Please note that prior to May 6, 2013, Connect for Health Colorado was known as the Colorado Health Benefit Exchange (COHBE), the legal name created by SB 11-200.

Complaint Management Policy
Complaint Management Policy

  • The Board voted on August 13, 2012 to adopt guiding principles, including creating a formal process for accepting complaints through a standardized form and for reviewing and addressing all submitted complaints, addressing complaints in a timely manner, handling complaints within its jurisdiction, serving as a liaison to other organizations when another party can address the issue more affectively, recording all complaints submitted through the official intake, training staff and customer service representatives about complaint management training.

Individual and Employer Rights & Responsibilities
Individual and Employer Rights & Responsibilities

  • The Board voted on September 24, 2012 to adopt guiding principles, including that the Exchange will protect the rights of employers and individuals according to state and federal laws, that the Exchange will facilitate a discussion when a complaint is filed, that the Exchange will provide educational materials to Coloradans about rights and responsibilities and that service representatives will be trained to answer questions about this.

Public Policy Approach
Public Policy Priorities Approach

  • On October 12, 2015 the Board voted to accept an amended Legislative Approach that broadens how the Board will engage in public policy issues that impact the Marketplace’s mission and goals.

COHBE Board Legislative Approach

  • On January 14, 2013 the Board voted to accept a Legislative Approach that outlines how the Board will engage with issues at the Colorado General Assembly that relate to the continued functioning of the Exchange.

Organizational Tax Structure
Organizational Tax Structure

  • The Board voted on Nov. 12, 2012 to apply for federal 501c3 status in addition to Section 115 status, to clarify the organizations tax exempt and public nature.

Protecting from Fraud, Waste & Abuse
Fraud, Waste & Abuse Policy
Fraud, Waste & Abuse – Subscriber Data
Fraud, Waste & Abuse – Health Plans
Fraud, Waste & Abuse – Technology
Fraud, Waste & Abuse – Security

  • The Board voted on June 11, 2012 on a framework to develop internal controls and processes to ensure proper financial operations that will be monitored by Board committees.
  • The Board voted on September 24, 2012 to adopt guiding principles for implementing adequate controls to balance the need to guard against fraud with allowing customers to purchase plans in a timely manner and that subscriber data will be obtained through self-attestations.
  • The Board voted on November 12, 2012 to include specific contract language to ensure that carriers comply with the False Claims Act, including policy, process and internal training and management of activities.
  • The Board voted on December 10, 2012 to follow a 6-step approach, including the hiring of an IV&V firm, to control, monitor and prevent fraud, waste and abuse with technology systems and contractors.
  • The Board voted on December 10, 2012 to implement an Information Security and Privacy Program that will meet numerous established security standards and includes specific roles and responsibilities for COHBE staff and technology vendor staff to ensure proper protection of information assets.