational credits acceptable to the Commissioner.
VI. SEVERABILITY If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected thereby.
VII. EFFECTIVE DATE This regulation is hereby amended and restated effective October 31, 1991. Regulation 1-1-2 PUBLIC ADJUSTER REPRESENTATION AGREEMENTS SUBJECT TO RESCISSION WITHIN 72 HOURS OF SIGNING A SETTLEMENT REPRESENTATION AGREEMENT Section 1. Authority Section 2. Basis and Purpose Section 3. Rule Section 4. Enforcement Section 5. Severability Section 6. Effective Date Section 7. History Section 1. Authority This regulation is promulgated under § § 10-1-109 and 10-2-417, C.R.S. Section 2. Basis and Purpose The purpose of this regulation is to prevent unfair settlements of claims by providing a 72 hour “cooling off” period for insureds suffering casualty losses, during which, for the immediate 72 hours following execution of a settlement representation agreement shall be subject to rescission by an insured, except as specifically exempted in this regulation.
Section 3. Rule Any contract or other form of agreement for representation in an insurer property and casualty loss or claim shall be rescindable against public adjusters and the insurer for such loss at the election of the insured, provided the insured exercises his rights of rescission in writing addressed to the insurer and the public adjuster and puts the same, postage prepaid, in the United States Mail within 72 hours of signing a settlement representation agreement. All public adjusters taking a representative agreement to resolve a property or casualty loss on behalf of an insured shall give to the insured written notice of and direction as to the ability to exercise his rights of rescission.
Section 4. Enforcement Noncompliance with this regulation may result, after notice and hearing, in the imposition of any lawful sanction including the imposition of fines and suspension or revocation of license. Section 5. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the regulation and the application of such provision shall not be affected thereby.
Section 6. Effective Date This regulation is effective on December 1, 2007 .
Section 7. History Originally issued as Regulation 76-5, effective January 14, 1977. Re-codified as Regulation 1-1-2, effective June 1, 1992. Regulation amended, effective October 1, 1998.
Regulation amended, effective December 1, 2007 Regulation 1-1-3 CONCERNING RULES GOVERNING THE FILING OF DECLARATORY JUDGMENT PETITIONS WITH THE COLORADO INSURANCE COMMISSIONER I. BASIS AND PURPOSE Section 24-4-105(11), C.R.S. requires agencies of state government to adopt a regulation providing for the entertainment of petitions for declaratory orders. When the Colorado Insurance Board was in existence the Colorado Division of Insurance (Division) had such a rule. See 3 CCR 702-1, pp. 78-81. However, since the demise of the board in April, 1985, the Division has technically been without such a rule. Accordingly, the Division is adopting the following rule and simultaneously repealing the old board rule found at 3 CCR 702-1, pp. 78-81.
II. AUTHORITY This regulation is promulgated under the authority of § § 10-1-109 and 24-4-105(11), C.R.S.
III. RULE Declaratory Orders.
A. Any person may petition the Commissioner for a declaratory order to terminate controversies or to remove uncertainties as to the applicability to the petitioner of any insurance statute or of any rule or order of the Commissioner.
B. The Commissioner will determine, in his discretion and without notice to petitioner, whether to rule upon any such petition. If the Commissioner determines that he will not rule upon such a petition, the Commissioner shall issue his written order disposing of the same, stating therein his reasons for such action. A copy of such order shall forthwith be transmitted to the petitioner.
C. In determining whether to rule upon a petition filed pursuant to this rule, the Commissioner will consider the following matters, among others:
D. Any petition filed pursuant to this rule shall set forth the following:
E. If the Commissioner determines that he will rule on the petition, the following procedures shall apply:
F. The parties to any proceeding pursuant to this rule shall be the Commissioner and the petitioner. Any other person may seek leave of the Commissioner to intervene in such a proceeding, and leave to intervene will be granted at the sole discretion of the Commissioner. A petition to intervene shall set forth the same matters as required by section D. of this rule. Any reference to a “petitioner” in this rule also refers to any person who has been granted leave to intervene by the Commissioner.
G. Any declaratory order or other order disposing of a petition pursuant to this rule shall constitute agency action subject to judicial review pursuant to § 24-4-106, C.R.S.
IV. EFFECTIVE DATE The effective date of this Regulation is October 1, 1986. Regulation 1-1-4 CONCERNING THE MAINTENANCE OF OFFICES IN THIS STATE I. AUTHORITY This regulation is promulgated under the authority of § § 10-1-108(8), 10-1-109 and 10-3-128(4), C.R.S.
II. PURPOSE The provisions of § 10-3-128, C.R.S. require that every applicant applying for an initial certificate of authority maintain offices in this state and that any insurer licensed in Colorado prior to July 1, 1991 file a plan for compliance. The purpose of this regulation is to describe how companies can comply with this statute and also to describe the information which must be furnished by companies filing to prove compliance with or requesting a waiver for these provisions.
III. SCOPE This regulation shall apply to all Colorado domestic insurance companies.
IV. DEFINITION A. “Books and Records” as used herein shall include all information which is necessary for an examiner or other representative of the Commissioner to conduct a financial, actuarial, rate or market conduct examination of the insurer, including, but not limited, to underwriting files, claims files, policy form files, actuarial support files, in-force files and listings, general ledgers, accounting journals, trial balance ledgers, organizational documents, board and other committee minutes, stock journals, and complaint logs.
B. “Plan of Operation” as used herein shall include all pertinent information necessary to understand the company operation, including, but not limited to, a summary of the current products being offered, method of offering, facilities to service the products and area of solicitation.
C. “Readily Accessible” as used herein shall mean that the referenced documents or copies of such documents are physically available in Colorado within ten calendar days of a request, or are immediately electronically available from Colorado, by an examiner or other representative of the Commissioner.
V. PLAN OR EVIDENCE OF COMPLIANCE As a continuing condition of the insurer's authority to transact the business of insurance in Colorado, all domestic insurance companies must maintain, and if requested, file sufficient evidence satisfactory to the Commissioner, to justify and support compliance with the requirements of § 10-3-128(1), C.R.S. The standards as outlined in statute require that each company meet condition (a) below and either condition (b) or (c) below:
a. that the company's books and records are readily accessible, and;
b. that there is significant economic development being provided to Colorado. Compliance may be demonstrated by the company maintaining a home or regional home office in Colorado or actually spending in Colorado at least $200,000 annually. This minimum expense tabulation may include salaries for Colorado employees, purchases made in Colorado, taxes paid to Colorado (excluding premium tax) and other expenditures made in Colorado. This tabulation should not include premiums paid by insureds, commissions paid, or any secondary effect of the moneys spent in Colorado. Alternatively, the company may make other demonstration acceptable to the Commissioner to satisfy this standard, or;
c. that insurance products are currently or reasonably anticipated to be offered and beneficial to the Colorado insurance buying public. These products must reasonably be anticipated to be purchased by Colorado residents. The company should also describe the method and means by which these products will be offered.
Under the statute any company licensed prior to July 1, 1991, which does not maintain its home, principal, executive offices and its books and records in Colorado was required to file, by January 1, 1992, a demonstration of how it believes compliance with the standards of Section 10-3-128(1), C.R.S. is being achieved.
VI. WAIVER/MODIFICATION OF REQUIREMENTS In accordance with § 10-3-128(3), C.R.S., a new or existing company which is unable to meet the requirements of this regulation may file a formal written request to the Commissioner to modify or waive such requirements. Such written request shall include details of the condition or conditions for which waiver or modification is requested. Such request shall include a summary of the company's current plan of operation along with any other material or information the company considers pertinent and a corporate resolution that immediate notice will be provided the Commissioner in the event of material change in any of the above.
In determining whether or not to grant a waiver under Section 10-3-128, C.R.S., the Division will consider each application on a case by case basis. The Division will consider, among other things whether the company maintained its books and records outside of the State of Colorado on July 1, 1991, whether the company had received written authority from the Division to remove its books and records from the State of Colorado and whether the company has complied with the requirements of Colorado law and regulations and directives of the Division as well as the history of complaints regarding the availability or accessibility of its books and records.
A waiver once granted may, under appropriate circumstances, be subject to revocation. For example, a waiver allowing a company to maintain its books and records in one location will not be deemed to allow the company to change the location of its books and records to an alternate location outside of Colorado. If such request for waiver or modification is acceptable to the Commissioner, such waiver or modification shall be limited to the present location and filed plan of the company. The company may be required at any time to provide evidence satisfactory to the Commissioner that such plan is being maintained.
VII. SEVERABILITY If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected thereby. VIII. EFFECTIVE DATE This regulation initially became effective April 1, 1992, is amended effective December 31, 1992. Regulation 1-1-5 RENUMBERING OF INSURANCE REGULATIONS Repealed February 1, 2003 Regulation 1-1-6 CONCERNING THE ELEMENTS OF CERTIFICATION FOR ACCIDENT AND HEALTH FORMS, PRIVATE PASSENGER AUTOMOBILE FORMS, COMMERCIAL AUTOMOBILE WITH INDIVIDUALLY-OWNED PRIVATE PASSENGER AUTOMOBILE-TYPE ENDORSEMENT FORMS, CLAIMS-MADE LIABILITY FORMS, PRENEED FUNERAL CONTRACTS AND EXCESS LOSS INSURANCE IN CONJUNCTION WITH SELF-INSURED EMPLOYER BENEFIT PLANS UNDER THE FEDERAL “EMPLOYEE RETIREMENT INCOME SECURITY ACT”
107.2 and 10-16-119, C.R.S.
Section 2. Background and Purpose The purpose of this regulation is to promulgate rules applicable to the filing of new policy forms, new policy form listings, annual reports of policy forms, and certifications of policy forms. Section 3. Applicability and Scope This regulation applies to all insurers and other entities authorized to conduct business in Colorado which provide health coverages, private passenger automobile insurance, commercial automobile with an “individually-owned private passenger automobile-type endorsement” , claims-made liability insurance, excess loss insurance used in conjunction with self-insured employer benefit plans under the federal “Employee Retirement Income Security Act (certification is only required with the filing and forms are attached versus a listing of forms) and/or preneed funeral contracts, who are required to fully execute and file, with each Listing of New Policy Forms or Annual Report of policy forms, a certification. This regulation does not change the certification requirements for preneed funeral contract sellers who utilize Colorado's prototype preneed funeral contracts.
If an “individually-owned private passenger automobile-type endorsement” is attached to a commercial automobile policy, the filing and certification requirements of Part 6 of Article 4, Title 10, C.R.S., apply to policy forms, endorsements, cancellation notices, renewal notices, disclosure forms, notices of proposed premium increases, notices of reductions in coverage and any other such forms as requested by the Commissioner, that are currently in use and issued or delivered, or intended to be used and issued or delivered, to any policyholder in Colorado and that are used or intended to be used with any commercial automobile insurance policy. If an “individually-owned motor vehicle endorsement” is attached to a commercial automobile policy, the insurer must comply with all of the private passenger automobile certification requirements.
Section 4. Definitions For the purposes of this regulation:
A. “Annual Report for private passenger automobile insurance” shall mean a list of all private passenger automobile policy forms, endorsements, cancellation notices, renewal notices, disclosure forms, notices of proposed premium increases, notices of reductions in coverage and any other such forms as requested by the Commissioner currently in use and issued or delivered to any policyholder in Colorado, including the titles of the programs or products affected by the forms.
B. “Annual Report for commercial automobile with individually-owned private passenger automobile-type endorsement” shall mean a list of all private passenger automobile policy forms, endorsements, cancellation notices, renewal notices, disclosure forms, notices of proposed premium increases, notices of reductions in coverage and any other such forms as requested by the Commissioner currently in use and issued or delivered to any policyholder in Colorado, including the titles of the programs or products affected by the forms.
C. “Annual Report for claims-made liability insurance” shall mean a list of all claims-made liability insurance policy forms, endorsements, disclosure forms, and evidence of coverage currently in use and issued or delivered to any policyholder in Colorado, including the titles of the programs or products affected by the forms.
D. “Annual Report for health coverage” shall mean a list of all policy forms, application forms (to include any health questionnaires used as part of the application process), endorsements and riders for any sickness, accident, and/or health insurance policy, contract, certificate, or other evidence of coverage currently in use and issued or delivered to any policyholder, certificate holder, enrollee, subscriber, or member in Colorado, including the titles of the programs or products affected by the forms.
E. “Annual Report for preneed contracts” shall mean a list of all written contracts, forms of assignment, agreements, or mutual understandings, any series or combination of contracts, agreements, or mutual agreements, or mutual understanding, or any security or other instrument which is convertible into a contract, agreement, or mutual understanding whereby it is agreed that, upon the death of the preneed contract beneficiary, a final resting place, merchandise, or service shall be provided or performed in connection with the final disposition of the preneed contract beneficiary's body currently in use.
F. “Certification of compliance” shall mean a certification form, which contains elements of certification as determined by the Commissioner, signed by a designated officer of the entity. If the individual signing the certification is other than the president, vice president assistant vice president, corporate secretary, assistant corporate secretary, CEO, CFO, general counsel or an actuary that is also a corporate officer, documentation should be included that shows that this individual has been appointed as an officer of the organization by the Board of Directors. This documentation is to be submitted with every filing.
G. “Certification of compliance for excess loss insurance used in conjunction with self-insured employer benefit plans under the federal “Employee Retirement Income Security Act” shall mean a certification form, which contains the elements of certification as determined by the Commissioner, signed by a designated officer of the entity. If the individual signing the certification is other than the president, vice president, corporate secretary, CEO, CFO, general counsel or an actuary that is also a corporate officer, documentation should be included that shows that this individual has been appointed as an officer of the organization by the Board of Directors. This documentation is to be submitted with every filing. Entities shall file their actual forms with this certification.
H. “Entity” shall mean any organization that provides private passenger automobile insurance, commercial automobile with an “individually-owned private passenger automobile-type endorsement” , claims-made liability insurance, preneed funeral contracts, excess loss coverage used in conjunction with a self-insured benefit plan under the federal “Employee Retirement Income Security Act” or health coverage in this state. For the purpose of this regulation, “entity” includes insurers providing health coverage through fraternal benefit societies, health maintenance organizations, nonprofit hospital and health service corporations, sickness and accident insurance companies, and any other entities providing a plan of health insurance or health benefits subject to the Colorado insurance laws and regulations.
I. “Health Coverage Compliance Guide” shall mean a form prescribed by the Commissioner, which provides guidance for certifying the compliance of any health coverage form with Colorado insurance laws and regulations.
J. “Listing of New Policy Forms for private passenger automobile insurance” shall mean a list of any new private passenger automobile policy forms, endorsements, cancellation notices, renewal notices, disclosure forms, notices of proposed premium increases, notices of reductions in coverage and any other such forms as requested by the Commissioner issued or delivered to any policyholder in Colorado with the description of the form, the form number and edition date, the title of the program or product affected by the form, and the effective date the form will be used.
K. “Listing of New Policy Forms for commercial automobile with individually-owned private passenger automobile-type endorsement” shall mean a list of any new private passenger automobile policy forms, endorsements, cancellation notices, renewal notices, disclosure forms, notices of proposed premium increases, notices of reductions in coverage and any other such forms as requested by the Commissioner issued or delivered to any policyholder in Colorado with the description of the form, the form number and edition date, the title of the program or product affected by the form, and the effective date the form will be used.
L. “Listing of New Policy Forms for claims-made liability insurance” shall mean a list of any new claims- made liability insurance policy forms, endorsements, disclosure forms, and evidence of coverage issued or delivered to any policyholder in Colorado with the description of the form, the form number and edition date, the title of the program or product affected by the form, and the effective date the form will be used.
M. “Listing of New Policy Forms for health coverage” shall mean a list of any new policy forms, application forms (to include any health questionnaires used as part of the application process), endorsements and riders for any sickness, accident, and/or health insurance policy, contract, certificate, or other evidence of coverage issued or delivered to any policyholder, certificate holder, enrollee, subscriber, or member in Colorado and the title of the program or product affected by the form, and the effective date the form will be used.
N. “Listing of New Policy Forms for preneed contracts” shall mean a list of all new written contracts, forms of assignment, agreements, or mutual understandings, any series or combination of contracts, agreements, or mutual agreements, or mutual understanding, or any security or other instrument which is convertible into a contract, agreement, or mutual understanding whereby it is agreed that, upon the death of the preneed contract beneficiary, a final resting place, merchandise, or service shall be provided or performed in connection with the final disposition of the preneed contract beneficiary's body. Additionally, the preneed funeral contract seller shall include a description of the form, the form number and edition date, the title of the program or product affected by the form, and the effective date the form will be used. All preneed funeral contract sellers shall certify preneed contracts to the Commissioner concurrent with the use of such preneed contracts.
O. “Officer of an entity” shall mean the president, vice-president, assistant vice-president, corporate secretary, assistant corporate secretary, funeral director, general counsel or actuary who is a corporate officer, or any officer appointed by the Board of Directors (a copy of the appointment is required for each filing).
P. “Program” shall mean the title of an entity's insurance program, product or preneed funeral contract, Q. “Signature” includes an electronic signature as defined in Colorado Revised Statute 24-71.3-102. Section 5. Rules A. At least 31 days prior to using any new form (except preneed funeral contract and excess loss insurance used in conjunction with self-insured employer benefit plans under the federal “Employee Retirement Income Security Act” forms, which are filed concurrently) each entity, subject to the provisions of this regulation, shall file, in a format prescribed by the Commissioner, a Listing of New Policy Forms including a folly-executed certificate of compliance. Any such listing and the applicable certificate of compliance must be prepared individually for each product.
B. Not later than July 1 of each year, each private passenger automobile insurer, commercial automobile with an “individually-owned private passenger automobile-type endorsement” which is attached to a commercial automobile policy, preneed contract and claims-made liability insurer shall file an Annual Report of policy forms including a fully-executed certificate of compliance.
C. Not later than December 31 of each year, each entity providing health care coverages shall file an Annual Report of policy forms including a fully executed certificate of compliance. However, excess loss insurance, used in conjunction with self-insured employer benefit plans under the federal “Employee Retirement Income Security Act” , does not require the filing of an Annual Report of policy forms.
D. Elements of Certification The elements of certification as determined by the Commissioner, which must be included in the Colorado Health Coverage Certification Forms, the Colorado Automobile Private Passenger Insurance Certification Form, Colorado Preneed Certification Form (prototype policies are excluded from this certification process), the Colorado Commercial Automobile with Individually- Owned Private Passenger Automobile-Type Insurance Certification Form, Excess Loss Insurance used in Conjunction with Self-Insured Employer Benefit Plans under the Federal “Employee Retirement Income Security Act” Certification Form, and the Colorado Claims-Made Liability Insurance Certification Form are as follows:
Section 6. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of all applicable sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws, which include the imposition of fines and/or suspension or revocation of license. Section 7. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the regulation shall not be affected in any way. Section 8. Effective Date This regulation will be effective February 1, 2004.
Section 9. History Originally issued as Emergency Regulation 92-1, effective July 22, 1992. Final Regulation 1-1-6 effective June 1, 1994.
Amended Regulation 1-1-6 effective February 1, 2002.
Amended Regulation 1-1-6 effective June 1, 2003.
Sections 1,2, 3, 8 and 9 amended effective February 1, 2004. Regulation 1-1-7 MARKET CONDUCT RECORD RETENTION Section 1. Authority Section 2. Basis And Purpose Section 3. Definitions Section 4. Records Required for Market Conduct Purposes Section 5. Policy Records Section 6. Claim Records Section 7. Licensing Records Section 8. Complaint Records Section 9. Format Of Records Section 10. Location Of Records Section 11. Time Limits To Provide Records And To Respond To Examiners Section 12. Records Usually Required For Examination Section 13. Enforcement Section 14. Severability Section 15. Effective Date Section 16. History Section 1. Authority This regulation is promulgated under the authority of § 10-1-109(1), C.R.S. Section 2. Basis And Purpose The purpose of this amended regulation is to clarify definitions and rules that provide for retention and maintenance of records required only for market conduct purposes. Section 3. Definitions A. “Application records” mean any written or electronic application form, any enrollment form, any document used to add coverage under an existing policy, any questionnaire, telephone interview form, paramedical interview form, or any other document used to question or underwrite an applicant for a policy issued by an insurer or for any declination of coverage by an insurer.
B. “Inquiry” means a specific question, comment form or request made in writing to an insurer or its representative by a market conduct examiner authorized or designated by the commissioner.
C. “Examiner” shall have the same meaning as in § 10-1-202, C.R.S.
D. “Claim records” mean:
E. “Complaint” shall have the same meaning as in § 10-3-1104(1)(i), C.R.S.
F. “Declination” or “declination records” mean all written or electronic records concerning a policy for which an application for insurance coverage has been completed and submitted to the insurer or its producer but the insurer has made a determination not to issue a policy or not to add additional coverage when requested. Declined underwriting records shall include an application, any documentation substantiating the decision to decline issuance of a policy, any binder issued without the insurer issuing a policy, any documentation substantiating the decision not to add additional coverage when requested and, if required by law, any declination notification. Notes regarding requests for quotations that do not result in a completed application for coverage need not be maintained for purposes of this regulation.
Section 4. Records Required For Market Conduct Purposes A. Every entity subject to the Market Conduct process shall maintain its books, records, documents and other business records in a manner so that the following practices of the entity subject to the Market Conduct process may be readily ascertained during market conduct examinations, including but not limited to, company operations and management, policyholder services, claim's practices, rating, underwriting, marketing, complaint/grievance handling, producer licensing records, and additionally for health insurers/carriers or related entities: network adequacy, utilization review, quality assessment and improvement, and provider credentialing. Records for this regulation regarding market conduct purposes shall be maintained for the current calendar year plus two prior calendar years.
B. Each producer of record, if the carrier does not maintain, shall maintain records for each policy sold, and the records shall contain all work papers and written communications in the producer's possession pertaining to the documented policy.
Section 5. Policy Records A. The following records shall be maintained: A policy record shall be maintained for each policy issued. Policy records shall be maintained so as to show clearly the policy period, basis for rating and any imposition of additional exclusions from or exceptions to coverage. If a policy is terminated, either by the insurer or the policyholder, documentation supporting the termination and account records indicating a return of premiums, if any, shall also be maintained. Policy records need not be segregated from the policy records of other states so long as the records are readily available to market conduct examiners as required under this regulation.
B. Policy records shall include at least the following:
Section 6. Claim Records The claim records shall be maintained so as to show clearly the inception, handling and disposition of each claim. The claim records shall be sufficiently clear and specific so that pertinent events and dates of these events can be reconstructed.
A. The record shall include at least the notification of claim, proof of loss, (or other form of claim submission) claim forms, proof of claim payment check or draft, notes, contract, declaration pages, information on type of coverage, endorsements or riders, work papers, any written communication, any documented or recorded telephone communication related to the handling of a claim, including the investigation, payment or denial of the claim, and any claim manuals or other information necessary for reviewing the claim. Where a particular document pertains to more than one record, insurers may satisfy the requirements of this paragraph by making available, at the site of a market conduct examination, a single copy of each document.
B. Documents in a claim record received from an insured, the insured's agent, a claimant, the department or any other insurer shall bear the initial date of receipt date-stamped by the insurer in a legible form in ink, an electronic format, or some other permanent manner. Unless the company provides the examiners with written procedures to the contrary, the earliest date stamped on a document will be considered the initial date of receipt.
C. If an insurer, as its regular business practice, places the responsibility for handling certain types of claims upon company personnel other than its claims personnel, the insurer need not duplicate its records for maintenance by claims personnel. These claims records shall be maintained as part of the records of the insurer's operations and shall be readily available to examiners. Section 7. Licensing Records Records to be maintained relating to the insurer's compliance with licensing requirements shall include the licensing records of each producer associated with the insurer. Licensing records shall be maintained so as to show clearly the status of the producer at the time the application was taken as well as the dates of the appointment and termination of each producer. A screen print from the NAIC Producer Database (PDB) or the Colorado Division of Insurance Database may serve to provide adequate proof only of an agent's current licensing status.
Section 8. Complaint Records The complaint records required to be maintained under § 10-3-1104(1)(i), C.R.S. shall include, on a calendar year basis, a complaint or grievance log or register, as required by Regulation 6-2-1, in addition to the actual written complaints and any other complaint/grievance logs required by Colorado insurance law. Any codes used shall be provided to the examiners at the time of an examination. Section 9. Format Of Records A. Any record required to be maintained by an insurer may be in the form of paper, photograph, magnetic, mechanical or electronic medium; or any process that accurately forms a durable reproduction of the record, so long as the record is capable of duplication to a hard copy that is as legible as the original document. Documents that are produced and sent to an insured by use of a template and an electronic mail list shall be considered to be sufficiently reproduced if the insurer can provide proof of mailing of the document and a copy of the template. Documents that require the signature of the insured or insurer's producer shall be maintained in any format listed above, provided evidence of the signature is preserved in that format.
B. The maintenance of records in a computer-based format shall be archival in nature, so as to preclude the alteration of the record after the initial transfer to a computer format. Upon request of an examiner, all records shall be capable of duplication to a hard copy that is as legible as the original document. The records shall be maintained according to written procedures developed and adhered to by the insurer. The written procedures shall be made available to the commissioner's market conduct examiners in accordance with Section 12.
C. Photographs, microfilms or other image-processing reproductions of records shall be equivalent to the originals and may be certified as the same in actions or proceedings before the commissioner unless inconsistent with other Colorado law.
Section 10. Location Of Records A. All records required to be maintained under this regulation shall be kept in a location or locations that will allow the records to be produced for examination within the time period required under Section 11.
B. If required by law or otherwise available, the insurer shall maintain disaster preparedness or disaster recovery procedures that include provisions for the maintenance or reconstruction of original or duplicate records at another location.
Section 11. Time Limits To Provide Records And To Respond To Examiners A. An insurer/carrier shall provide any record requested by any examiner as required by Regulation 1-1-8 or such other time period as mutually agreed upon by the examiner and the insurer/carrier. When the requested record is not or cannot be produced by the insurer/carrier within the specified time period, a violation shall be deemed to have occurred, unless the insurer/carrier can demonstrate to the satisfaction of the commissioner that the requested record cannot reasonably be provided within the specified time period of the request through no fault of its own, its agents or its contracted third party administrator.
B. As a means to facilitate the examination, an insurer/carrier under examination shall provide a written response to an inquiry submitted by an examiner as required by Regulation 1-1-8 or such other time period as mutually agreed upon by the examiner and the insurer/carrier. When the requested response is not provided by the insurer/carrier within the specified time period, a violation shall be deemed to have occurred, unless the insurer/carrier can demonstrate to the satisfaction of the commissioner that the requested response cannot reasonably be provided within the specified time period of the inquiry through no fault of its own, its agents or its contracted third party administrator.
C. Original records, if required to be provided or provided during a market conduct examination, will be returned to the insurer/carrier following the examination. If the records relate to an inquiry made by an examiner, copies of the records shall become a part of the work papers of the examination. § 10-1-205, C.R.S. shall govern the public access to the work papers of the examination. Section 12. Records Usually Required For Examination A. Records required for examination usually include, but are not limited to, the following, depending on the line of business;
B. Company operations and management: history and profile, entity oversight (managing general agent, general agent, third party administrator), internal audits, anti-fraud plan if applicable, certificates of authority, disaster recovery plan, and computer systems;
C. Policyholder service: policyholder service (premium/billing notices; policy issuance/insured requested cancellations; correspondence files; reinstatements, policy transactions (cash surrenders, policy loans bank values, extended term, reduced paid up, additional paid up, automatic premium loan, bank drafts and policy changes), late enrollment guidelines, annual policy reports, unearned premiums, assumptions, accelerated benefits, and consumer complaints (complaint register, complaint policies and procedures, complaint records, complaint disposition);
D. Marketing: sales and advertising, producer training materials, producer communications, policy replacements, policy illustrations, accelerated benefit disclosures, outline of coverage, mass marketing policies and procedures, and agency management;
E. Producer licensing: producer records (license, contract or letter of agreement, appointment/termination where applicable), and accounts current;
F. Underwriting and rating practices: annual rate filing, company rating plan and rates, disclosures, producer payments, credits, deviations, schedule rating, IRPM plans, expense/loss cost multipliers, statistical coding/reporting, premium audits, loss reporting, policy forms and filings, underwriting policies, procedures, and manuals, declinations/rejections, cancellations/nonrenewals, rescissions, policyholder records (applications, policy riders, correspondence, policy forms), guaranteed issue, pre-existing conditions and privacy of protected personal information;
G. Claims practices: policies and procedures, claims records, claims paid, claims without payment (denied, rejected, incomplete, closed without payment), total loss settlements (salvage), subrogation, litigation, claim forms, reserves, and statistical coding;
H. Network adequacy: provider manual, provider contracting policies and procedures, provider directories, availability and accessibility standards and monitoring reports related to these standards, management agreements, intermediary contracts, intermediary certifications, provider agreements;
I. Utilization review: utilization review plan, utilization review policies and procedures, annual utilization review certifications, utilization review monthly telephone reports, precertification records, nurse's notes, medical director reviews and appeals of noncertification records;
J. Quality assessment and improvement: quality assessment plan, quality assessment policies and procedures, and quality assessment annual program evaluation; and K. Provider credentialing: credentialing plan, credentialing policies and procedures, and credential records.
Specific records relative to these areas of operations will be requested either through prior written notification, during the pre-examination conference or during the examination. These records shall be made available to the examination staff when the staff arrives at the insurer's office or upon the date specified by the examiner in charge.
Additional records requested by the commissioner shall be made available for the examination upon the date specified by the examiner in charge. Appropriate workspace and equipment shall be provided to the examiners to expedite the examiners' review of the records. Section 13. Enforcement Noncompliance with this regulation may result in the imposition of any of the sanctions made available in Colorado statutes pertaining to the business of insurance or other laws and specifically Section 10-1-205, C.R.S., which include the imposition of fines, issuance of cease and desist orders and/or suspension or revocation of license.
Section 14. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the regulation shall not be affected. Section 15. Effective Date This amended regulation shall be effective as of June 1, 2003. Section 16. History Issued as Regulation 1-1-7, effective October 1, 1995.
Repealed and Repromulgated (In Full) Regulation 1-1-7, effective June 1, 2003. Regulation 1-1-8 PENALTIES AND TIMELINES CONCERNING DIVISION INQUIRIES AND DOCUMENT REQUESTS Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Rules Section 6. Enforcement Section 7. Severability Section 8. Effective Date Section 9. History Section 1. Authority This regulation is promulgated pursuant to § § 10-1-109, 10-2-104, 10-3-109(3), and 10-16-109, C.R.S. Section 2. Scope and Purpose The purpose of this regulation is to prescribe the time period in which all persons and entities shall respond to Colorado Division of Insurance (“Division” ) inquiries, including, but not limited to, document and information requests during market conduct and financial examinations, investigations of complaints, and any other formal or informal investigation or examination conducted for the purpose of determining compliance with Colorado insurance law. In addition, the purpose of this regulation is to prescribe the penalties for failure to respond to Division inquiries within the timeframes specified in this regulation. Section 3. Applicability This regulation shall apply to all persons and entities over whom the Division has authority, including, but not limited to, producers, insurers, health maintenance organizations and insurance agencies for all lines of insurance. This regulation does not apply where a different timeframe for responding to Division inquiries or providing documentation or information is specifically established by Colorado statute or Division regulation.
Section 4. Definitions As used in this regulation:
A. “Division” shall mean the Colorado Division of Insurance. B “Incomplete response” shall mean a response that does not substantially address the inquiry, as determined by the Division.
C. “Inquiry” shall mean any written Division request to any person, for documents, information or an explanation or response. Inquiry includes, but is not limited to, market conduct examination comment forms, financial examination request forms, information requests arising from complaints received by the Division, and information requests arising from investigations conducted by the Division.
D. “Examination Request/Comment Form” means a request for information made during the course of a formal market conduct or financial examination under § § 10-1-201 to 207, C.R.S., and includes:
E. “Person” shall have the same meaning as in §10-2-103(8), C.R.S.
F. “Response” means all written information provided to the Division from the person to whom the inquiry is made.
Section 5. Rules A. Unless another time period is specified by the Division in writing, every person shall provide a complete response to an Examination Request/Comment Form within ten (10) calendar days from the date on the form.
B. Except for responses to an Examination Request/Comment Form, and unless another time period is specified by statute, regulation or by the Division in writing, every person shall provide a complete response in writing to any inquiry from the Division within twenty (20) calendar days from the date of the inquiry.
C. If additional time is required to respond to any Division inquiry, the person shall submit a request for an extension of time in writing to the Division employee or examiner making the inquiry. The request for an extension of time shall be made within the original response period established in this regulation, shall request a specified period of time, and shall state in detail the reasons necessitating the extension. Extensions are granted at the discretion of the Division for good cause shown. When a request for extension is granted, the person shall respond within the new time period granted. If an extension is not granted, the person shall respond within ten (10) calendar days of the notice that the extension was not granted and is subject to the imposition of appropriate penalties from the original due date. Nothing herein shall prohibit a person from requesting additional extensions of time, should further information be discovered in good faith that prohibits a response during the first extension period.
D. If the person from whom the response is requested is represented by legal counsel, this representation shall in no way absolve the person of their responsibilities for a timely response under this regulation.
E. The Division will calculate the applicable time periods from the date of the correspondence from the Division to:
F. Failure to provide a full or complete response to a Division inquiry, or to request an extension for a specified period within the original response period, may result in the imposition of a minimum $500.00 fine. Pursuant to Section 6 of this regulation, and after notice and hearing, additional sanctions may be sought under §10-1-215, C.R.S., and other fining and penalty provisions of Title 10.
Section 6. Enforcement Noncompliance with the requirements and timeframes specified in this regulation may result, after proper notice and hearing, in the imposition of any sanctions made available in Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspension or revocation of license. Section 7. Severability If any provision of this regulation is for any reason held to be invalid, the remainder of the regulation shall not be affected.
Section 8. Effective Date This regulation is effective on February 1, 2009.
Section 9. History Originally promulgated as regulation 6-2-2, effective; January 31, 1998. Repealed regulation 6-2-2, re-promulgated as new regulation 1-1-8. Hearing date: April 3, 2003, effective June 2, 2003.
Amended regulation effective February 1, 2009.
Regulation 1-1-9 ELECTRONIC RATE FILING AND EXEMPTION TO ELECTRONIC RATE FILING REQUIREMENT DUE TO AN EMERGENCY SITUATION Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Rule Section 5. Severability Section 6. Enforcement Section 7. Effective Date Section 8. History Section 1. Authority This regulation is promulgated under the authority of § § 10-1-109, 10-4-401(5) and 10-16-107(1), C.R.S.
Section 2. Scope and Purpose The purpose of this regulation is prescribe the format for electronic rate filings with the Division of Insurance, and to set forth the circumstances that would be considered an emergency situation exempting carriers from making electronic rate filings. Section 3. Applicability The requirements of this regulation shall apply to all insurance companies who file type II rates for property and casualty insurance rate filings subject to Parts 1 through 4 of article 4 of title 10, C.R.S., and health rate filings subject to Article 16 of Title 10.
Section 4. Rule A. The following situations are defined as an emergency situation, that would exempt carriers from making electronic rate filings,
B. Except as a result of an event described in paragraph 4.A, an emergency situation does not exist due to an insurer’s failure to have adequate, properly trained staff to file rates electronically.
C. The Colorado Division of Insurance will only accept electronic filings submitted through SERFF (System for Electronic Rate and Form Filing). Information on SERFF can be located at www.SERFF.com.
Section 5. Severability If any provision of this regulation or application of it to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected. Section 6. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocations of licenses. Among others, the penalties provided for in §10-3-1108, C.R.S. may be applied. Section 7. Effective Date This regulation shall be effective February 1, 2008.
Section 8. History New Colorado Regulation 1-1-9 effective February 1, 2008. Regulation 1-2-1 CONCERNING PRODUCER FIDUCIARY RESPONSIBILITIES Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Rule Section 5. Enforcement Section 6. Severability Section 7. Effective Date Section 8. History Section 1. Authority This regulation is promulgated under the authority of § § 10-1-109, 10-2-104, 10-2-704, and 10-3-1110 Colorado Revised Statutes (C.R.S.)
Section 2. Scope and Purpose The purpose of this regulation is to clarify the responsibility of insurance producers to treat each insurance policy and premiums handled thereon as a separate account of their insureds unless specific authorization has been obtained from insureds to commingle multiple obligations and funds. Section 3. Applicability This regulation shall apply to all insurance producers and agencies over whom the Division of Insurance has authority.
Section 4. Rule A. No insurance premium or refund received by an insurance producer or agency by reason of the application for, issuance or termination of any particular policy may be credited to any other obligation owed by the insured to such producer, agency or other insurer unless specific written authorization has been obtained from the insured to so credit, or a blanket authorization has been obtained from the insured to handle all policies and obligations from one account.
B. Upon receipt, the insurance producer or agency shall treat all premiums and returned premiums in a fiduciary capacity, including but not limited to the following:
Section 5. Enforcement Noncompliance with this regulation, whether defined or reasonably implied, may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders and/or suspensions or revocation of license. Section 6. Severability If any of the provisions of this regulation or the application thereof to any person or circumstances is for any reason held invalid or unenforceable, this regulation shall be construed as if not containing such provisions and the validity, legality and enforceability of the remaining provisions of this regulation shall not be affected or impaired in any way.
Section 7. Effective Date This regulation is effective January 1, 2009.
Section 8. History Originally promulgated in 1978 as 78-12 Amended Regulation in 1980 Re-codified as Regulation 1-2-1 in 1992 Repealed and repromulgated January 1, 2009.
Regulation 1-2-4 CONTINUING EDUCATION REQUIREMENTS FOR LICENSED INSURANCE PRODUCERS Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Rules Section 6. Severability Section 7. Enforcement Section 8. Effective Date Section 9. History Section 1. Authority This amended regulation is promulgated under the authority of § §10-1-109, 10-2-104, and 10-2-301(6) (a), Colorado Revised Statutes (C.R.S.).
Section 2. Scope And Purpose This regulation establishes continuing education requirements for persons licensed to sell certain types of insurance. Additionally, this regulation establishes the procedures for filing course completion information by the course providers.
This regulation sets forth:
A. The basic requirements for such training and the standards for the courses and programs that qualify for approval by the Commissioner;
B. The procedures and standards that the Commissioner will use in approving the courses;
C. The required record keeping and procedures for certification of satisfactory completion of the continuing education requirement; and D. The sanctions for noncompliance with this regulation. Section 3. Applicability This regulation shall apply to all individuals licensed to act as insurance producers in Colorado, with the exception of those individuals licensed to write only one or more of the following lines: travel ticket selling, bail bonding, title, limited lines credit insurance, and crop hail. This regulation shall also apply to all providers of continuing insurance education in Colorado. The requirements of this regulation apply to any Colorado resident licensed to solicit and sell insurance in this state. Pursuant to §10-2-301(3)(b), C.R.S., this section shall not apply to any person holding a limited or restricted license if that license is in good standing with the Division and no complaints have been filed against the licensee.
Section 4. Definitions A. "Approved course" is a course offered for continuing education credit that is approved by the Colorado Division of Insurance.
B. "Credit hour" is a value assigned to a course approved by the Division of Insurance.
C. "Carryover credit hour" is a credit hour earned over and above the 24 hours of continuing education requirements during the one hundred twenty (120) days before the licensing continuation date, which may be applied to the next continuing education period. If a producer chooses to complete continuing education courses in the period prior to their first continuation, these credits are not eligible for carry over.
D. "Classroom course" is at least sixty minutes of participation in an approved course in a classroom. Not more than ten minutes of any sixty-minute period may be used for breaks, roll taking, or administrative instructions.
E. “Competency Examination” is a closed book examination taken and passed by a producer without assistance and personally monitored by a disinterested third party, who is not a minor, not related to the producer, his immediate supervisor, or his/her employee. A score of 70% or above is required for the examinee to pass the examination.
F. "Qualified instructor" means a person who has demonstrated competency in the subject matter of an approved course through one of the following means:
G. "Sponsoring institution/instructor/organization" means the person or entity primarily responsible for conducting the course and maintaining records of successful course completion. Section 5. Rules A. Required Hours/Certification After the first continuation cycle, every producer who is licensed in Colorado and not otherwise specifically exempted in this regulation shall complete 24 credit hours of approved courses biennially. At least 18 of the 24 credit hours shall be in approved courses in the authorities for which the producer is licensed. At least three (3) of the 24 hours of continuing education shall be for courses in ethics. A maximum of six (6) of the 24 credit hours shall be in approved courses on subjects designated by the Commissioner whenever the Commissioner determines that continuing education in such subjects is needed to protect insurance consumers. Those individuals licensed as reinsurance intermediary brokers must complete the required continuing education through professional seminars or curriculum within the reinsurance field. Producers may accumulate no more than twelve (12) carryover credit hours during the one hundred twenty
B. Implementation of Health Maintenance Organization and Nonprofit Hospital Medical-Surgical and Health Service Corporation Producers Continuing Education Requirement There will be no new licenses issued for these lines on or after January 1, 2002. All producers who currently hold the health maintenance organization and/or nonprofit hospital medical-surgical and health service producer licenses will not be required to complete 24 hours of continuing education for compliance periods beginning after January 1, 2002.
C. Approved Courses
The following subjects/topics may not qualify:
- Any course used to prepare for taking an insurance license exam; - Computer science and automation courses;
- Motivational, sales training, or psychology courses;
- Communication, relationship building;
- Prospecting, marketing, planning;
- Courses which are primarily intended to impart knowledge of office procedures, administrative matters, personnel issues;
- Service standards;
- Investment and other courses which do not show a direct connection to insurance;
- Time management;
- Courses on compliance (NASD/SEC);
- Service vendors;
D. Record Keeping
E. Advertisement Of Qualified Courses No course may be advertised or described as an approved course until written confirmation of course approval has been received from the Division of Insurance. Announcements, advertisements, and information about courses designated as approved courses by the Division of Insurance, shall contain the statement, "This course is approved by the Colorado Division of Insurance for Continuing Insurance Education Credit," followed by a statement of the number of credit hours. If the course offered contains material that is not approved, the announcement, advertisement or information must clearly state the amount of course time which is not approved for continuing insurance education credits. Announcements, advertisements or information about approved courses shall contain clear and concise statements about the cost of the course, cancellation procedures, and tuition refund policies.
Section 6. Severability If any provision of this regulation or its application to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected. Section 7. Enforcement Noncompliance with the Regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocation of license. Among others, the penalties provided for in §10-3-1108, C.R.S. may be applied. Section 8. Effective Date This regulation is effective January 1, 2007.
Section 9. History New November 2, 1992; Effective January 1, 1993.
Amended October 15, 1994; Effective January 1, 1995: Sections amended 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12.
Amended April 3, 1998; Effective June 2, 1998. Sections added: 6. Sections amended: 1, 2, 3, 4, 5, 7, 8, 10, and 13.
Amended November 1, 2000. Effective January 1, 2001. Sections amended 2, 5, and 7. Section 10 deleted. Subsequent sections renumbered.
Emergency Regulation effective January 1, 2002. Sections amended 1, 2, 3, 4, 5, 6, 7, 8, 12, and 13. Amended Regulation effective April 1, 2002. Sections amended 1, 2, 3, 4, 5, 6, 7, 8, 12, and 13. Amended Regulation effective February 1, 2003. Sections Amended 1, 3, 5, 8, 12 and 13. Amended Regulation effective September 30, 2004. Sections Amended 2 and 5. Amended Regulation effective February 1, 2005. Sections 5, 7,10 and 12. Amended Regulation effective January 1, 2006. Sections 5.b., 7.B., 12, and 13. Amended Regulation effective January 1, 2007. Sections 4E, 5A(2), 5C1(c), 5C1(d), 5C1(e), 5C1(e), 5C2(b)(iii), 5C2(b)(iiiv), 5C2(b)(ix), 8.
Regulation 1-2-5 INSURANCE PRODUCER PRE-LICENSING EDUCATION REQUIREMENTS FOR RESIDENTS Section 1. Authority Section 2. Scope And Purpose Section 3. Applicability Section 4. Definitions Section 5. General Requirements Section 6. Course Approval Section 7. Course Hour Requirements Section 8. Certification and Verification Section 9. Period of Validity for Prelicensing Course Certificates Section 10. Exemptions from Prelicensing education Section 11. Compliance Section 12. Severability Section 13. Further Information And Submittals Section 14. Effective Date Section 15. History Section 1. Authority This regulation is promulgated under the authority of § § 10-1-109, 10-2-104, and 10-2-201(2), C.R.S. Section 2. Scope And Purpose The purpose of this regulation is to set forth the prelicensing education required for all applicants for a Resident Insurance Producer License issued by the State of Colorado. Section 3. Applicability The requirements of this regulation shall apply to all applicants for a Resident Insurance Producer License issued by the State of Colorado who are subject to the prelicensure education requirements set forth in § 10-2-201, C.R.S.
Section 4. Definitions As used in this Regulation:
A. “Course Provider” shall mean those individuals and/or business entities that have been approved by the Division to offer prelicensing courses for Colorado resident insurance producers.
B. “Division” shall mean the Colorado Division of Insurance.
C. “Insurance Producer” shall have the same meaning as defined in CRS 10-2-103 (6).
D. “License” shall have the same meaning as defined in CRS 10-2-103(7).
E. “Line of Authority” shall mean specific type of insurance as authorized in CRS 10-2-407.
F. “NAIC” shall mean the National Association of Insurance Commissioners.
G. “Resident” shall have the meaning as defined in CRS 10-2-405. Section 5. General Requirements Any person applying for a Colorado Resident Insurance Producer License, other than those exempt pursuant to Section 10 of this Regulation, must successfully complete prelicensing education before taking the state producer license examination. The prelicensing education required by this Regulation shall be satisfied by the successful completion of course(s), with credits totaling those required by Section 7 of this Regulation, approved for prelicensing for the particular line of authority by the Division. Only successful completion of courses approved by the Division will satisfy the requirements of the Regulation.
Section 6. Course Approval A. Prior to being offered or advertised, any prelicensing course must be approved by the Division. Any change in the course must be approved by the Division prior to being implemented. Any full-time program of prelicensure education operated by a company with a qualified home office located in Colorado will not be required to submit courses for review and certification by the Commissioner. Course approval requests must be accompanied by the following:
B. Prelicensing courses may consist either of classroom study or verifiable self study (including online courses). Evaluation of any proposed course shall be based upon the substance of the course and not its method of delivery. The manner of verification of a self study course will be taken into account in the approval of said course and the provider should provide the specific method of verification. One of the following methods shall be used in measuring satisfactory completion of a course:
Section 7. Course Hour Requirements With regard to each of the five major lines of authority: (1) life (2) accident & health or sickness (3) property (4) casualty and (5) personal lines, the applicant must successfully complete training in the following areas:
A. A certificate of completion shall be issued by the approved Course Provider to each person satisfactorily completing the course.
B. The certificate of completion shall contain the student's full name, residential address, name of the approved course, beginning date, date of completion, name of the approved Course Provider, the original or electronic signature of the instructor and any other information that the Division deems necessary.
C. The certificate of completion must have been earned prior to sitting for the state license examination. Proof of course completion must be transmitted electronically to the Division or its vendor. Such electronic transmission will satisfy the applicant’s responsibility to transmit the certificate to the Division.
Section 9. Period of Validity for Prelicensing Course Certificates Prelicensing certificates of completion shall be valid for a period of one (1) year from the date of completion. Prelicensing certificates of completion that are more than one (1) year old will not be accepted by the Division and students will be required to take an approved prelicensing course. Section 10. Exemption from Prelicensing education The following persons are exempt from prelicensing education:
A. An individual who was previously licensed for the same line(s) of authority in a reciprocal state. Such individual shall be required to certify knowledge of Colorado law applicable to insurance producers on a form approved by the Division. This exemption is only available if the person is currently licensed in the other state or if the application is received within ninety (90) days of the cancellation of the applicant’s previous home state license and if the prior home state issues a certification that, at the time of cancellation, the applicant was in good standing in that state or the state’s producer database records, maintained by the NAIC, it’s affiliates or subsidiaries, indicates that the insurance producer is or was licensed in good standing for the line(s) of authority requested.
B. An individual holding a four (4) year degree from an accredited institution of higher learning with major course work in insurance.
C. An individual holding a current and valid AAI, ARM, CIC or CPCU designation is exempt from prelicensing education for property and casualty lines of authority.
D. An individual holding a current and valid RHU, CEBS, REBC or HIA designation is exempt from prelicensing education for accident & health or sickness line of authority.
E. An individual holding a current and valid CEBS, ChFC, CIC, CFP, CLU, FLMI or LUTCF designation is exempt from prelicensing education for life lines of authority.
F. Limited line credit insurance license.
Section 11. Compliance The Division or its designee may conduct audits of producers, course providers, sponsoring organizations, or qualified instructors to verify that the approved courses are administered as filed with the Division of Insurance and to determine compliance with §10-2-203, C.R.S., and this regulation. Noncompliance with this regulation or the applicable provisions of Title 10 by institutions, instructors, or organizations conducting approved courses may result in termination of course approval. Section 12. Severability If any provision of this Regulation or the application thereof to any person or circumstance is for any reason held to be invalid the remainder of the regulation shall not be affected. Section 13. Further Information And Submittals Any submittals or questions should be directed to:
Section 15. History Original Regulation 1-2-5, Effective January 1, 1995.
Emergency Regulation 01-E-4, Effective January 1, 2002 Temporary Regulation 02-E-2, Effective April 1, 2002 Amended Regulation 1-2-5, Effective May 1, 2002.
Amended Regulation 1-2-5, Effective March 31, 2007.
Amended Regulation 1-2-5, Effective February 1, 2008.
Regulation 1-2-6 CONCERNING REINSURANCE INTERMEDIARIES Section 1. Authority Section 2. Basis And Purpose Section 3. Reinsurance Intermediary License Section 4. Filing Requirements For Licensure As A Reinsurance Intermediary -- Producer Section 5. Filing Requirements For Licensure As A Reinsurance Intermediary -- Manager Section 6. Severability Section 7. Effective Date Section 8. History Section 1. Authority This regulation is promulgated under the authority of § §10-2-104, 10-2-912, and 10-2-1101, C.R.S. Section 2. Basis And Purpose In accordance with the provisions of Part 9, of Article 2 of Title 10, reinsurance intermediaries are required to be licensed by the Division of Insurance prior to doing business in Colorado. The purpose of this regulation is to specify the filing requirements for licensure. Section 3. Reinsurance Intermediary License Reinsurance intermediary licenses shall be perpetual licenses that are subject to payment of a continuation fee and filing the continuation forms approved by the Commissioner ninety (90) days prior to the month of continuation. Issuance of the Reinsurance Intermediary License is not dependent upon licensure as an insurance producer under §10-2-401. C.R.S. Section 4. Filing Requirements For Licensure As A Reinsurance Intermediary -- Producer A. Any person, firm, association, or corporation initially applying to be a reinsurance intermediary - producer must submit the following information to the Colorado Division of Insurance:
B. Ninety (90) days prior to the month a license is due to be continued the Commissioner shall notify the reinsurance intermediary - producer, at the last known address, of the requirements necessary to continue the license. Any person, firm, association, or corporation applying to continue a reinsurance intermediary - producer license shall submit the following:
Section 5. Filing Requirements For Licensure As A Reinsurance Intermediary -- Manager A. Any person, firm, association or corporation initially applying to be a reinsurance intermediary - manager must submit the following to the Colorado Division of Insurance:
Prior Calendar Year Errors & Omissions aggregate Written Policy Limits liability limits $0 - 10,000,000 $1,000,000 $10,000,000 - 25,000,000 $2,500,000 $25,000,000 and above $5,000,000
B. Ninety (90) days prior to the end of the month a license is due to be continued the Commissioner shall notify the reinsurance intermediary - manager, at the last known address, of the requirements necessary to continue the license. Any person, firm, association or corporation applying to renew a reinsurance intermediary - manager license shall submit the following:
Section 6. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected. Section 7. Effective Date The effective date of this regulation is May 1, 2003.
Section 8. History Originally effective December 31, 1995.
Amended and effective May 1, 2003.
Regulation 1-2-7 CONCERNING MANAGING GENERAL AGENTS Section 1. Authority Section 2. Basis And Purpose Section 3. General Provision Section 4. Licensure Section 5. Contract Provisions Section 6. Independent Audit Section 7. Annual Filing Section 8. Fiduciary Accounting Section 9. Severability Section 10. Effective Date Section 11. History Section 1. Authority This regulation is promulgated under the authority of §10-2-1008, C.R.S. Section 2. Basis And Purpose The purpose of this regulation is to establish standards and procedures when contracting with a managing general agent.
Section 3. General Provision A. All persons, firms, associations, or corporations who meet the definition of a managing general agent in §10-2-1002(2)(a), C.R.S. must be licensed in Colorado as an insurance producer and must have a contract with the insurer(s) for which they are acting as a managing general agent.
B. Each insurer must notify the Commissioner in writing, on forms acceptable to the Commissioner of Insurance, of those persons, firms, associations or corporations they designate as managing general agents.
C. Those persons, firms, associations, or corporations meeting the requirements of § 10-2-1002(2)(a), C.R.S. and who adjust or pay claims in excess of $10,000 shall be considered a managing general agent for the purpose of this regulation.
Section 4. Licensure The amount of the bond required by §10-2-1003(3), C.R.S. for the protection of the insurer, shall be a minimum of $100,000 or ten percent (10%) of the managing general agent's total annual written premium nationwide for each insurer for which it acts as an MGA for the prior calendar year, not to exceed $500,000 for each insurer. The bond shall be kept on file with each insurer with which the managing general agent has a contract.
Section 5. Contract Provisions The contract required by §10-2-1004, C.R.S. between the MGA and the insurer shall contain a provision that the MGA may use only advertising material pertaining to the business issued by an insurer that has been approved in writing by the insurer in advance of its use. Section 6. Independent Audit The insurer shall have on file an independent audited annual financial statement. If the MGA has been in existence for less than one (1) year, the MGA shall file financial statements, certified by an officer of the MGA and prepared in accordance with GAAP, each month during the current year. An audited financial/annual report prepared on a consolidated basis shall include a columnar consolidating or combining worksheet that shall be filed with the report and include the following:
A. amounts shown on the consolidated audited financial report shall be shown on the worksheet, and B. amounts for each entity shall be stated separately, and C. explanations of consolidating and eliminating entries shall be included. Section 7. Annual Filing All Colorado domiciled insurers contracting with a managing general agent as defined in §10-2-1002(2), C.R.S. and this regulation shall submit to the Division of Insurance a completed Colorado Managing General Agent questionnaire with its annual statement.
In order to prevent commingling of funds, the managing general agent shall maintain separate accounts for each insurance company serviced by the managing general agent in accordance with Regulation 1-2- 1.
Section 8. Fiduciary Accounting In order to prevent commingling of funds, the managing general agent shall maintain separate accounts for each insurance company serviced by the managing general agent in accordance with Regulation 1-2- 1.
Section 9. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected. Section 10. Effective Date This regulation shall become effective May 1, 2003.
Section 11. History Originally effective June 1, 1994.
Amended and effective April 1, 2000.
Amended effective May 1, 2003.
Regulation 1-2-9 FEES CHARGED BY PRODUCERS Section 1. Authority Section 2. Basis and Purpose Section 3. Rules Section 4. Enforcement Section 5. Severability Section 6. Effective Date Section 7. History Section 1. Authority This regulation is promulgated under the authority of §10-1-109, C.R.S. Section 2. Basis and Purpose The purpose of this regulation is to implement rules which prohibit producers from charging insurance applicants and policyholders certain fees for which they are already compensated through commissions and to clarify which fees may be charged.
Section 3. Rules A. Fees Prohibited Agreements between the insurer and insurance producers include a commission schedule which lists the producer's compensation for soliciting and acquiring insurance business. Insurers subsequently include these commissions and/or other acquisition expenses in their comprehensive rate filings and must justify these expenses to the Commissioner of Insurance. If insurance producers charge a separate fee in addition to those included as commissions in the insurers' rate filings, then premiums charged to the policyholders could be considered excessive.
Therefore, insurance producers are prohibited from charging separate fees in addition to those contemplated in the rate filing and included in their commissions for the solicitation and procurement of insurance products and for servicing existing insurance policyholders. These services may include, but are not limited to: inspections; quoting premiums; issuing policies; signing policies; examining and mailing policies, applications and daily reports; compiling figures for accounts current and mailing billing notices; correspondence and other bookkeeping and clerical work; issuing certificates of insurance and endorsements; issuing proof of insurance cards and notices (SR-22's); making copies of insurance documents; and taking loss information. Insurance producers are also prohibited from charging fees for purchasing new computer equipment, extending business hours, adding new sales facilities, or other overhead expenses associated with the solicitation or procurement of insurance products or the servicing of existing insurance policyholders.
The prohibition in this section shall not apply to insurance wholesale intermediaries; however, insurance wholesale intermediaries must advise the insurance producer, as the representative of the consumer, in writing, that “the cost of the insurance coverage provided herein includes a fee to a wholesale intermediary in addition to the premium charges.” For the purpose of this regulation a wholesale intermediary is a person or organization that deals directly with a licensed retail producer and not with a consumer.
Insurance producers may not condition the placement of insurance upon the provision of other services for which fees may be charged.
B. Fees Allowed Insurance producers may charge fees for specific services which are beyond the scope of services pertaining to acquiring and/or maintaining specific insurance policies, including, but not necessarily limited to, risk management services, financial planning, investment counseling, qualified retirement plan design or administration, estate planning, third party employee benefit plans, or any other service for which the insurance producer does not receive a commission from an insurance company. Such fees may be charged only under the following circumstances:
C. Maintenance of Records The insurance producer shall retain a copy of the disclosure statement for not less than three (3) years after completion of services and a copy shall be available to the commissioner upon request.
Section 4. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines and/or suspension or revocation of an insurance producer's license.
Section 5. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the regulation and the application of such provision shall not be affected.
Section 6. Effective Date The effective date of this regulation is September 1, 2003. Section 7. History Issued As New Regulation Effective June 1, 1994.
Regulation Amended, Effective September 1, 2003.
Regulation 1-2-10 CONCERNING THE REGULATION OF INSURANCE PRODUCERS BY THE COLORADO DIVISION OF INSURANCE: COLORADO PRODUCER LICENSING MODEL ACT Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. License Examination Section 6. Insurance Producer License Section 7. List of Contractually Authorized Producers Section 8. Designation of Responsible Producer and Agency Registration of Producers Section 9. Producer Registration of Assumed (Trade) Name Section 10. Health Maintenance Organizations and Nonprofit Hospital, Medical-Surgical and Health Service Corporations Section 11. Insurer Reporting Requirements Concerning Termination of Insurance Producer by an Insurer for Cause Section 12. Producer Reporting Requirements for Administrative and Criminal Prosecutions Section 13. Fees Section 14. Enforcement Section 15. Severability Section 16. Effective Date Section 17. History Section 1. Authority This regulation is promulgated under the authority of § §10-1-109, 10-2-104, 10-2-407, 10-2-413, 10-16- 414, and 12-7-102(3), C.R.S.
Section 2. Scope and Purpose This regulation sets forth the terms and conditions for licensing insurance producers and insurance agencies. This regulation also establishes the fees required by §10-2-413, C.R.S. Nothing in this regulation shall change or modify any provisions of a Colorado motor vehicle insurance plan as may be adopted by the Commissioner under the authority of §10-4-412, C.R.S. Section 3. Applicability This regulation shall apply to all resident and nonresident producers and agencies licensed to sell insurance in the state of Colorado.
Section 4. Definitions A. “Credit” means credit life, credit disability, credit property, credit unemployment, involuntary unemployment, mortgage life, mortgage guaranty, mortgage disability, guaranteed automobile protection insurance, or any form of insurance offered in connection with an extension of credit that is limited to partially or wholly extinguishing that credit obligation and this is designated by the insurance commissioner as limited line credit insurance.
B. “Crop insurance” is insurance providing protection against damage to crops from unfavorable weather conditions, fire or lightning, flood, hail, insect infestation, disease or other yield-reducing conditions or periods provided by the private insurance market, or that is subsidized by the Federal Crop Insurance Corporation, including multi-peril crop insurance.
C. “Insurance agency” or “business entity” shall have the same meaning as defined in §10-2-103(5), C.R.S.
D. “Insurance producer” or “producer” , shall have the same meaning as defined in §10-2-103(6), C.R.S.
E. "Person" shall have the same meaning as defined in §10-2-103(8), C.R.S.
F. “Travel” means insurance coverage for trip cancellation, trip interruption, baggage, life, sickness and accident, disability, and personal effects when limited to a specific trip and sold in connection with transportation provided by a common carrier.
Section 5. License Examination A. Applicants shall pass the examination as approved by the Commissioner for each authority that is subject to an examination requirement. Procedures for registering for the examination shall be published in the Candidate Handbook available from the test administrator or the Division of Insurance, 1560 Broadway, Suite 850, Denver, Colorado 80202. The candidate shall pay a fee to the test administrator for administering the examination, plus the license fee shown in Section 13 of this regulation.
B. Except where supporting documentation requires further review by the Division of Insurance (the Division), an applicant may apply for a temporary license at the assessment center. To be eligible for a temporary license the applicant must make a reservation within the appropriate lead time period, pass the examination, meet the minimum licensing requirements as set forth in the Candidate Handbook and pay the appropriate fees.
C. Nonresident producers may not be subject to examination pursuant to §10-2-403, C.R.S.
D. Resident producers applying for, renewing, or continuing the Variable Life and Variable Annuity Products line of authority, in addition to holding the life authority, must furnish evidence that they are currently registered with a Financial Industry Regulatory Authority (FINRA) member firm, broker or dealer with a FINRA membership and has passed the tests to be so registered. Nonresident producers applying for, renewing or continuing the Variable Life and Variable Annuity Producers line of authority must meet the requirements of their resident state and have a current registration with a FINRA member firm, broker or dealer with a FINRA membership. Section 6. Insurance Producer License A. Initial Application
B. Continuation of Producer License
C. Reinstatement Due To Failure to Continue License
D. Amending Licenses
E. Letter of Certification
F. Letter of Clearance
Section 8. Designation of Responsible Producer and Agency Registration of Producers A. Pursuant to §10-2-404(2) (a) through (f), C.R.S., each agency must designate and register the following:
B. The insurance agency or business entity shall, within ten (10) days, notify the commissioner of any change relative to the insurance agency or business entity name, officers, directors, partners, or owners; to report a merger; or that the insurance agency or business entity has ceased doing business in Colorado. The procedures for reporting this information shall be included in the Candidate Handbook.
Section 9. Producer Registration of Assumed (Trade) Name Each producer shall register with the Commissioner in writing the use of any assumed or fictitious name under which the producer conducts business prior to using the assumed name. The commissioner will not accept registration of any name that is similar or identical to the name of any producer whose license was suspended or revoked. Producers are reminded that they must provide written notice to the commissioner of any change in or discontinuance of the use of any name. Section 10. Health Maintenance Organizations and Nonprofit Hospital, Medical-Surgical and Health Service Corporations A. Qualification to Transact Insurance Business for an HMO or a Nonprofit Hospital, Medical-Surgical and Health Service Corporation Any person who engages in solicitation or enrollment of membership in a health maintenance organization or nonprofit hospital, medical-surgical and health service corporation is considered a producer and must be licensed by the Commissioner of Insurance. A person, who only performs administrative or clerical services by securing information for the purposes of group coverage, or of enrolling individuals under group coverage, or of issuing evidence of such coverage on behalf of the HMO or nonprofit hospital, medical-surgical and health service corporation, is not considered a producer and is not required to be licensed.
B. HMO and Nonprofit Authority
Section 11. Insurer Reporting Requirements Concerning Termination of Insurance Producer by an Insurer for Cause A. Section 10-2-416, C.R.S. imposes penalties including revocation of the certificate of authority if:
B. The information required to be reported to the Commissioner may be communicated by letter, addressed to the Investigations Section of the Division. In the caption section of the letter refer to “Section 10-2-416, C.R.S. NOTIFICATION.” Also include in the letter the date of termination, the name of the producer and the reason for termination and any documents that were used to support the action.
C. For notifications involving information the insurer has regarding knowledge the producer was found by a court, government body, or self-regulatory organization authorized by law to have engaged in any of the prohibited activities in Article 2 or Article 3 of Title 10, C.R.S., provide any documents or information pertaining to those activities.
Section 12. Producer Reporting Requirements for Administrative and Criminal Prosecutions A. Pursuant to §10-2-801(3) and (4), C.R.S., it is the responsibility of the producer or business entity to report to the commissioner any administrative action taken in another jurisdiction or by another governmental agency in this state within thirty (30) days after the final disposition of the matter. This report must include a copy of the order, consent to order, or other relevant documents.
B. In the event of criminal prosecution in any jurisdiction, the producer or business entity must report this to the commissioner within thirty (30) days after the initial pre-trial hearing. The report to the commissioner must include a copy of the initial complaint, the order resulting from the hearing, and any other relevant documents.
Section 13. Fees Standard fees shall be as follows. During the period where licenses are being phased into the year-round continuation cycle, fees will be prorated. Applicants can contact the Division of Insurance or the Division of Insurance’s authorized vendor with questions about prorated fees. . Fee Penalty for Noncompliance or Late Filing Examination Fees . .
Initial Insurance . .
Producer License (Including Public Insurance Adjusters)
Nonresident (Per $112.00 per authority N/A authority applied for on the same application)
Initial Surplus Lines . .
Producer Resident $288.00 .
Initial Bail Bonding $267.00 .
Agent Producer Professional Cash Bail . .
Agent Bond Writing Change $49.00 .
Authority Continuation of . .
Producer/Public Insurance Adjuster License Resident (Per $32.00 per authority .
authority)
authority)
Renewal Of Surplus . .
Lines Resident $288 per Authority .
Renewal of Bail $267.00 .
Bonding Agent Appointment Renewal $24.00 .
of Bond Agent All fees paid pursuant to this regulation are non-refundable. Fees are payable by electronic cash or credit card.
If fees are paid electronically, and the check is refused by the bank for any reason, or if the credit card is declined for any reason, the producer’s license will not be valid. Section 14. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocation of license. Among others, the penalties provided for in §10-3-1108, C.R.S. may be applied Section 15. Severability If any provision of this regulation or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the Regulation shall not be affected. Section 16. Effective Date This regulation shall be effective January 1, 2010 Section 17. History Original Regulation 1-2-10, effective January 1, 1995.
Emergency Regulation 96-E-2, effective July 1, 1996.
Emergency Regulation 96 E 3, effective September 29, 1996. Amended Regulation 1-2-10, effective December 30, 1996. Amended Regulation 1-2-10, effective November 11, 1997. Amended Regulation 1-2-10, effective January 1, 2000.
Amended Regulation 1-2-10, effective January 1, 2001.
Emergency Regulation 1-2-10, effective January 1, 2002. Amended Regulation 1-2-10, effective April 1, 2002.
Amended Regulation 1-2-10, effective February 1, 2003.
Amended Emergency Regulation 05-E-2, effective June 1, 2005. Amended Regulation 1-2-10, effective December 1, 2005.
Amended Regulation 1-2-10, effective July 1, 2008.
Amended Regulation 1-2-10, effective February 1, 2009.
Amended Regulation 1-2-10, effective July 1, 2009 Amended Regulation 1-2-10, effective January 1, 2010 Regulation 1-2-11 STANDARDS FOR SURETY BAIL BONDING AGENT AND PROFESSIONAL CASH BAIL AGENT PRELICENSURE EDUCATION COURSES AND PROGRAMS Section 1. Authority Section 2. Scope And Purpose Section 3. Applicability Section 4. Definitions Section 5. Prelicensure Education Requirements Section 6. Curriculum And Topics Section 7. Methods Of Satisfying Prelicensure Education Requirement Section 8. Instructor Qualifications Section 9. Qualifying Course Or Program Section 10. Program Or Course Standards Section 11. Proof Of Compliance Section 12. Certification of Compliance With P.O.S.T. Curriculum For Bail Recovery Courses Section 13. Severability Section 14. Enforcement Section 15. Further Information And Submittals Section 16. Effective Date Section 17. History Section 1. Authority This regulation is promulgated under the authority of § 10-1-109, C.R.S., and § 12-7-102(3), C.R.S. & § 12-7-102.5(8), C.R.S.
Section 2. Scope And Purpose A. Pursuant to § 12-7-102.5(1)(b), C.R.S., effective January 1, 1999, applicants for licensure as surety bail bonding agents must complete bail recovery courses which comply with the curriculum developed by the Colorado Peace Officers Standards and Training Board (P.O.S.T.).
B. The purpose of this regulation is to specify the requirements, procedures and standards necessary to implement the Bail Bonding prelicensure education requirements mandated by § 12-7-102.5(1) (a), C.R.S. and 12-7-102.5(6), C.R.S. including:
C. This regulation also establishes the certification surety bail bonding agent applicants must submit to demonstrate completion of a bail recovery program which complies with the P.O.S.T. curriculum established by P.O.S.T. pursuant to §12-7-102.5(1)(b), C.R.S. Section 3. Applicability The requirements and provisions of this regulation apply to new bail bond applicants and previously licensed bail bond agents attempting to reinstate a previously held license expired, suspended, non- renewed or revoked for more than one year.
Section 4. Definitions For purposes of this regulation, and unless the context requires otherwise: “Course” shall mean a prelicensure education class designed to satisfy the hourly requirements for one of the areas of prelicensure education listed in Section 4 below. “Program” shall mean a prelicensure education class(es) offered by a single provider which is designed to satisfy the hourly requirements of two or more of the areas of prelicensure education listed in Section 4 below.
“Provider” shall mean a person, company or organization of any type providing prelicensure education courses or programs which have been approved by the Commissioner of Insurance. Section 5. Section 12-7-102.5(1)(a) & (6) Prelicensure Education Requirements Prelicensure education shall consist of at least eight clock hours: - Two of which shall concern the criminal court system; - Two of which shall concern bail bond industry ethics; and - Four of which shall concern the laws relating to bail bonds. Section 6. Section 12-7-102.5(1)(a) Curriculum And Topics A. THE CRIMINAL COURT SYSTEM - (2 HOURS), which shall be covered either by lecture and/or written materials:
B. BAIL BOND INDUSTRY ETHICS - (2 HOURS), which shall be covered either by lecture and/or written materials:
C. LAWS RELATING TO BAIL BONDS - (4 HOURS), which shall be covered either by lecture and/or by written materials:
. Immigration bonds . Civil bonds . Appeal bonds Bonds agents may write: Bail bonds Cancellation of agent’s Procedure contract with insurance company . Liability of agent Collateral Receipts, retain without use, liability . Limit of agent’s interest . Return of collateral upon exoneration . Disposing/selling of collateral . Proper notification of disposal/sale Contracts and written Bail agreement, premium agreements payment plan, collateral, storage, bond revocation . Guarantor agreement Definitions: Producer . Bail bonding agent/surety, cash, and professional cash . Insurance company . Compensated surety . Bail insurance company . Bail . Bond . Recognizance . Principal/defendant . Obligor . Obiligee . Indemnity/cosigner . Collateral . Judgment . Forfeitures . Certified bond . On the board / board system . Power-of-attorney . Recognizance . Colorado Bureau of Investigations (CBI)
. N.C.I.C.
. Bail recovery agent . Division of Insurance . Commissioner of Insurance . Fiduciary . Peace Officer Standards and Training (P.O.S.T.)
. District Attorney Employee supervision Bail Recovery Agents Examination procedures .
Fees Bond filing fees, storage fees Fiduciary responsibilities Separate accounts . Court ordered return of premium Forfeitures Agent/company liability . Division procedure . Proof of satisfaction . Penalties Illegal fees: Consent fees, credit card fees, storage fees, court ordered bond reductions and increases Insurance Division Powers and duties, expectations, policies . Regulations and Bulletin . Notices License denial, Notice of hearing and suspension, Revocation charges . Duty to answer Licensing requirements Age, conviction history and eligibility . Prior showing of dishonesty or misappropriation of moneys when in a position of trust Liens Personal property, vehicles, real property, UCC compliance . UCCC/premium financing compliance . Timely providing release . No trade names on liens Miscellaneous license Renewal, address fees and penalties changes, trade names, bond amendment Penalties Stipulation in lieu of hearing, fines, suspension, revocation Posting of bail Time limit/refunds . Cash bonds/surety bonds Premium, commissions Rates set by company, responsibility/contractual agreement with company, remittance to company Receipts Provide and retain receipts . Premium and collateral description Record keeping Retention period of collateral reports and other records and reports Reporting and taxing Agent’s responsibility to requirements timely file . Filing, format, specific information . Tax payments Trade names Registration required
D. If any of the topics set forth in these sections above will not be covered in the lecture portion of the course or program, the approval request shall so note and affirm that those areas shall be covered in the written course or program materials.
Section 7. Methods Of Satisfying Section 12-7-102.5(1)(a) & (6) Prelicensure Education Requirement The prelicensure education requirement shall be satisfied in one of the following ways:
A. Completion of an approved prelicensure education program operated by a qualified foreign or domestic insurance company, which complies with the 8 hours requirement.
B. Completion of prelicensure education offered by approved providers and meeting the 8 hour requirement.
C. If entering Colorado on a letter of clearance, satisfaction of a prelicensure education course in the former state of licensure.
D. Any qualified instructor may receive credit for any approved course taught.
E. The certificate of prelicensure course completion is valid for one year from the completion of the course or passing of provider’s self study proctored examination. If the year period expires before the applicant passes the licensing exam or applies for a license, the applicant will not be eligible to sit for bail bond examination until the applicant completes another approved-prelicensure education course.
Section 8. Instructor Qualifications Instructors teaching §12-7-105.5(1)(a) & (6), C.R.S. prelicensure courses must meet one or more of these criteria:
A. Demonstrated competence in the subject area;
B. A professional insurance designation, or;
C. Academic qualifications (either by specific degree or by demonstrated experience in instructing or teaching).
Section 9. Qualifying Course Or Program A. Any course or program teaching §12-7-105.5(1)(a) & (6), C.R.S. prelicensure courses must be submitted to the Commissioner of Insurance for approval using the Application for Bail Bonding Agent Prelicensure Education Course or Program Approval form set forth in Bulletin 7-99. The request must be accompanied by the following:
B. Once approved, a course or program may be offered for three (3) years without additional notice to the Division of Insurance, so long as the course or program content is not materially changed, except to reflect changes in the insurance and criminal laws.
Section 10. Section 12-7-102.5(1)(a), & (6) Program Or Course Standards One of the following methods shall be used in measuring satisfactory completion of a course or program:
A. Correspondence instruction must include a final examination that is monitored and certified to by a disinterested third party. The final examination is a closed book examination taken and passed by a producer without assistance and personally monitored by a disinterested third party, who is not a minor, not related to the producer, his/her immediate supervisor or his/her employee. A score of 70% or above is required for the examinee to pass the examination. Designation of this third party is the responsibility of the course provider. Such examination shall not be counted towards the required clock hours of instruction, or;
B. Classroom instruction must include a final examination that is monitored by a qualified instructor from the providing organization. The final examination is a closed book examination taken and passed by a producer without assistance and personally monitored by a disinterested third party, who is not a minor, not related to the producer, his/her immediate supervisor or his/her employee. A score of 70% or above is required for the examinee to pass the examination. Such examination shall not be counted toward the required clock hours of instruction. Section 11. Proof Of Compliance With Requirements For Section 12-7-102.5(1)(a) & (6) Prelicensure Education Course Requirements The provider will give proof of compliance to the applicant on the form set forth in Bulletin 7-99. The Surety Bail Bonding Agent applicant will supply Certificate of Completion form(s) to the Assessment Center at the time of taking the surety bail bonding agent examination, as evidence of successful completion of the course or program. No exam is required for licensure as a Professional Cash Bail Agent. The provider will retain records of those individuals completing the course for a period of three (3) years.
Section 12. Certification Of Compliance With P.O.S.T. Curriculum For Bail Recovery A. Bail Bonding Agent applicants are required to complete prelicensure bail recovery training which complies with the P.O.S.T. curriculum established pursuant to §12-7-102.5(1)(b), C.R.S.
B. Bail Bonding Agent applicants shall submit to the Division of Insurance a Certificate of Completion of bail recovery training which complies with the curriculum established by P.O.S.T. pursuant to Section 12-7-102.5(1)(b), C.R.S. Copies of the P.O.S.T. curriculum and copies of the Certificate of Completion are available in Insurance Bulletin 7-99. The Certificate of Completion shall certify that the training complies with the P.O.S.T. bail recovery training curriculum. Section 13. Severability If any provision of this Regulation or the application thereof to any person or circumstances is for any reason held to be invalid, the remainder of the regulation shall not be affected thereby. Section 14. Enforcement A. The Division of Insurance or its designee may conduct audits of producers, sponsoring organizations or qualified instructors to verify that the approved courses are administered as filed with the Division of Insurance and to determine compliance with §12-7-105.5(1)(a) & (6), C.R.S., § 10-2- 203, C.R.S. and this regulation.
B. Noncompliance with this regulation or the applicable provisions of Title 10 or Title 12, C.R.S., by institutions/instructors/organizations conducting approved courses may result in termination of course approval.
Section 15. Further Information And Submittals Any submittals or questions should be directed to:
Compliance/Investigations Section Colorado Division of Insurance 1560 Broadway, Suite 850 Denver, Colorado 80202 303-894-7499 Section 16. Effective Date This amended regulation shall become effective February 1, 2009. Section 17. History Original Regulation 1-2-11, Effective August 30, 1995.
Emergency Regulation 96-E-1, Effective July 1, 1996.
Amended Regulation 1-2-11, Effective October 1, 1996.
Emergency Regulation 99-E-1, Effective January 1, 1999. Amended Regulation 1-2-11, Effective March 31, 1999.
Amended Regulation 1-2-11, Effective November 1, 1999.
Amended Regulation 1-2-11, Effective March 31, 2007.
Amended Regulation 1-2-11, Effective February 1, 2009.
Regulation 1-2-12 CONCERNING PUBLIC INSURANCE ADJUSTERS Section 1. Authority Section 2. Basis And Purpose Section 3. Rules Section 4. Enforcement Section 5. Severability Section 6. Effective Date Section 7. History Section 1. Authority This regulation is promulgated under the authority of §10-2-417, C.R.S. and 10-3-1110, C.R.S. Section 2. Basis And Purpose This regulation sets forth the terms and conditions for licensing public insurance adjusters, and defines public insurance adjuster.
Section 3. Rules A. Definition of Public Insurance Adjuster A Public Insurance Adjuster is defined as: An adjuster who works as an independent contractor and represents an insured on a fee basis in settlement of claims.
B. General Requirements To be licensed as a public insurance adjuster, an applicant must meet the following requirements: - be at least 18 years of age, - be trustworthy, - file a completed application on a form prescribed by the Commissioner, - file all service contracts that will be used by the public insurance adjuster.
C. License Examination An applicant must personally pass a written examination. The examination shall reasonably test the individual's minimum level of competence in the field of public insurance adjusting, and shall reasonably test the applicant's knowledge relative to fire and allied lines of insurance and the duties and responsibilities under the license. A portion of the examination shall deal with pertinent Colorado Laws, Rules and Regulations. The Commissioner shall give, conduct and grade all examinations, or the Commissioner may arrange to have examinations administered and graded by an independent testing service, as specified by contract, in a fair and impartial manner and without discrimination as to individuals examined. The Commissioner may arrange for such testing service to recover the cost of the examination fee from the applicant. An individual who fails to pass the examination may remit the required fee and any forms required to retake the failed examination. The examination shall not apply to the following:
D. Public Insurance Adjuster License
A letter of certification, from another state for a nonresident license in Colorado, must be dated no more than 90 days prior to date of receipt by the Division of Insurance.
E. Non-Resident Licensure In the event of a catastrophe or emergency, the Commissioner may issue a certificate of registration to a foreign licensed public insurance adjuster for the period of the emergency as the Commissioner may determine, but not to exceed six months. This certificate shall be issued upon completion of an application as prescribed by the Commissioner and accompanied by a current letter of certification from the home jurisdiction of the public insurance adjuster.
F. Fees Please refer to fee schedule in regulation 1-2-10.
Section 4. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the impostion of the sanctions made available in the Colorado Statutes pertaining to the business of insurance or other laws which include the imposition of fines and/or suspension or revocation of license. Noncompliance with this regulation constitutes the unfair business of insurance as defined by 10-3-1104, C.R.S. Section 5. Severability If any provision of this regulation or the application thereof to any person or circumstances is for any reason held to be invalid the remainder of this regulation shall not be affected thereby. Section 6. Effective Date This regulation shall become effective May 1, 2003.
Section 7. History New, effective December 1, 1995.
Amended, effective November 1, 1997.
Amended, effective January 1, 2001.
Amended, effective May 1, 2003.
Regulation 1-2-13 CASH BONDING AGENT AND PROFESSIONAL CASH BAIL AGENT REPORTING REQUIREMENTS AND TAX PAYMENT METHOD AND LICENSURE REQUIREMENTS FOR PROFESSIONAL CASH BAIL AGENTS Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Forms, Reports and Records Section 6. Tax on Bail Bond Fees Section 7. Qualification Bond Section 8. Qualification for Licensure as a Professional Cash Bail Agent Section 9. Procedures for Increase, Decrease and Release of Qualification Bond Section 10. Severability Section 11. Enforcement Section 12. Effective Date Section 13. History Section 1. Authority This regulation is promulgated and adopted by the Commissioner of Insurance under the authority of § §10-1-109(1), and 12-7-102(3), C.R.S.
Section 2. Scope and Purpose A. This regulation describes the information which is required to be filed by Cash Bonding Agents and Professional Cash Bail Agents with the Division of Insurance, and the format which must be used in the semiannual reports. It also describes the method for the calculation and payment of taxes on fees charged by Cash Bonding Agents and Professional Cash Bail Agents.
B. Pursuant to §12-7-103(3) and (8) C.R.S., Cash Bonding Agents and Professional Cash Bail Agents are required to post a qualification bond in the amount of $50,000 to secure payment of defaulted bonds and to pay any final, nonappealable judgment for failure to return collateral, including costs and attorney's fees, if awarded. This regulation sets the terms and conditions for such qualification bonds.
C. Effective January 1, 2000, a new category of bail bonding agent known as Professional Cash Bail Agent was added to Article 7, Title 12, C.R.S. Professional Cash Bail Agents are licensed to transact bail bond business without posting a power-of-attorney from an authorized insurance company.
D. This regulation also sets forth the procedures required for increase, decrease and release of the qualification bond.
Section 3. Applicability This regulation shall apply to the following: any person currently licensed as a Cash Bonding Agent or a Professional Cash Bail Agent; any person seeking to renew a Cash Bonding Agent or a Professional Cash Bail Agent; any person seeking to obtain licensure as a Professional Cash Bail Agent; any Professional Cash Bail Agent seeking to increase or decrease the amount of the qualification bond and any Cash Bonding Agent or Professional Cash Bail Agent seeking the release of the qualification bond. Section 4. Definitions “Commissioner of Insurance” is defined as the office of the Commissioner of Insurance as established in § 10-1-104(1), C.R.S. Reference to the Commissioner of Insurance in this Regulation means any past, present, or future Commissioner of Insurance who holds said appointed office. “Qualification bond” is defined as any minimum asset in the amount of $50,000 that is solely owned and in the legal name of the Cash Bonding Agent or Professional Cash Bail Agent and the Colorado Division of Insurance and Commissioner of Insurance that can be liquidated at any time upon request by the Commissioner of Insurance or a surety bond in the minimum amount of $50,000 that is underwritten by an insurance company duly licensed to do business in Colorado in order to underwrite the bail bond obligations of the Cash Bonding Agent or Professional Cash Bail Agent for bail bonds written in Colorado courts.
Section 5. Forms Reports and Records A. Each Cash Bonding Agent and Professional Cash Bail Agent shall report the following information to the Division of Insurance on the forms prescribed by the Division of Insurance and attached hereto as Appendix I. The reports shall be made semiannually and shall be filed with the Division of Insurance prior to July 31 for business written for the six month period between January and June, and prior to January 31 for business written during the six month period from July through December.
B. These reports shall contain the following information for each and every bond written:
C. If a Cash Bonding Agent or Professional Cash Bail Agent did not write any bail bonds during the particular six (6) month reporting period, the individual shall file a report stating "no bonds written" during this time period.
D. All reports required to be filed in this Section 5, must be filed in electronic format either by email to: filebailreport@dora.state.co.us, or via facsimile to: 303-869-0228. Paper reports will not be accepted by the Division of Insurance and will be rejected and returned to the Cash Bonding Agent or Professional Cash Bail Agent with instructions for proper filing. Any paper report that is rejected must be refiled electronically and must be timely filed as required by Section 5.A. Noncompliance with this requirement may result in sanctions against the Cash Bonding Agent or Professional Cash Bail Agent as set forth in Section 11 below. Section 6. Tax on Bail Bond Fees A. Each Cash Bonding Agent and Professional Cash Bail Agent shall pay to the Division of Insurance a tax on the fee charged for bail. The rate of tax on the gross fee shall be one percent as set forth in §10-3-209(1)(b)(I)(B), C.R.S. All applicable provisions of § 10-3-209(1), C.R.S. shall apply to the agent.
B. The taxes provided for in § § 10-3-209 and 12-7-111, C.R.S. shall be due and payable to the Division of Insurance on the first day of March each year.
C. Cash Bonding Agents and Professional Cash Bail Agents shall file copies of the affidavit/summary pages from the bail bonding agent's January 31 and July 31 semiannual bail bond reports to the Division of Insurance with the tax payment (SEE APPENDIX I). Section 7. Qualification Bond A. Qualification Bond Requirements for Cash Bonding Agents
B. Qualification Bond Requirements for Professional Cash Bail Agents
f If the qualification bond is an interest bearing instrument, the Professional Cash Bail Agent may receive interest thereon, unless the principal amount of the qualification bond has fallen below the amount required to support the bond writing authority on the Professional Cash Bail Agent’s license.
A. The minimum requirements for licensure as a Professional Cash Bail Agent are set forth in § § 12-7- 102.5(6) and (7) and 12-7-103(8), C.R.S.
B. For purposes of § 12-7-102.5(7), C.R.S., an applicant for a Professional Cash Bail Agent license must be licensed in the State of Colorado as a bail bonding agent with a surety line of authority for four
C. All applicants for licensure as a Professional Cash Bail Agent must take a registered bail recovery training course as required in §12-7-102.5(1)(b), C.R.S.
D. The Division of Insurance will review an applicant’s record to determine whether applicant has complied with the provisions of § § 10-2-404(1) and 12-7-106, C.R.S., and the statutes referred to therein, in the conduct of applicant’s surety bail bond business. The Division of Insurance will also review whether applicant has timely paid state and federal taxes arising in the conduct of any business.
Section 9. Procedures for Increase, Decrease and Release of the Qualification Bond A. Procedures for Release of Cash Bonding Agents Qualification Bonds. If a Cash Bonding Agent requests release of the qualification bond, whether posted under Section 7.A.1. or 7.A.2., the following procedures must be satisfied:
B. Procedures for Release of Professional Cash Bail Agent Qualification Bond If a Professional Cash Bail Agent requests release of the qualification bond, whether posted under Section 7.B.1. or 7.B.2, the following procedures must be satisfied:
C. Procedure for Increase and Decrease for Professional Cash Bail Agent Qualification Bond.
A. The Commissioner of Insurance may suspend or revoke the license of any Cash Bonding Agent or Professional Cash Bail Agent who fails to submit the required information involving a qualification bond, or who falsifies documents relating to the qualification bond, or may take any other action or impose any other penalty against said agent as authorized by law.
B. Penalties Related to Reports and Taxes.
C. Noncompliance of any other provision of regulation may result, after proper notice and hearing, of any sanction as provided by law.
Section 12. Effective Date This amended regulation shall become effective October 1, 2009. Section 13. History Original Regulation effective November 1, 1997 Amended Regulation effective November 1, 1999 Amended Regulation effective October 1, 2009 Appendix-1 AFFIDAVIT - CASH BONDING AGENT - PROFESSIONAL CASH BAIL AGENT Appendix-1A CASH BONDING AGENT'S – PROFESSIONAL CASH BAIL AGENTS SEMIANNUAL REPORT Appendix-1B SEMIANNUAL REPORT continued Appendix-1C SEMIANNUAL REPORT continued Appendix-1D CASH BONDING AGENT - PROFESSIONAL CASH BAIL AGENT - QUALIFICATION BOND Appendix-1E BOND AMOUNT CHANGE FORM - PROFESSIONAL CASH BOND WRITING AUTHORITY Regulation 1-2-14 CONCERNING BAIL BONDING AGENT RECORD KEEPING, REPORTING REQUIREMENTS AND DAILY BOND REGISTER Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Rules Section 6. Severability Section 7. Enforcement Section 8. Effective Date Section 9. History Section 1. Authority This regulation is promulgated and adopted by the Commissioner of Insurance under the authority of § § 10-1-109, 12-7-102(3), 12-7-105, and 12-7-108, C.R.S.
Section 2. Scope and Purpose The purpose of this regulation is to establish the requirements for a current and up-to-date bond register, prenumbered receipts, Executed Agreement and Disclosure Statements pursuant to the statutory provision in § 12-7-108, C.R.S.
Section 3. Applicability This regulation shall apply to all cash bonding agents, professional cash bail agents, and surety agents that write bail bonds in the state of Colorado.
Section 4. Definitions As used in this regulation, and unless the context requires otherwise:
A. "Bail bonding agent" means any person who furnishes bail for compensation in any court or courts in this state and who is appointed by an insurer to execute or countersign bail bonds in connection with judicial proceedings and who is other than a full-time salaried officer or employee of an insurer or a person who pledges United States currency, a United States postal money order, a cashier's check, or other property as security for a bail bond in connection with a judicial proceeding, whether for compensation or otherwise and licensed as a surety agent, a cash bonding agent or professional cash bail agent as defined in § 10-2-407(1)(f), C.R.S.
B. “Bail insurance company” or “surety company” means an insurer as defined in § 10-1-102(13), C.R.S. engaged in the business of writing bail appearance bonds through bail bonding agents, which company is subject to regulation by the Division of Insurance in the Department of Regulatory Agencies.
C. “Daily Bond Register” means the current and up-to-date bond register required by § 12-7-108(3), C.R.S. that identifies every executed bond or undertaking taken by the bail bonding agent. The Daily Bond Register shall be maintained on the form prescribed in Appendix A of this regulation.
D. “Disclosure Statement” means the form describing how collateral may be returned, how collateral may be used or forfeited and the physical address to which a copy of the court order releasing the bond shall be delivered. The Disclosure Statement shall be in the format contained in Appendix C of this regulation E. “Executed Agreement” or “Indemnity Agreement” means the agreement whereby the bail bonding agent agrees to post bond for a defendant.
F. “Permanent office records” means records of all bail bonds the bail bonding agent executes or countersigns, executed copies of the Disclosure Statement, Executed Agreement/Indemnity Agreement and prenumbered receipt for each bond undertaking, the Daily Bond Register and any other records pertaining to transactions made under the bail bonding agent’s license.
G. “Prenumbered receipt” means a preprinted or embossed sequentially numbered receipt. Section 5. Rules A. Daily Bond Register
B. Pre-numbered Receipts
C. Executed Agreement/Indemnity Agreement
D. Disclosure Statement
E. Permanent Office Records
Section 6. Severability If any provision of this regulation or the application of it to any person or circumstance is for any reason held to be invalid, the remainder of the regulation shall not be affected. Section 7. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes in Title 10, C.R.S., or § 12-7-106, C.R.S., which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocation of bail bond licensure.
Section 8. Effective Date This regulation is effective November 1, 2009.
Section 9. History Originally issued as Emergency Regulation 04-E-6, effective July 1, 2004. Emergency Regulation 04-E-8, effective July 23, 2004.
Emergency Regulation 04-E-11, effective October 21, 2004. Regulation 1-2-14, effective December 1, 2004.
Regulation 1-2-14, effective November 1, 2009.
APPENDIX B AFFIDAVIT APPENDIX A DAILY BOND REGISTER APPENDIX C DISCLOSURE STATEMENT Regulation 1-2-15 BAIL BOND PREMIUM RATE FILING REQUIREMENTS Section 1. Authority Section 2. Basis and Purpose Section 3. Applicability and Scope Section 4. Definitions Section 5. Rules Section 6. Enforcement Section 7. Severability Section 8. Effective Date Section 9. History Section 1. Authority This regulation is promulgated pursuant to § § 10-1-109, 10-4-404, 10-4-404.5, 12-7-102(3) and 12-7- 110.5, C.R.S.
Section 2. Basis and Purpose The purpose of this regulation is to establish the requirements for the filing of the schedule of premium rates pursuant to the newly enacted statutory provision in § 12-7-110.5(1), C.R.S. This regulation replaces Emergency Regulation 04-E-10 in its entirety.
Section 3. Applicability and Scope This regulation shall apply to all cash bail bonding agents, professional cash bail bonding agents and bail insurance companies that write bail bonds in the state of Colorado. Section 4. Definitions A. “Bail bonding agent” means any person who furnishes bail for compensation in any court or courts in this state and who is appointed by an insurer to execute or countersign bail bonds in connection with judicial proceedings and who is other than a full-time salaried officer or employee of an insurer or a person who pledges United States currency, a United States postal money order, a cashier's check, or other property as security for a bail bond in connection with a judicial proceeding, whether for compensation or otherwise.
B. "Bail insurance company" means an insurer as defined in § 10-1-102(13), C.R.S., engaged in the business of writing bail appearance bonds through bonding agents, which company is subject to regulation by the Colorado Division of Insurance.
C. “Cash bonding agent” means any bail bonding agent who was licensed by the Division as of January 1, 1992 to write bail bonds as a cash bonding agent.
D. "Professional cash bail agent" means a person who is an authorized bail bonding agent who furnishes bail for compensation in any court or courts in this state in connection with judicial proceedings and who is not a full-time salaried officer or employee of an insurer nor a person who pledges United States currency, a United States postal money order, a cashier's check, or other property in connection with a judicial proceeding, whether for compensation or otherwise. Section 5. Rules A. By October 1, 2004, all cash bonding agents and professional cash bail agents shall file with the Division of Insurance, a schedule of the premium rates being charged for bail as of July 1, 2004. The filing shall be made on the form exhibited in Appendix A.
B. If the premium rates in use on any day after July 1, 2004 are different from those filed in accordance with paragraph 5.A above, the cash bonding agent or professional cash bail agent shall file a separate form, as exhibited in Appendix A, for each change in the premium rate by October 1, 2004.
C. All cash bonding agents, professional cash bail agents and all bail insurance companies shall file with the Division of Insurance, concurrent with or prior to use, all revisions to previously filed rates charged for bail by the bail bonding agent.
D. Each filing made by a cash bonding agent or a professional cash bail agent shall be made on the form exhibited in Appendix A. The filing must include a duplicate copy of this form and a postage-paid, self-addressed envelope. The Division will return the duplicate copy, stamped as “filed” , to the agent to maintain at the place of his or her business for a period of not less than three (3) years.
E. All bail insurance companies must continue to file information, including a schedule of premium rates, necessary to ensure compliance with § 10-4-403, C.R.S., which requires that rates not be excessive, inadequate, or unfairly discriminatory. Filing requirements are provided in Colorado Insurance Regulation 5-1-10 and the most current property and casualty filing bulletin. These documents can be accessed on the Division’s website: www.dora.state.co.us/insurance. Section 6. Enforcement Noncompliance with this regulation is a violation of § § 10-3-1104 and 12-7-110.5, C.R.S., and subject to the sanctions specified in § § 10-3-1108, 10-4-404(3), 10-4-418 and 12-7-106, C.R.S., including the imposition of fines and the suspension or revocation of bail bond or insurance licenses or certificates of authority.
Section 7. Severability If any provision of this regulation is for any reason held to be invalid, the remainder of the regulation shall not be affected thereby.
Section 8. Effective Date This regulation is effective on December 1, 2004.
Section 9. History Emergency Regulation 04-E-5 effective July 1, 2004.
Emergency Regulation 04-E-10 effective September 29, 2004 Regulation 1-2-15 effective December 1, 2004.
Appendix A STATE OF COLORADO CASH BONDING AGENT AND PROFESSIONAL CASH BAIL AGENT SCHEDULE OF PREMIUM RATES Regulation 1-2-16 BAIL BONDING AGENT APPOINTMENT AND TERMINATION REQUIREMENTS FOR SURETY COMPANIES Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Rules Section 6. Severability Section 7. Enforcement Section 8. Effective Date Section 9. History Section 1. Authority This regulation is promulgated pursuant to § § 10-1-109 and 10-2-104, C.R.S. Section 2. Scope and Purpose The purpose of this regulation is to establish the requirements for the appointment and termination of bail bonding agents by bail insurance companies authorized to do business in Colorado pursuant to the statutory provisions of § § 10-2-415.5 and 10-2-415.7, C.R.S. Section 3. Applicability This regulation shall apply to surety bail bonding agents and bail insurance companies that are authorized to write bail bonds in the State of Colorado. This regulation does not apply to cash bail bonding agents or professional cash bail agents.
Section 4. Definitions A. “Bail bonding agent” or “surety bail bonding agent” shall have the same meaning as in § 12-7- 101(1), C.R.S., B. “Bail insurance company” or “surety company” shall have the same meaning as in § 12-7-101 (1.3), C.R.S.
C. “Company officer” shall mean the president, vice-president, assistant vice-president, corporate secretary, assistant corporate secretary, general counsel or actuary who is a corporate officer, or any officer appointed by the board of directors. A copy of the appointment is required for each appointment or termination.
D. “Termination for cause” is when a bail insurance company terminates a bail bonding agent’s appointment due to causes listed in § § 10-1-128, 10-2-416, 10-2-801, 12-7-106, or 12-7-109, C.R.S.
Section 5. Rules A. Bail Bonding Agent Appointments pursuant to § 10-2-415.5, C.R.S.
B. Bail Bonding Agent Terminations pursuant to § 10-2-415.7, C.R.S. To terminate a bail bonding agent, the bail insurance company shall file a notice of termination with the Division of Insurance within fifteen (15) days from the date the bail bonding agent is terminated. The bail insurance company shall also notify the bail bonding agent within fifteen (15) days of the termination. Both notifications shall be sent via certified mail.
C. Bail Bonding Agent Contract Bail insurance companies shall have a written contractual agreement directly with the bail bonding agent. No bail bonding agent shall claim to be representative of, or an agent of a bail insurance company, or accept applications on behalf of the bail insurance company, unless the bail bonding agent has a written contract directly with the bail insurance company authorizing the bail bonding agent to act in the capacity of the agent for the bail insurance company.
Section 6. Severability If any provision of this regulation or the application thereof to any person or circumstances is for any reason held to be invalid, the remainder of the regulation and the application for such provision to other persons or circumstances shall not be affected.
Section 7. Enforcement Noncompliance with this regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes contained in Title 10, C.R.S., or § 12-7-106, C.R.S., which include the imposition of fines, suspension or revocation of the license and/or certificate of authority.
Any bail insurance company failing to comply with § 10-2-415.7(1) or (2), C.R.S., shall be liable for a civil penalty up to one thousand dollars for each such failure, pursuant to § 10-2-415.7(4), C.R.S. Section 8. Effective Date This regulation is effective November 1, 2009 Section 9. History Emergency Regulation 04 E7 was effective October 5, 2005. New Regulation 1-2-16 was effective February 1, 2005.
Emergency Regulation 05 E1 was effective June 1, 2005.
Amended Regulation 1-2-16 is effective on December 1, 2005. Amended Regulation 1-2-15 is effective on November 1, 2009 Regulation 1-2-17 STANDARD COMPENSATION DISCLOSURE FOR HEALTH INSURANCE PRODUCERS Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Rule Section 6. Severability Section 7. Enforcement Section 8. Further Information and Submittals Section 9. Effective Date Section 10. History Section 1. Authority This regulation is promulgated under the authority of § 10-1-109, C.R.S. Section 2. Scope and Purpose A. Pursuant to § 10-16-133(5), C.R.S., effective January 1, 2009, insurance producers, who sell health care insurance shall disclose to the person purchasing the policy that the insurance producer will receive a commission.
B. This regulation establishes the required disclosure of the standard compensation schedule of the producer to the consumer.
Section 3. Applicability The requirements and provisions of this regulation apply to all producers who sell health insurance. This regulation does not apply to sales under Medicare Advantage (also known as Medicare Part C) , Medicare Part D Prescription Drug Benefit programs, travel insurance, disability income insurance, credit insurance or long term care insurance.
Section 4. Definitions For purposes of this regulation, and unless the context requires otherwise:
A. “Additional Compensation” is when the producer provides additional services on behalf of an insurance company. For example, the producer may perform some underwriting or administrative services, such as policy issuance, for which additional compensation beyond standard compensation or contingent commission is appropriate. These services are not originally contemplated in an insurance company’s standard or contingent commission payments.
B. “Contingent Compensation” is the incentive commission for insurance producers to meet pre- established goals for profitability, retention and/or growth standards across all of the policies they place with an insurance company for a specific year.
C. “Health care insurance” shall have the same meaning as “health coverage plan” , as defined in § 10- 16-102 (22.5), C.R.S.
D. “Sale” of insurance shall be as defined by § 10-2-103 (10), C.R.S. A sale means the exchange a contract of insurance for money or its equivalent on behalf of an insurance company.
E. “Standard Compensation” is the set amount or percentage commission the insurance company pays the insurance producer for selling their insurance policy. Standard compensation does not include renewal commissions.
Section 5. Rule A. Effective January 1, 2009 all producers who sell health care insurance shall disclose his or her standard compensation. The standard compensation may be disclosed as a percentage or fixed amount, depending on how the commission is paid.
B. The standard compensation shall be disclosed when the health producer finalizes the sale of health insurance.
C. The producer disclosure requirements apply only to a new policy. The producer shall maintain written certification that he or she has provided the required disclosure to a policyholder. This may be in the form of Certificate of Mailing or Hand Delivery signed by the producer or a copy of an email to the policyholder. The Colorado Division of Insurance will not provide or approve forms used by producers for disclosure. The written certification of delivery or copy of the email to the policyholder must be retained by the producer pursuant to Regulation 1-1-7 for the current calendar year and two prior years.
D. In some instances, a producer may sell a product for an insurer but will not be compensated by that insurer. The compensation may come from the insurer’s parent or other affiliate, or from a third party. The source of the producer’s standard compensation must be disclosed.
E. Contingent or additional compensation is not considered standard compensation and therefore need not be disclosed.
Section 6. Severability If any provision of this regulation or the application thereof to any person or circumstances is for any reason held to be invalid, the remainder of the regulation shall not be affected thereby. Section 7. Enforcement Noncompliance with this Regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocations of licenses. Among others, the penalties provided for in § 10-3-1108, C.R.S. may be applied. Section 8. Further Information and Submittals Any submittals or questions should be directed to:
Regulation 1-2-18 USE OF SENIOR-SPECIFIC CERTIFICATIONS AND PROFESSIONAL DESIGNATIONS IN THE SALE OF LIFE INSURANCE AND ANNUITIES Section 1. Authority Section 2. Scope and Purpose Section 3. Applicability Section 4. Definitions Section 5. Prohibited Use of Senior-Specific Certifications and Professional Designations Section 6. Severability Section 7. Enforcement Section 8. Effective Date Section 9. History Section 1. Authority This regulation is promulgated and adopted by the Commissioner of Insurance under the authority of § § 10-1-109 and 10-3-1110, C.R.S.
Section 2. Scope and Purpose The purpose of this regulation is to set forth standards to protect consumers from misleading and fraudulent marketing practices with respect to the use of senior-specific certifications and professional designations in the solicitation, sale or purchase of, or advice made in connection with, a life insurance or annuity product.
Section 3. Applicability This regulation shall apply to any solicitation, sale or purchase of, or advice made in connection with, a life insurance or annuity product by an insurance producer. Section 4. Definitions For the purposes of this regulation, “insurance producer” shall have the same meaning as contained in § 10-2-103(6), C.R.S.
Section 5. Prohibited Use of Senior-Specific Certifications and Professional Designations A. Prohibited Uses
B. There is a rebuttable presumption that a certifying or designating organization is not disqualified solely for purposes of subsection A(2)(d) of this section five when the certification or designation issued from the organization does not primarily apply to sales or marketing and when the organization or the certification or designation in question has been accredited by:
C. In determining whether a combination of words or an acronym standing for a combination of words constitutes a certification or professional designation indicating or implying that a person has special certification or training in advising or service seniors, factors to be considered shall include:
D. Definitions
Section 6. Severability If any provision of this regulation or the application of it to any person or circumstance is for any reason held to be invalid, the remainder of this regulation shall not be affected. Section 7. Enforcement Noncompliance with this Regulation may result, after proper notice and hearing, in the imposition of any of the sanctions made available in the Colorado statutes pertaining to the business of insurance or other laws which include the imposition of fines, issuance of cease and desist orders, and/or suspensions or revocation of license. Among others, the penalties provided for in §10-3-1108, C.R.S. may be applied. Section 8. Effective Date This regulation shall become effective on June 1, 2009. Section 9. History New regulation effective June 1, 2009.
___________________________________________________ Editor’s Notes History Regulation 1-1-2 eff. 12/01/2007.
Regulation 08-E-1 emer. rule eff. 01/01/2008.
Regulations 1-1-9; 1-2-5 eff. 2/1/2008.
Regulation 08-E-3 emer. rule eff. 06/01/2008.
Regulation 1-2-10 eff. 07/01/2008.
Regulation 1-2-1 eff. 01/01/2009.
Regulation 08-E-7 emer. rule eff. 01/01/2009.
Regulations 1-1-8, 1-2-10, 1-2-11 eff. 02/01/2009.
Regulation 1-2-17 eff. 03/02/2009.
Regulation 1-2-18 eff. 06/01/2009.
Regulation 1-2-10 eff. 07/01/2009.
Regulation 1-2-13 eff. 10/01/2009.
Regulations 1-2-14, 1-2-16 eff. 11/01/2009.
Regulation 09-E-05 emer. rule eff. 12/03/2009; expired 03/03/2010. Regulation 1-2-10 eff. 01/01/2010.
Annotations Insurer's response did not substantially address the DOI’s first letter of inquiry against insurer thus triggering a violation of regulation. Colo. Div. of Ins. v. Auto-Owner's Ins. Co., Colo. App. 08CA0960 (2009).
Emergency Regulation 09-E-05 (eff. 12/03/2009) superseded and replaced Regulation 1-2-13 (eff. 10/01/2009). Upon expiration of the emergency regulation, the regulation was removed from the CCR. However, prior to expiration of the emergency regulation, the Denver District Court (Case No. 2009 CV 11706, Quesada v. Morrison ) temporarily enjoined the enforcement of Emergency Regulation 09-E-05 and ordered that the prior governing regulation, 1-2-13, remain in effect. The Court later granted the parties’ stipulated motion to dismiss, effective upon the expiration of Emergency Regulation 09-E-05 on 03/03/2010. Per agency request, prior Regulation 1-2-13, eff. 10/01/2009, has been restored to its place in 3 CCR 702-1, in order to effectuate the intent of the Court and the parties that the prior regulation be reinstated upon the expiration of Emergency Regulation 09-E-05.