7 Colo. Code Regs. § 1107-5.20

Current through Register Vol. 47, No. 24, December 25, 2024
Section 7 CCR 1107-5.20 - Fines
1. If, upon appeal or judicial review, the Division or a court determines that the private plan administrator owes additional payments to a covered individual, and the private plan administrator fails to issue payment of the benefits by the date or dates specified by the Division or the court in its determination, then the Division may assess fines upon the private plan administrator.
2. Each day after the due date that additional payments owed by a private plan to an individual claimant go unpaid constitutes a separate violation.
3. The Division may assess fines as follows:
A. For the first day of nonpayment after the due date, a fine of up to $100.00 per individual claimant;
B. For the second day of nonpayment after the due date, a fine of up to $200.00 per individual claimant;
C. For the third day of nonpayment after the due date, a fine of up to $300.00 per individual claimant;
D. For the fourth day of nonpayment after the due date, a fine of up to $400.00 per individual claimant; and
E. For the fifth day of nonpayment after the due date, and for every additional day thereafter, separate fines of up to $500.00 per day per individual claimant.

7 CCR 1107-5.20

45 CR 23, December 10, 2022, effective 12/30/2022
46 CR 23, December 10, 2023, effective 1/1/2024
47 CR 23, December 10, 2024, effective 1/1/2025