Buying a short-term health plan in Colorado
- Colorado has had its own regulations for short-term health insurance for many years.
- Short-term plan duration in Colorado is limited to six months.
- You can’t buy a short-term plan in Colorado if you’ve had coverage under more than one short-term plan in the last 12 months.
- Short-term plans in Colorado are required to cover state-mandated benefits, including maternity.
- Starting in April 2019, Colorado is imposing several new rules for short-term plans:
- Premiums for older enrollees capped at 3 times the premiums for younger enrollees
- The ACA’s essential health benefits must be covered
- Policies will have to be guaranteed-issue
- Pre-existing conditions can still be excluded, but only if they were diagnosed, treated, or symptomatic in prior 12 months
- Short-term plans must have loss ratios of at least 60 percent, but that’s increasing to 80 percent as of April 2019.
- At least three insurers offer short-term plans in Colorado.
Colorado established its own short-term regulations
Colorado has its own regulations pertaining to short-term health insurance. The Trump Administration relaxed the federal rules of October 2, allowing longer durations for short-term plans. States can still impose their own restrictions, however, and Colorado will continue to do so.
Short-term plan terms limited to six months in Colorado
Short-term plan terms can’t last more than six months in Colorado, and cannot be renewable (see Colorado Revised Statutes Title 10 Insurance § 10-16-102 Definitions, section 60).
So a person in Colorado could buy a short-term plan with a six-month term, and then buy one more short-term plan after the first ends. But after that, they’d have to wait at least six months before being able to purchase a third short-term plan. With this rule, the state eliminates the option to string together multiple short-term plans instead of purchasing regular health insurance.
The Trump Administration’s new rules for short-term plans (which allow the plans to have initial terms of up to 364 days, and total duration, including renewals, of up to three years) are clear in noting that states may continue to impose tighter regulations than the new federal rules. So short-term plans in Colorado cannot have maximum terms of more than six months.
Other Colorado insurance regulations for short-term plans
Short-term plans in Colorado are required to cover state-mandated benefits. This includes maternity. (Colorado mandated maternity coverage on all state-regulated plans as of 2011.) But maternity is only covered on a short-term plan in Colorado if the pregnancy begins after the short-term plan takes effect, and the coverage ends when the short-term plan terminates.
So in reality, only the first portion of a pregnancy would ever be covered under a short-term plan in Colorado. And if a pregnant woman were to apply for another short-term plan after the first plan ends, her application would be rejected, since the pregnancy would be a pre-existing condition.
Extensive new regulations take effect in April 2019
In 2018, Colorado regulators began working on new regulations for short-term health insurance plans. There was a hearing about the new proposed rules in early December, and Colorado’s Insurance Commissioner approved the new regulations in January. The will take effect on April 1, 2019, and include the following changes:
- Short-term plans will have to charge older adults no more than three times as much as they charge younger adults. Short-term plans are generally not available after a person is 64, but a quick check of plans currently available in Colorado show that some insurers are charging a 64-year-old up to seven times as much as a 21-year-old. That will have to stop as of April.
- Short-term plans will have to be guaranteed-issue. Insurers will no longer be able to reject applicants based on their medical history. This is a huge change, as short-term plans currently base eligibility on a series of basic health screening questions (this is an example of one company’s pre-screening questions; applicants who answer yes to any of those questions are not eligible for coverage, and that will have to change as of April).
- Short-term plans will still be allowed to exclude pre-existing conditions, but pre-existing conditions are defined in the regulations as a condition that was diagnosed, treated, or symptomatic in the 12 previous months.
- Short-term plans will have to cover not only state-mandated benefits (already required, as noted above), but also the ACA’s essential health benefits. This is part of Colorado Revised Statute 10-16-102(22), and that provision will apply to short-term plans as of April. So short-term plans will no longer be able to avoid covering prescription drugs or mental health care, which is currently common in the industry.
Extensive rate filing requirements already include a minimum loss ratio rule, but it’s being strengthened as of April 2019
Colorado has extensive filing requirements (regulation 4-2-59) for insurers that wish to sell short-term plans in the state, including a requirement that rates for short-term plans can only vary based on age, tobacco use, geographic area, network factors, and whether the policy covers a single individual or multiple family members (this is the rule that’s being amended as of April 2019, to include the 3:1 ratio cap for age-based premiums; network factors is also being eliminated from the list of things on which insurers can base premiums).
The filing requirements also include a rule stating that carriers must have a loss ratio of at least 60 percent. Unlike the ACA’s medical loss ratio, which excludes certain expenses from the calculation, Colorado’s calculation is just total claim amounts divided by total premiums collected. And the updated version of Regulation 4-2-59 calls for a minimum loss ratio of at least 80 percent.
Which insurers offer short-term plans in Colorado?
- Independence American
- National General
Everest and Everest Prime had been offering short-term plans in Colorado as of October 2018, but there plans no longer appeared to be available as of December.
The new rules that will take effect in April 2019 are very significant changes, and it’s quite possible that insurers might opt not to offer short-term health insurance in Colorado as a result. We’ll update this page as more information becomes available.
Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org. Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.