Department of insurance for colorado

    • [DOCX File]Model COBRA Continuation Coverage Election Notice

      https://info.5y1.org/department-of-insurance-for-colorado_1_65c0ee.html

      The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage election notice that the Plan may use to provide the election notice. To use this model election notice properly, the Plan Administrator must fill in the blanks with the appropriate plan information.

    • [DOC File]CA Department of Insurance

      https://info.5y1.org/department-of-insurance-for-colorado_1_deed9e.html

      COLORADO (Sec. 10-1-117, Colorado Ins. Code) 3. DELAWARE (Title 18, Sec. 4925, Delaware Ins. Code) ... Please take further notice that this Department has notified the respective Insurance Commissioners, Directors or Superintendents of the above-named States and Territories that their jurisdictions constitute "reciprocal States" under the ...

    • [DOC File]CDOT Letterhead - Colorado Department of Transportation

      https://info.5y1.org/department-of-insurance-for-colorado_1_d38036.html

      This letter is to serve as a reminder of your responsibility to provide proof of insurance to the State of Colorado Department of Transportation (CDOT) as required by your application for, and subsequent award of, grant funds for your support of the Office of Transportation Safety’s Mission To reduce the number and severity of traffic crashes ...

    • [DOC File]STATE OF COLORADO

      https://info.5y1.org/department-of-insurance-for-colorado_1_c7d50a.html

      7. OwnershiP. The State of Colorado is the owner of the Premises. Lessor warrants and represents itself to be the authorized agent of the State of Colorado for the purposes of granting this Lease. 8. Lease Assignment.

    • COLORADO DEPARTMENT OF REGULATORY AGENCIES

      This Regulation is promulgated by the Commissioner of Insurance under the authority of §§ 10-4-601.5, 10-4-119, 10-4-625, 10-4-628(3)(4), and 10-1-109, C.R.S. Section 2 Scope And Purpose. The purpose of this regulation is to interpret and implement the provisions of Part 6 of Article 4 of Title 10 of the Colorado Revised Statutes.

    • [DOCX File]WC043_Rejection_Of_Coverage_October_2020 - Colorado

      https://info.5y1.org/department-of-insurance-for-colorado_1_3f7ed3.html

      COLORADO DEPARTMENT OF LABOR AND EMPLOYMENT DIVISION OF WORKERS’ COMPENSATION. Rejection of Coverage by Corporate Officers or Members of a Limited Liability Company (LLC) PART A. Type of Entity:CorporationLimited Liability Company (LLC) Name of Corporation or LLC: Mailing Address: Street or P.O. Box, Unit/Suite

    • County, Colorado District Court

      (a)The Obligor is under a court order to provide health insurance coverage for a child, and (b)The Health Insurance Provider shall notify the Obligee, or the Obligee’s representative, of any cancellation of that coverage.

    • County, Colorado District Court

      Pursuant to §14-14-112, C.R.S., you are required to enroll the child(ren) listed below, of the Obligor (and the Obligor, if required by plan) in the health insurance plan ( medical dental insurance vision) offered by you for the Obligor’s benefit. Any reference to health insurance shall apply to the types of insurance checked above.

    • [DOC File]COLORADO DEPARTMENT OF LABOR & EMPLOYMENT

      https://info.5y1.org/department-of-insurance-for-colorado_1_71f9f7.html

      COLORADO DEPARTMENT OF LABOR & EMPLOYMENT. DIVISION OF WORKERS’ COMPENSATION GENERAL ADMISSION OF LIABILITY WC # Carrier # TO: Soc. Sec. # Claimant’s Name Employer Date of Injury Claimant’s Address Average Weekly Wage Date first payment paid TTD and Date first payment PPD DIVISION OF WORKERS’ COMPENSATION Date of MMI YOU ARE HEREBY NOTIFIED that the insurance carrier or self-insured ...

    • [DOC File]GENERAL CONTRACTORS/DEVELOPERS GENERAL LIABILITY APPLICATION

      https://info.5y1.org/department-of-insurance-for-colorado_1_f5a737.html

      NOTICE TO COLORADO APPLICANTS: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages.

    • [DOC File]Colorado Healthcare Professional Credentials Application ...

      https://info.5y1.org/department-of-insurance-for-colorado_1_3d6848.html

      An insurance company, health maintenance organization, or other entity that contracts for the provision of health benefits. No State of Colorado licensing or certification board is required to use this uniform application. The reason Colorado has mandated the use of this uniform application is to reduce health care costs and duplication.

    • [DOCX File]Rejection of Coverage by Partners and Sole ... - Colorado

      https://info.5y1.org/department-of-insurance-for-colorado_1_6c0ddf.html

      knowingly provides false, incomplete or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory ...

    • STATE OF COLORADO

      UNIVERSITY OF COLORADO BOULDER. CONTRACTOR'S DESIGN/BID/BUILD (D/B/B) AGREEMENT (STATE FORM SC-6.21) DEPARTMENT ID: ... Insurance Certificates. E. ... Department ID: Contract ID# Project # 1. PARTIES . THIS AGREEMENT is entered into by and between the STATE OF COLORADO, acting by and through the Regents of the University of Colorado, a body ...

    • [DOC File]COLORADO DEPARTMENT OF REGULATORY AGENCIES

      https://info.5y1.org/department-of-insurance-for-colorado_1_d3748c.html

      COLORADO DEPARTMENT OF REGULATORY AGENCIES. Division of Insurance. 3 CCR 702-4. Life, Accident and health. Repealed and Repromulgated Regulation 4-2-20. CONCERNING THE COLORADO SUPPLEMENT TO THE SUMMARY OF BENEFITS AND COVERAGE FORM. Section 1 Authority. Section 2 Scope and Purpose. Section 3 Applicability. Section 4 Definitions. Section 5 ...

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