First Regular Session Seventy-fifth General Assembly STATE OF COLORADO ENGROSSED This Version Includes All Amendments Adopted on Second Reading in the House of Introduction LLS NO. 25-0311.01 Kristen Forrestal x4217 SENATE BILL 25-010 Senate Committees House Committees Health & Human Services A BILL FOR AN ACT C ONCERNING ELECTRONIC COMM UNICATIONS IN HEALTH CARE .101 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) Subject to specific requirements, the bill allows a notice to a party or other document required by law in an insurance transaction or that is to serve as evidence of health insurance coverage to be delivered, stored, and presented by electronic means if the electronic means meet the requirements of the "Uniform Electronic Transactions Act". The delivery of a notice or document by electronic means is considered the equivalent to and has the same effect as any other delivery method required by law. The bill requires health insurance carriers to deliver paper SENATE Amended 2nd Reading February 4, 2025 SENATE SPONSORSHIP Mullica and Pelton B., HOUSE SPONSORSHIP Brown, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing law. Dashes through the words or numbers indicate deletions from existing law. communications to individuals that may not have consistent access to the internet and to any individuals that may elect to receive paper communications upon request. An insurance producer is not subject to civil liability for any harm or injury that occurs because of a party's election to receive any notice or document by electronic means or by a carrier's failure to deliver or a party's failure to receive a notice or document by electronic means. A carrier may mail, deliver, or, if the carrier obtains separate, specific consent, post on the carrier's website a health coverage plan and an endorsement that does not contain personal identifying information. If the carrier elects to post a health coverage plan and an endorsement on the carrier's website in lieu of mailing or delivering the health coverage plan and endorsement, the carrier shall comply with certain conditions. The commissioner of insurance is required to adopt rules to implement the bill. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 10-16-135, amend 2 (1)(a) introductory portion, (1)(b), (1)(c); and add (1)(d), as follows:3 10-16-135. Health coverage plan information cards - rules -4 standardization - contents. (1) (a) The commissioner shall adopt rules5 requiring every carrier providing a health benefit plan to issue to covered6 persons to whom a health benefit plan identification card is issued a7 standardized, printed, ELECTRONIC card containing plan information. To 8 the extent possible, the rules shall incorporate and not conflict with the9 requirements of section 10-16-124 regarding prescription information10 cards. The commissioner shall adopt initial rules by October 31, 2008,11 that describe the format of a standardized, printed card to be issued by12 carriers to persons covered under a health benefit plan to whom health13 benefit plan identification cards are issued. The rules establishing the14 format for the printed OR ELECTRONIC card shall include a standard size, 15 shall require the card to be legible and photocopied, and shall delineate16 the information to be contained on the card, including but not limited to17 010-2- the following information, as applicable:1 (b) The rules adopted pursuant to paragraph (a) of this subsection2 (1) shall require all carriers to A CARRIER SHALL issue a standardized,3 printed, OR ELECTRONIC card to a covered person to whom a health 4 benefit plan identification card is issued upon the purchase or renewal of5 or enrollment in a plan. on or after July 1, 2009. No later than July 1,6 2010, all carriers shall issue the standardized, printed card to covered7 persons to whom health benefit plan identification cards are issued8 (c) Nothing in this section shall preclude a carrier from including9 information on the standardized, printed, OR ELECTRONIC cards that is in 10 addition to the information required to be included on the card pursuant11 to rules adopted pursuant to this section.12 (d) A CARRIER SHALL PROVIDE A PRINTED CARD TO A COVERED 13 PERSON UPON REQUEST.14 SECTION 2. In Colorado Revised Statutes, add 10-16-170 as15 follows:16 10-16-170. Delivery of notices and documents by electronic17 means - definitions - consent required - withdrawal of consent -18 employers - immunity from liability - posting of plans and19 endorsements on carrier website - applicability - rules. (1) A S USED20 IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES :21 (a) "D ELIVERED BY ELECTRONIC MEANS " MEANS:22 (I) D ELIVERY TO AN ELECTRONIC MAIL ADDRESS AT WHICH A23 PARTY HAS CONSENTED TO RECEIVE NOTICES OR DOCUMENTS ; OR24 (II) P OSTING ON AN ELECTRONIC NETWORK , SITE, OR CONSUMER 25 PORTAL ACCESSIBLE VIA THE INTERNET , A MOBILE APPLICATION, A26 COMPUTER, A MOBILE DEVICE, A TABLET, OR ANY OTHER ELECTRONIC27 010 -3- DEVICE, TOGETHER WITH SEPARATE NOTICE OF THE POSTING PROVIDED BY1 ELECTRONIC MAIL TO THE ADDRESS AT WHICH THE PARTY HAS CONSENTED2 TO RECEIVE NOTICE OR BY ANY OTHER DELIVERY METHOD THAT HAS BEEN3 CONSENTED TO BY THE PARTY . THE SEPARATE NOTICE OF THE POSTING4 MUST CONTAIN THE INTERNET ADDRESS AT WHICH THE DOCUMENTS ARE5 POSTED, AND DELIVERY IS EFFECTIVE UPON THE POSTING OR THE ACTUAL6 DELIVERY OF THE SEPARATE NOTICE OF THE POSTING, WHICHEVER OCCURS7 LATER.8 (b) "P ARTY" MEANS A RECIPIENT OF A NOTICE OR DOCUMENT9 REQUIRED AS PART OF AN INSURANCE TRANSACTION , INCLUDING AN10 APPLICANT FOR HEALTH INSURANCE COVERAGE , A COVERED PERSON, A11 POLICYHOLDER, OR AN ANNUITY CONTRACT HOLDER .12 (2) (a) N OTWITHSTANDING ANY PROVISION OF THIS ARTICLE 16 TO13 THE CONTRARY, SUBJECT TO THE REQUIREMENTS OF THIS SECTION , A14 NOTICE TO OR FROM A PARTY OR OTHER DOCUMENT REQUIRED BY LAW IN 15 AN INSURANCE TRANSACTION THAT IS RELATED TO A PROVISION IN A16 HEALTH INSURANCE CONTRACT OR THAT IS TO SERVE AS EVIDENCE OF17 HEALTH INSURANCE COVERAGE MAY BE DELIVERED BY A CARRIER OR TO18 A CARRIER, STORED, AND PRESENTED BY ELECTRONIC MEANS IF THE19 ELECTRONIC MEANS MEET THE REQUIREMENTS OF THE "UNIFORM20 E LECTRONIC TRANSACTIONS ACT", ARTICLE 71.3 OF TITLE 24.21 (b) T HE DELIVERY OF A NOTICE OR DOCUMENT IN ACCORDANCE22 WITH THIS SECTION IS CONSIDERED THE EQUIVALENT TO AND HAS THE23 SAME EFFECT AS ANY DELIVERY METHOD REQUIRED BY LAW , INCLUDING24 DELIVERY BY FIRST-CLASS MAIL, FIRST-CLASS MAIL WITH POSTAGE25 PREPAID, CERTIFIED MAIL, CERTIFICATE OF MAIL, OR CERTIFICATE OF26 MAILING.27 010 -4- (c) A CARRIER SHALL ESTABLISH A CONSUMER PORTAL OR OTHER1 ACCESSIBLE MEANS FOR POLICYHOLDERS TO SUBMIT REQUESTS , NOTICES,2 OR RESPONSES TO THE CARRIER BY ELECTRONIC MEANS , INCLUDING THE3 ABILITY TO CONFIRM THAT THE COMMUNICATION BY ELECTRONIC MEANS4 HAS BEEN RECEIVED BY THE CARRIER.5 (d) A CARRIER SHALL NOT REQUIRE POLICYHOLDERS TO SUBMIT 6 REQUESTS, NOTICES, OR RESPONSES BY FACSIMILE OR NON -ELECTRONIC7 MEANS, UNLESS THE CONSUMER CHOOSES SUBMISSION BY FACSIMILE OR8 NONELECTRONIC MEANS .9 (3) A NOTICE OR DOCUMENT MAY BE DELIVERED BY ELECTRONIC10 MEANS BY A CARRIER TO A PARTY PURSUANT TO THIS SECTION IF :11 (a) T HE PARTY HAS AFFIRMATIVELY CONSENTED ELECTRONICALLY ,12 OR CONFIRMED CONSENT ELECTRONICALLY , IN A MANNER THAT13 REASONABLY DEMONSTRATES THAT THE PARTY CAN ACCESS INFORMATION14 IN THE ELECTRONIC FORM THAT WILL BE USED FOR NOTICES OR15 DOCUMENTS DELIVERED BY ELECTRONIC MEANS TO WHICH THE PARTY HAS16 GIVEN CONSENT, AND THE PARTY HAS NOT WITHDRAWN THE CONSENT ;17 AND18 (b) B EFORE THE PARTY CONSENTS , THE CARRIER PROVIDES THE19 PARTY A CLEAR AND CONSPICUOUS STATEMENT INFORMING THE PARTY OF :20 (I) T HE HARDWARE AND SOFTWARE REQUIREMENTS FOR ACCESS21 TO AND RETENTION OF A NOTICE OR DOCUMENT DELIVERED BY22 ELECTRONIC MEANS;23 (II) T HE TYPES OF NOTICES AND DOCUMENTS TO WHICH THE24 PARTY'S CONSENT APPLIES;25 (III) T HE RIGHT OF THE PARTY TO WITHDRAW CONSENT AT ANY26 TIME, AT NO CHARGE, AND ANY CONDITIONS OR CONSEQUENCES TO BE27 010 -5- IMPOSED IN THE EVENT CONSENT IS WITHDRAWN ;1 (IV) T HE PROCEDURES A PARTY MUST FOLLOW TO WITHDRAW2 CONSENT, WHICH PROCEDURES MUST BE NO MORE BURDENSOME THAN THE3 PROCEDURES REQUIRED TO PROVIDE CONSENT , TO HAVE A NOTICE OR4 DOCUMENT DELIVERED BY ELECTRONIC MEANS , OR TO UPDATE THE5 PARTY'S ELECTRONIC MAIL ADDRESS; AND6 (V) T HE PARTY'S RIGHT TO HAVE ANY NOTICE OR DOCUMENT7 DELIVERED IN PAPER FORM UPON REQUEST .8 (4) (a) N OTWITHSTANDING SUBSECTION (3) OF THIS SECTION, AN9 EMPLOYER OFFERING A HEALTH COVERAGE PLAN MAY , ON BEHALF OF A10 COVERED PERSON ENROLLED IN THE PLAN , PROVIDE CONSENT TO THE11 MAILING OF ALL COMMUNICATIONS RELATED TO THE PLAN BY ELECTRONIC12 MEANS IF, BEFORE CONSENTING ON BEHALF OF A COVERED PERSON , AN13 EMPLOYER HAS:14 (I) C ONFIRMED THAT THE COVERED PERSON ROUTINELY USES15 ELECTRONIC COMMUNICATIONS DURING THE NORMAL COURSE OF16 EMPLOYMENT AND IS ABLE TO ACCESS AND RETAIN ELECTRONIC17 COMMUNICATIONS THAT MAY BE DELIVERED BY THE CARRIER ; AND18 (II) I NFORMED THE COVERED PERSON THAT THE CONSENT WILL BE19 PROVIDED AND NOTICES AND DOCUMENTS RELATED TO THE PLAN MAY BE20 DELIVERED TO THE COVERED PERSON 'S WORK ELECTRONIC MAIL ADDRESS21 UNLESS THE COVERED PERSON AFFIRMATIVELY OPTS OUT OF DELIVERY BY22 ELECTRONIC MEANS OR PROVIDES AN ALTERNATIVE ELECTRONIC MAIL23 ADDRESS.24 (b) T HE CARRIER FOR THE HEALTH COVERAGE PLAN SHALL :25 (I) P ROVIDE THE COVERED PERSON WITH A CLEAR AND26 CONSPICUOUS STATEMENT INFORMING THE COVERED PERSON OF :27 010 -6- (A) THE TYPES OF NOTICES AND DOCUMENTS THAT MAY BE1 DELIVERED TO THE COVERED PERSON BY ELECTRONIC MEANS ;2 (B) T HE RIGHT OF THE COVERED PERSON TO WITHDRAW CONSENT3 TO HAVE A NOTICE OR DOCUMENT DELIVERED BY ELECTRONIC MEANS AT4 ANY TIME WITHOUT CHARGE ;5 (C) T HE PROCEDURES THE COVERED PERSON MUST FOLLOW TO6 WITHDRAW CONSENT TO HAVE A NOTICE OR DOCUMENT DELIVERED BY7 ELECTRONIC MEANS AND TO UPDATE THE COVERED PERSON 'S ELECTRONIC8 MAIL ADDRESS; AND9 (D) T HE RIGHT OF THE COVERED PERSON TO HAVE ANY NOTICE OR10 DOCUMENT DELIVERED, UPON REQUEST, IN PAPER FORM FREE OF CHARGE;11 AND12 (II) P ROVIDE THE COVERED PERSON AN OPPORTUNITY TO OPT OUT13 OF DELIVERY BY ELECTRONIC MEANS .14 (5) A CARRIER THAT RECEIVES A PARTY 'S CONSENT FOR THE15 DELIVERY OF NOTICES OR DOCUMENTS BY ELECTRONIC MEANS SHALL16 ENSURE THAT THE APPLICABLE PROVISIONS OF THE CONDITIONS UNDER17 THE "UNIFORM ELECTRONIC TRANSACTIONS ACT", ARTICLE 71.3 OF TITLE18 24, ARE SATISFIED, AS REQUIRED BY SUBSECTION (2)(a) OF THIS SECTION.19 (6) (a) W HEN A NOTICE OR DOCUMENT IS PROVIDED20 ELECTRONICALLY TO A PARTY PURSUANT TO THIS SECTION , A CARRIER21 SHALL APPRISE THE PARTY OF THE SIGNIFICANCE OF THE NOTICE OR22 DOCUMENT, WHEN IT IS NOT OTHERWISE REASONABLY EVIDENT , AND OF23 THE RIGHT TO REQUEST AND OBTAIN A PAPER VERSION OF THE NOTICE OR24 DOCUMENT.25 (b) A CARRIER SHALL TAKE ALL REASONABLE MEASURES TO26 ENSURE THAT DELIVERY BY ELECTRONIC MEANS PURSUANT TO THIS27 010 -7- SECTION RESULTS IN THE PARTY'S RECEIPT OF THE NOTICE OR DOCUMENT.1 (7) A FTER A PARTY GIVES CONSENT FOR THE DELIVERY OF NOTICES2 AND DOCUMENTS BY ELECTRONIC MEANS , IF A CHANGE IN THE HARDWARE3 OR SOFTWARE REQUIREMENTS NEEDED TO ACCESS OR RETAIN A NOTICE OR4 DOCUMENT CREATES A MATERIAL RISK THAT THE PARTY WILL NOT BE5 ABLE TO ACCESS OR RETAIN A NOTICE OR DOCUMENT TO WHICH THE6 CONSENT APPLIES, THE CARRIER SHALL NOT DELIVER THE NOTICE OR7 DOCUMENT BY ELECTRONIC MEANS UNLESS THE CARRIER COMPLIES WITH8 SUBSECTION (3) OF THIS SECTION AND PROVIDES THE PARTY A STATEMENT9 THAT DESCRIBES:10 (a) T HE REVISED HARDWARE AND SOFTWARE REQUIREMENTS FOR11 ACCESS TO AND RETENTION OF A NOTICE OR DOCUMENT DELIVERED BY12 ELECTRONIC MEANS; AND13 (b) T HE RIGHT OF THE PARTY TO WITHDRAW CONSENT WITHOUT14 THE IMPOSITION OF ANY CONDITION OR CONSEQUENCE THAT WAS NOT15 DISCLOSED AT THE TIME OF INITIAL CONSENT.16 (8) (a) T HIS SECTION DOES NOT AFFECT REQUIREMENTS RELATED17 TO THE CONTENT OR TIMING OF ANY NOTICE OR DOCUMENT REQUIRED BY18 ANY OTHER APPLICABLE LAW .19 (b) I F ANOTHER APPLICABLE LAW EXPRESSLY REQUIRES A20 CONFIRMATION OF RECEIPT OF A NOTICE OR DOCUMENT , THE NOTICE OR21 DOCUMENT MAY BE DELIVERED BY ELECTRONIC MEANS ONLY IF THE22 METHOD USED PROVIDES FOR ACTIVE CONFIRMATION OF RECEIPT BY THE23 RECIPIENT.24 (c) T HIS SECTION DOES NOT APPLY TO A NOTICE OR DOCUMENT25 THAT A CARRIER DELIVERED BY ELECTRONIC MEANS BEFORE THE26 EFFECTIVE DATE OF THIS SECTION TO A PARTY WHO , BEFORE THAT DATE,27 010 -8- CONSENTED TO RECEIVE THE NOTICE OR DOCUMENT BY ELECTRONIC1 MEANS AS OTHERWISE ALLOWED BY LAW .2 (d) T HE LEGAL EFFECTIVENESS, VALIDITY, OR ENFORCEABILITY OF3 ANY CONTRACT OR POLICY OF INSURANCE EXECUTED BY A PARTY SHALL4 NOT BE DENIED SOLELY BECAUSE OF THE FAILURE OF THE CARRIER TO5 OBTAIN OR CONFIRM THE PARTY'S CONSENT FOR THE DELIVERY OF NOTICES6 OR DOCUMENTS BY ELECTRONIC MEANS SO LONG AS THE NOTICE OR7 DOCUMENT IS DELIVERED IN PAPER FORM .8 (9) (a) A PARTY'S WITHDRAWAL OF CONSENT DOES NOT AFFECT9 THE LEGAL EFFECTIVENESS, VALIDITY, OR ENFORCEABILITY OF A NOTICE10 OR DOCUMENT THAT IS DELIVERED BY ELECTRONIC MEANS TO THE PARTY11 BEFORE THE PARTY'S WITHDRAWAL OF CONSENT IS EFFECTIVE .12 (b) A WITHDRAWAL OF CONSENT BY A PARTY SHALL BE EFFECTIVE13 WITHIN A REASONABLE PERIOD OF TIME AFTER RECEIPT OF THE14 WITHDRAWAL BY THE CARRIER .15 (c) A CARRIER'S FAILURE TO COMPLY WITH SUBSECTION (3) OR (4)16 OF THIS SECTION MAY BE TREATED, AT THE ELECTION OF A PARTY, AS A17 WITHDRAWAL OF THE PARTY 'S CONSENT FOR PURPOSES OF THIS SECTION.18 (10) I F THE CONSENT OF A PARTY TO RECEIVE NOTICES OR19 DOCUMENTS BY ELECTRONIC MEANS IS ON FILE WITH A CARRIER BEFORE20 THE EFFECTIVE DATE OF THIS SECTION , AND A CARRIER INTENDS TO21 DELIVER ADDITIONAL NOTICES OR DOCUMENTS TO THE PARTY BY22 ELECTRONIC MEANS PURSUANT TO THIS SECTION , THEN PRIOR TO23 DELIVERING THE ADDITIONAL NOTICES OR DOCUMENTS BY ELECTRONIC24 MEANS, THE CARRIER SHALL COMPLY WITH SUBSECTION (2) OF THIS25 SECTION AND SHALL PROVIDE THE PARTY A STATEMENT THAT DESCRIBES :26 (a) T HE NOTICES OR DOCUMENTS TO BE DELIVERED BY ELECTRONIC27 010 -9- MEANS THAT WERE NOT PREVIOUSLY DELIVERED BY ELECTRONIC MEANS ;1 AND2 (b) T HE PARTY'S RIGHT TO WITHDRAW CONSENT TO HAVE NOTICES3 OR DOCUMENTS DELIVERED BY ELECTRONIC MEANS , WITHOUT THE4 IMPOSITION OF ANY CONDITION OR CONSEQUENCE THAT WAS NOT5 DISCLOSED AT THE TIME OF INITIAL CONSENT.6 (11) (a) A CARRIER SHALL DELIVER A NOTICE OR DOCUMENT BY7 ANY OTHER DELIVERY METHOD PERMITTED BY LAW OTHER THAN BY8 ELECTRONIC MEANS IF:9 (I) T HE CARRIER ATTEMPTS TO DELIVER THE NOTICE OR DOCUMENT10 BY ELECTRONIC MEANS AND REASONABLY BELIEVES THAT THE NOTICE OR11 DOCUMENT HAS NOT BEEN RECEIVED BY THE PARTY ; OR12 (II) T HE CARRIER BECOMES AWARE THAT THE ELECTRONIC MAIL13 ADDRESS PROVIDED BY THE PARTY IS NO LONGER VALID .14 (b) A PARTY'S CONSENT TO HAVE NOTICES OR DOCUMENTS15 DELIVERED BY ELECTRONIC MEANS DOES NOT PRECLUDE THE CARRIER16 FROM DELIVERING A NOTICE OR DOCUMENT BY ANY OTHER DELIVERY17 METHOD PERMITTED BY LAW .18 (12) A N INSURANCE PRODUCER LICENSED PURSUANT TO PART 4 OF19 ARTICLE 2 OF THIS TITLE 10 IS NOT SUBJECT TO CIVIL LIABILITY FOR ANY20 HARM OR INJURY THAT OCCURS BECAUSE OF A PARTY 'S ELECTION TO21 RECEIVE ANY NOTICE OR DOCUMENT BY ELECTRONIC MEANS OR BY A22 CARRIER'S FAILURE TO DELIVER OR A PARTY 'S FAILURE TO RECEIVE A23 NOTICE OR DOCUMENT BY ELECTRONIC MEANS .24 (13) (a) A HEALTH COVERAGE PLAN AND AN ENDORSEMENT THAT25 DOES NOT CONTAIN PERSONAL IDENTIFYING INFORMATION MAY BE26 MAILED, DELIVERED, OR, IF THE CARRIER OBTAINS SEPARATE, SPECIFIC27 010 -10- CONSENT, POSTED ON THE CARRIER'S WEBSITE. IF THE CARRIER ELECTS TO1 POST A COVERED PERSON 'S HEALTH COVERAGE PLAN AND AN2 ENDORSEMENT ON THE CARRIER 'S WEBSITE IN LIEU OF MAILING OR3 DELIVERING THE HEALTH COVERAGE PLAN AND ENDORSEMENT TO THE4 COVERED PERSON, THE CARRIER SHALL COMPLY WITH THE FOLLOWING5 CONDITIONS:6 (I) T HE HEALTH COVERAGE PLAN AND ENDORSEMENT MUST BE7 ACCESSIBLE TO THE COVERED PERSON AND PRODUCER OF RECORD AND8 REMAIN ACCESSIBLE WHILE THE HEALTH COVERAGE PLAN IS IN FORCE ;9 (II) A FTER THE EXPIRATION OF THE HEALTH COVERAGE PLAN , THE10 CARRIER SHALL EITHER:11 (A) M AKE THE EXPIRED HEALTH COVERAGE PLAN AND12 ENDORSEMENT AVAILABLE UPON REQUEST , FOR A PERIOD OF FIVE YEARS;13 OR14 (B) I F THE CARRIER CONTINUES TO MAKE THE EXPIRED HEALTH15 COVERAGE PLAN OR ENDORSEMENT AVAILABLE ON ITS WEBSITE , CONTINUE16 TO ALLOW THE COVERED PERSON TO ACCESS THE HEALTH COVERAGE PLAN17 AND ENDORSEMENT FOR AT LEAST FIVE YEARS ;18 (III) T HE CARRIER SHALL POST THE HEALTH COVERAGE PLAN AND19 ENDORSEMENT IN A MANNER THAT ENABLES THE COVERED PERSON AND20 PRODUCER OF RECORD TO PRINT AND SAVE THE HEALTH COVERAGE PLAN21 AND ENDORSEMENT USING A PROGRAM OR APPLICATION THAT IS WIDELY22 AVAILABLE ON THE INTERNET AND FREE TO USE ;23 (IV) T HE CARRIER SHALL PROVIDE THE FOLLOWING INFORMATION24 IN, OR SIMULTANEOUS WITH, EACH DECLARATION PAGE PROVIDED AT THE25 TIME OF ISSUANCE OF THE INITIAL HEALTH COVERAGE PLAN AND ANY26 RENEWALS OF THE HEALTH COVERAGE PLAN :27 010 -11- (A) A DESCRIPTION OF THE EXACT HEALTH COVERAGE PLAN AND1 ENDORSEMENT FORM APPLICABLE TO THE COVERED PERSON ;2 (B) A DESCRIPTION OF THE COVERED PERSON'S RIGHT TO RECEIVE,3 UPON REQUEST AND WITHOUT CHARGE , AN ELECTRONIC AND A PAPER COPY4 OF THE HEALTH COVERAGE PLAN AND ENDORSEMENT ; AND5 (C) T HE INTERNET ADDRESS AT WHICH THE HEALTH COVERAGE6 PLAN AND ENDORSEMENT ARE POSTED ;7 (V) T HE CARRIER, UPON A COVERED PERSON 'S REQUEST AND8 WITHOUT CHARGE FOLLOWING RECEIPT OF THE INITIAL COPY , SHALL MAIL9 A PAPER COPY OF THE HEALTH COVERAGE PLAN AND E NDORSEMENT TO10 THE COVERED PERSON; EXCEPT THAT THE CARRIER MAY CHARGE A FEE FOR11 SUBSEQUENT MAILINGS OF PAPER COPIES ; AND12 (VI) T HE CARRIER SHALL PROVIDE NOTICE , EITHER13 ELECTRONICALLY OR IN WRITING AT THE COVERED PERSON 'S OPTION, OF:14 (A) A NY CHANGE TO THE FORMS OR ENDORSEMENT ;15 (B) T HE COVERED PERSON'S RIGHT TO OBTAIN, UPON REQUEST AND16 ONCE WITHOUT CHARGE FOLLOWING RECEIPT OF THE INITIAL COPY , A17 PAPER COPY OF THE FORMS OR ENDORSEMENT ; AND18 (C) T HE INTERNET ADDRESS AT WHICH THE FORMS OR19 ENDORSEMENT IS POSTED.20 (b) T HIS SUBSECTION (13) DOES NOT AFFECT THE TIMING OR21 CONTENT OF ANY DISCLOSURE OR DOCUMENT REQUIRED TO BE PROVIDED22 OR MADE AVAILABLE TO ANY COVERED PERSON UNDER APPLICABLE LAW .23 (14) O N OR BEFORE JANUARY 1, 2026, THE COMMISSIONER SHALL24 ADOPT RULES TO IMPLEMENT THIS SECTION , INCLUDING RULES THAT25 REQUIRE EACH CARRIER THAT PROVIDES A HEALTH COVERAGE PLAN TO :26 (a) I SSUE A STANDARDIZED WRITTEN OR ELECTRONIC CARD27 010 -12- CONTAINING NECESSARY PLAN INFORMATION TO EACH COVERED PERSON ;1 AND2 (b) I SSUE A WRITTEN VERSION OF THE CARD CONTAINING THE3 REQUIRED INFORMATION TO A COVERED PERSON UPON THE COVERED4 PERSON'S REQUEST.5 SECTION 3. Act subject to petition - effective date -6 applicability. (1) This act takes effect January 1, 2026; except that, if a7 referendum petition is filed pursuant to section 1 (3) of article V of the8 state constitution against this act or an item, section, or part of this act9 within the ninety-day period after final adjournment of the general10 assembly, then the act, item, section, or part will not take effect unless11 approved by the people at the general election to be held in November12 2026 and, in such case, will take effect January 1, 2026, or on the date of13 the official declaration of the vote thereon by the governor, whichever is14 later.15 (2) This act applies to conduct occurring on or after the applicable16 effective date of this act.17 010 -13-