Colo. Rev. Stat. § 10-16-104.3
Health coverage for persons under twenty-six years of age - coverage for students who take medical leave of absence.
Effective May 13, 2013L. 2005: Entire section added, p. 1503, § 1, effective January 1, 2006. L. 2009: (3) added, (HB 09-1338), ch. 353, p. 1844, § 5, effective July 1. L. 2013: (1) R&RE and (2) repealed, (HB 13-1266), ch. 217, p. 925, § 4, effective May 13.
(1)
(a) A carrier that offers a health benefit plan in the state and that makes dependent coverage for children available under the health benefit plan shall make the coverage available for a child who is under twenty-six years of age. The carrier shall not deny or restrict coverage for a child who is under twenty-six years of age based on a factor such as:
- (I) Residency with the policyholder or any other person;
- (II) The presence or absence of financial dependence on the policyholder or any other person;
- (III) Marital or civil union status;
- (IV) Student status;
- (V) Employment status; or
- (VI) A combination of any of the factors listed in paragraphs (a) to (d) of this subsection (1).
- (b) A carrier shall not deny dependent coverage of a child based on the child's eligibility for other coverage.
- (c) Except as otherwise provided in state law, a carrier offering dependent coverage of children in a health benefit plan shall not vary the terms of coverage in the policy or contract based on age, except for premium rates for children who are twenty-one years of age or older.
- (d) Nothing in this subsection (1) requires a carrier to make coverage available for the child of a child receiving dependent coverage unless the grandparent becomes the permanent legal guardian or adoptive parent of that grandchild.
- (2) Repealed.
(3)
(a) All individual and group sickness and accident insurance policies providing coverage within the state by an entity subject to the provisions of part 2 of this article and all group health service contracts issued by an entity subject to the provisions of part 3 or 4 of this article that provide dependent coverage to a child who is enrolled in a postsecondary educational institution shall not terminate coverage due to a medically necessary leave of absence before the date that is the earlier of:
- (I) One year after the first day of the medically necessary leave of absence; or
- (II) The date the coverage would otherwise terminate under the terms of the plan or health insurance coverage.
(b) For purposes of this subsection (3), medically necessary leave of absence means a leave of absence from a postsecondary educational institution or a change in enrollment of the dependent at the institution that:
- (I) Begins while the dependent is suffering from a serious illness;
- (II) Is medically necessary; and
- (III) Causes the dependent to lose student status for the purpose of dependent coverage.
Source: L. 2005: Entire section added, p. 1503, § 1, effective January 1, 2006. L. 2009: (3) added, (HB 09-1338), ch. 353, p. 1844, § 5, effective July 1. L. 2013: (1) R&RE and (2) repealed, (HB 13-1266), ch. 217, p. 925, § 4, effective May 13.