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State RegulationsCO specificDifficulty 2/5

In Colorado, the required health benefits that sickness and accident policies must provide are established by:

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Answer & full 3-part explanation (select an option above, or peek)

Why B is correct

Colorado's required health benefits are established by statute — centrally C.R.S. § 10-16-104 — together with Division of Insurance regulations such as Reg. 4-2-28 and Reg. 4-2-30. Producers must know these mandates because insurers cannot contract around them and policy language cannot override them.

Why the other options are wrong

  • A) Underwriting guidelines cannot create or eliminate statutorily mandated benefits.
  • C) Federal Medicare administrative contractors do not create Colorado health coverage mandates.
  • D) Producer disclosure documents do not establish mandated benefits.

Memory hook

Mandates come from the statute book, not the carrier's manual.

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