First Regular Session Seventy-fifth General Assembly STATE OF COLORADO REVISED This Version Includes All Amendments Adopted on Second Reading in the Second House LLS NO. 25-0311.01 Kristen Forrestal x4217 SENATE BILL 25-010 Senate Committees House Committees Health & Human Services 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 HOUSE 2nd Reading Unamended February 14, 2025 SENATE Amended 3rd Reading February 5, 2025 SENATE Amended 2nd Reading February 4, 2025 SENATE SPONSORSHIP Mullica and Pelton B., Amabile, Bridges, Coleman, Cutter, Daugherty, Frizell, Jaquez Lewis, Jodeh, Kipp, Kirkmeyer, Marchman, Michaelson Jenet, Pelton R., Rodriguez, Snyder, Winter F. 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), and (1)(c); and add (1)(d) and (1)(e)3 as follows:4 10-16-135. Health coverage plan information cards - rules -5 standardization - contents. (1) (a) The commissioner shall adopt rules6 requiring every carrier providing a health benefit plan to issue to covered7 persons to whom a health benefit plan identification card is issued a8 standardized, printed OR ELECTRONIC card containing plan information.9 To the extent possible, the rules shall incorporate and not conflict with the10 requirements of section 10-16-124 regarding prescription information11 cards. The commissioner shall adopt initial rules by October 31, 2008,12 that describe the format of a standardized, printed card to be issued by13 carriers to persons covered under a health benefit plan to whom health14 benefit plan identification cards are issued. The rules establishing the15 format for the printed OR ELECTRONIC card shall include a standard size, 16 shall require the card to be legible and photocopied, and shall delineate17 010-2- the information to be contained on the card, including but not limited to1 the following information, as applicable:2 (b) The rules adopted pursuant to paragraph (a) of this subsection3 (1) shall require all carriers to A CARRIER SHALL issue a standardized,4 printed OR ELECTRONIC card to a covered person to whom a health benefit5 plan identification card is issued upon the purchase or renewal of or6 enrollment in a plan. on or after July 1, 2009. No later than July 1, 2010,7 all carriers shall issue the standardized, printed card to covered persons8 to whom health benefit plan identification cards are issued.9 (c) Nothing in this section shall preclude a carrier from including10 information on the standardized, printed OR ELECTRONIC cards that is in11 addition to the information required to be included on the card pursuant12 to rules adopted pursuant to this section.13 (d) A CARRIER SHALL PROVIDE A PRINTED CARD TO A COVERED 14 PERSON UPON REQUEST.15 (e) T HE COMMISSIONER MAY ADOPT RULES TO IMPLEMENT THIS 16 SECTION. 17 SECTION 2. In Colorado Revised Statutes, add 10-16-170 as18 follows:19 10-16-170. Delivery of notices and documents by electronic20 means - definitions - consent required - withdrawal of consent -21 employers - immunity from liability - posting of plans and22 endorsements on carrier website - applicability - rules. (1) A S USED23 IN THIS SECTION, UNLESS THE CONTEXT OTHERWISE REQUIRES :24 (a) "D ELIVERED BY ELECTRONIC MEANS " MEANS:25 (I) D ELIVERY TO AN ELECTRONIC MAIL ADDRESS AT WHICH A26 PARTY HAS CONSENTED TO RECEIVE NOTICES OR DOCUMENTS ; OR27 010 -3- (II) POSTING ON AN ELECTRONIC NETWORK , SITE, OR CONSUMER1 PORTAL ACCESSIBLE VIA THE INTERNET , A MOBILE APPLICATION, A2 COMPUTER, A MOBILE DEVICE, A TABLET, OR ANY OTHER ELECTRONIC3 DEVICE, TOGETHER WITH SEPARATE NOTICE OF THE POSTING PROVIDED BY4 ELECTRONIC MAIL TO THE ADDRESS AT WHICH THE PARTY HAS CONSENTED5 TO RECEIVE NOTICE OR BY ANY OTHER DELIVERY METHOD THAT HAS BEEN6 CONSENTED TO BY THE PARTY . THE SEPARATE NOTICE OF THE POSTING7 MUST CONTAIN THE INTERNET ADDRESS AT WHICH THE DOCUMENTS ARE8 POSTED, AND DELIVERY IS EFFECTIVE UPON THE POSTING OR THE ACTUAL9 DELIVERY OF THE SEPARATE NOTICE OF THE POSTING, WHICHEVER OCCURS10 LATER.11 (b) "P ARTY" MEANS A RECIPIENT OF A NOTICE OR DOCUMENT12 REQUIRED AS PART OF AN INSURANCE TRANSACTION , INCLUDING AN13 APPLICANT FOR HEALTH INSURANCE COVERAGE , A COVERED PERSON, A14 POLICYHOLDER, OR AN ANNUITY CONTRACT HOLDER .15 (2) (a) N OTWITHSTANDING ANY PROVISION OF THIS ARTICLE 16 TO16 THE CONTRARY, SUBJECT TO THE REQUIREMENTS OF THIS SECTION , A17 NOTICE TO OR FROM A PARTY OR OTHER DOCUMENT REQUIRED BY LAW IN 18 AN INSURANCE TRANSACTION THAT IS RELATED TO A PROVISION IN A19 HEALTH INSURANCE CONTRACT OR THAT IS TO SERVE AS EVIDENCE OF20 HEALTH INSURANCE COVERAGE MAY BE DELIVERED BY A CARRIER OR TO21 A CARRIER, STORED, AND PRESENTED BY ELECTRONIC MEANS IF THE22 ELECTRONIC MEANS MEET THE REQUIREMENTS OF THE "UNIFORM23 E LECTRONIC TRANSACTIONS ACT", ARTICLE 71.3 OF TITLE 24.24 (b) T HE DELIVERY OF A NOTICE OR DOCUMENT IN ACCORDANCE25 WITH THIS SECTION IS CONSIDERED THE EQUIVALENT TO AND HAS THE26 SAME EFFECT AS ANY DELIVERY METHOD REQUIRED BY LAW , INCLUDING27 010 -4- DELIVERY BY FIRST-CLASS MAIL, FIRST-CLASS MAIL WITH POSTAGE1 PREPAID, CERTIFIED MAIL, CERTIFICATE OF MAIL, OR CERTIFICATE OF2 MAILING.3 (c) A CARRIER SHALL ESTABLISH A CONSUMER PORTAL OR OTHER 4 ACCESSIBLE MEANS FOR POLICYHOLDERS TO SUBMIT REQUESTS , NOTICES,5 OR RESPONSES TO THE CARRIER BY ELECTRONIC MEANS , INCLUDING THE6 ABILITY TO CONFIRM THAT THE COMMUNICATION BY ELECTRONIC MEANS7 HAS BEEN RECEIVED BY THE CARRIER.8 (d) A CARRIER SHALL NOT REQUIRE POLICYHOLDERS TO SUBMIT 9 REQUESTS, NOTICES, OR RESPONSES BY FACSIMILE OR NONELECTRONIC10 MEANS, UNLESS THE CONSUMER CHOOSES SUBMISSION BY FACSIMILE OR11 NONELECTRONIC MEANS .12 (3) A NOTICE OR DOCUMENT MAY BE DELIVERED BY ELECTRONIC13 MEANS BY A CARRIER TO A PARTY PURSUANT TO THIS SECTION IF :14 (a) T HE PARTY HAS AFFIRMATIVELY CONSENTED ELECTRONICALLY ,15 OR CONFIRMED CONSENT ELECTRONICALLY , IN A MANNER THAT16 REASONABLY DEMONSTRATES THAT THE PARTY CAN ACCESS INFORMATION17 IN THE ELECTRONIC FORM THAT WILL BE USED FOR NOTICES OR18 DOCUMENTS DELIVERED BY ELECTRONIC MEANS TO WHICH THE PARTY HAS19 GIVEN CONSENT, AND THE PARTY HAS NOT WITHDRAWN THE CONSENT ;20 AND21 (b) B EFORE THE PARTY CONSENTS , THE CARRIER PROVIDES THE22 PARTY A CLEAR AND CONSPICUOUS STATEMENT INFORMING THE PARTY OF :23 (I) T HE HARDWARE AND SOFTWARE REQUIREMENTS FOR ACCESS24 TO AND RETENTION OF A NOTICE OR DOCUMENT DELIVERED BY25 ELECTRONIC MEANS;26 (II) T HE TYPES OF NOTICES AND DOCUMENTS TO WHICH THE27 010 -5- PARTY'S CONSENT APPLIES;1 (III) T HE RIGHT OF THE PARTY TO WITHDRAW CONSENT AT ANY2 TIME, AT NO CHARGE, AND ANY CONDITIONS OR CONSEQUENCES TO BE3 IMPOSED IN THE EVENT CONSENT IS WITHDRAWN ;4 (IV) T HE PROCEDURES A PARTY MUST FOLLOW TO WITHDRAW5 CONSENT, WHICH PROCEDURES MUST BE NO MORE BURDENSOME THAN THE6 PROCEDURES REQUIRED TO PROVIDE CONSENT , TO HAVE A NOTICE OR7 DOCUMENT DELIVERED BY ELECTRONIC MEANS , OR TO UPDATE THE8 PARTY'S ELECTRONIC MAIL ADDRESS; AND9 (V) T HE PARTY'S RIGHT TO HAVE ANY NOTICE OR DOCUMENT10 DELIVERED IN PAPER FORM UPON REQUEST .11 (4) (a) N OTWITHSTANDING SUBSECTION (3) OF THIS SECTION, AN12 EMPLOYER OFFERING A HEALTH COVERAGE PLAN MAY , ON BEHALF OF A13 COVERED PERSON ENROLLED IN THE PLAN , PROVIDE CONSENT TO THE14 MAILING OF ALL COMMUNICATIONS RELATED TO THE PLAN BY ELECTRONIC15 MEANS IF, BEFORE CONSENTING ON BEHALF OF A COVERED PERSON , AN16 EMPLOYER HAS:17 (I) C ONFIRMED THAT THE COVERED PERSON ROUTINELY USES18 ELECTRONIC COMMUNICATIONS DURING THE NORMAL COURSE OF19 EMPLOYMENT AND IS ABLE TO ACCESS AND RETAIN ELECTRONIC20 COMMUNICATIONS THAT MAY BE DELIVERED BY THE CARRIER ; AND21 (II) I NFORMED THE COVERED PERSON THAT THE CONSENT WILL BE22 PROVIDED AND NOTICES AND DOCUMENTS RELATED TO THE PLAN MAY BE23 DELIVERED TO THE COVERED PERSON 'S WORK ELECTRONIC MAIL ADDRESS24 UNLESS THE COVERED PERSON AFFIRMATIVELY OPTS OUT OF DELIVERY BY25 ELECTRONIC MEANS OR PROVIDES AN ALTERNATIVE ELECTRONIC MAIL26 ADDRESS.27 010 -6- (b) THE CARRIER FOR THE HEALTH COVERAGE PLAN SHALL :1 (I) P ROVIDE THE COVERED PERSON WITH A CLEAR AND2 CONSPICUOUS STATEMENT INFORMING THE COVERED PERSON OF :3 (A) T HE TYPES OF NOTICES AND DOCUMENTS THAT MAY BE4 DELIVERED TO THE COVERED PERSON BY ELECTRONIC MEANS ;5 (B) T HE RIGHT OF THE COVERED PERSON TO WITHDRAW CONSENT6 TO HAVE A NOTICE OR DOCUMENT DELIVERED BY ELECTRONIC MEANS AT7 ANY TIME WITHOUT CHARGE ;8 (C) T HE PROCEDURES THE COVERED PERSON MUST FOLLOW TO9 WITHDRAW CONSENT TO HAVE A NOTICE OR DOCUMENT DELIVERED BY10 ELECTRONIC MEANS AND TO UPDATE THE COVERED PERSON 'S ELECTRONIC11 MAIL ADDRESS; 12 (D) T HE RIGHT OF THE COVERED PERSON TO HAVE ANY NOTICE OR13 DOCUMENT DELIVERED, UPON REQUEST, IN PAPER FORM FREE OF CHARGE;14 AND15 (E) T HE RIGHT OF THE COVERED PERSON TO SUBMIT REQUESTS , 16 NOTICES, OR RESPONSES THROUGH ELECTRONIC MEANS OR THROUGH A17 CONSUMER PORTAL; AND18 (II) P ROVIDE THE COVERED PERSON AN OPPORTUNITY TO OPT OUT19 OF DELIVERY BY ELECTRONIC MEANS .20 (5) A CARRIER THAT RECEIVES A PARTY 'S CONSENT FOR THE21 DELIVERY OF NOTICES OR DOCUMENTS BY ELECTRONIC MEANS SHALL22 ENSURE THAT THE APPLICABLE PROVISIONS OF THE CONDITIONS UNDER23 THE "UNIFORM ELECTRONIC TRANSACTIONS ACT", ARTICLE 71.3 OF TITLE24 24, ARE SATISFIED, AS REQUIRED BY SUBSECTION (2)(a) OF THIS SECTION.25 (6) (a) W HEN A NOTICE OR DOCUMENT IS PROVIDED26 ELECTRONICALLY TO A PARTY PURSUANT TO THIS SECTION , A CARRIER27 010 -7- SHALL APPRISE THE PARTY OF THE SIGNIFICANCE OF THE NOTICE OR1 DOCUMENT, WHEN IT IS NOT OTHERWISE REASONABLY EVIDENT , AND OF2 THE RIGHT TO REQUEST AND OBTAIN A PAPER VERSION OF THE NOTICE OR3 DOCUMENT.4 (b) A CARRIER SHALL TAKE ALL REASONABLE MEASURES TO5 ENSURE THAT DELIVERY BY ELECTRONIC MEANS PURSUANT TO THIS6 SECTION RESULTS IN THE PARTY'S RECEIPT OF THE NOTICE OR DOCUMENT.7 (7) A FTER A PARTY GIVES CONSENT FOR THE DELIVERY OF NOTICES8 AND DOCUMENTS BY ELECTRONIC MEANS , IF A CHANGE IN THE HARDWARE9 OR SOFTWARE REQUIREMENTS NEEDED TO ACCESS OR RETAIN A NOTICE OR10 DOCUMENT CREATES A MATERIAL RISK THAT THE PARTY WILL NOT BE11 ABLE TO ACCESS OR RETAIN A NOTICE OR DOCUMENT TO WHICH THE12 CONSENT APPLIES, THE CARRIER SHALL NOT DELIVER THE NOTICE OR13 DOCUMENT BY ELECTRONIC MEANS UNLESS THE CARRIER COMPLIES WITH14 SUBSECTION (3) OF THIS SECTION AND PROVIDES THE PARTY A STATEMENT15 THAT DESCRIBES:16 (a) T HE REVISED HARDWARE AND SOFTWARE REQUIREMENTS FOR17 ACCESS TO AND RETENTION OF A NOTICE OR DOCUMENT DELIVERED BY18 ELECTRONIC MEANS; AND19 (b) T HE RIGHT OF THE PARTY TO WITHDRAW CONSENT WITHOUT20 THE IMPOSITION OF ANY CONDITION OR CONSEQUENCE THAT WAS NOT21 DISCLOSED AT THE TIME OF INITIAL CONSENT.22 (8) (a) T HIS SECTION DOES NOT AFFECT REQUIREMENTS RELATED23 TO THE CONTENT OR TIMING OF ANY NOTICE OR DOCUMENT REQUIRED BY24 ANY OTHER APPLICABLE LAW .25 (b) I F ANOTHER APPLICABLE LAW EXPRESSLY REQUIRES A26 CONFIRMATION OF RECEIPT OF A NOTICE OR DOCUMENT , THE NOTICE OR27 010 -8- DOCUMENT MAY BE DELIVERED BY ELECTRONIC MEANS ONLY IF THE1 METHOD USED PROVIDES FOR ACTIVE CONFIRMATION OF RECEIPT BY THE2 RECIPIENT.3 (c) T HIS SECTION DOES NOT APPLY TO A NOTICE OR DOCUMENT4 THAT A CARRIER DELIVERED BY ELECTRONIC MEANS BEFORE THE5 EFFECTIVE DATE OF THIS SECTION TO A PARTY WHO , BEFORE THAT DATE,6 CONSENTED TO RECEIVE THE NOTICE OR DOCUMENT BY ELECTRONIC7 MEANS AS OTHERWISE ALLOWED BY LAW .8 (d) T HE LEGAL EFFECTIVENESS, VALIDITY, OR ENFORCEABILITY OF9 ANY CONTRACT OR POLICY OF INSURANCE EXECUTED BY A PARTY SHALL10 NOT BE DENIED SOLELY BECAUSE OF THE FAILURE OF THE CARRIER TO11 OBTAIN OR CONFIRM THE PARTY'S CONSENT FOR THE DELIVERY OF NOTICES12 OR DOCUMENTS BY ELECTRONIC MEANS SO LONG AS THE NOTICE OR13 DOCUMENT IS DELIVERED IN PAPER FORM .14 (9) (a) A PARTY'S WITHDRAWAL OF CONSENT DOES NOT AFFECT15 THE LEGAL EFFECTIVENESS, VALIDITY, OR ENFORCEABILITY OF A NOTICE16 OR DOCUMENT THAT IS DELIVERED BY ELECTRONIC MEANS TO THE PARTY17 BEFORE THE PARTY'S WITHDRAWAL OF CONSENT IS EFFECTIVE .18 (b) A WITHDRAWAL OF CONSENT BY A PARTY SHALL BE EFFECTIVE19 WITHIN A REASONABLE PERIOD OF TIME AFTER RECEIPT OF THE20 WITHDRAWAL BY THE CARRIER .21 (c) A CARRIER'S FAILURE TO COMPLY WITH SUBSECTION (3) OR (4)22 OF THIS SECTION MAY BE TREATED, AT THE ELECTION OF A PARTY, AS A23 WITHDRAWAL OF THE PARTY 'S CONSENT FOR PURPOSES OF THIS SECTION.24 (10) I F THE CONSENT OF A PARTY TO RECEIVE NOTICES OR25 DOCUMENTS BY ELECTRONIC MEANS IS ON FILE WITH A CARRIER BEFORE26 THE EFFECTIVE DATE OF THIS SECTION , AND A CARRIER INTENDS TO27 010 -9- DELIVER ADDITIONAL NOTICES OR DOCUMENTS TO THE PARTY BY1 ELECTRONIC MEANS PURSUANT TO THIS SECTION , THEN PRIOR TO2 DELIVERING THE ADDITIONAL NOTICES OR DOCUMENTS BY ELECTRONIC3 MEANS, THE CARRIER SHALL COMPLY WITH SUBSECTION (2) OF THIS4 SECTION AND SHALL PROVIDE THE PARTY A STATEMENT THAT DESCRIBES :5 (a) T HE NOTICES OR DOCUMENTS TO BE DELIVERED BY ELECTRONIC6 MEANS THAT WERE NOT PREVIOUSLY DELIVERED BY ELECTRONIC MEANS ;7 AND8 (b) T HE PARTY'S RIGHT TO WITHDRAW CONSENT TO HAVE NOTICES9 OR DOCUMENTS DELIVERED BY ELECTRONIC MEANS , WITHOUT THE10 IMPOSITION OF ANY CONDITION OR CONSEQUENCE THAT WAS NOT11 DISCLOSED AT THE TIME OF INITIAL CONSENT.12 (11) (a) A CARRIER SHALL DELIVER A NOTICE OR DOCUMENT BY13 ANY OTHER DELIVERY METHOD PERMITTED BY LAW OTHER THAN BY14 ELECTRONIC MEANS IF:15 (I) T HE CARRIER ATTEMPTS TO DELIVER THE NOTICE OR DOCUMENT16 BY ELECTRONIC MEANS AND REASONABLY BELIEVES THAT THE NOTICE OR17 DOCUMENT HAS NOT BEEN RECEIVED BY THE PARTY ; OR18 (II) T HE CARRIER BECOMES AWARE THAT THE ELECTRONIC MAIL19 ADDRESS PROVIDED BY THE PARTY IS NO LONGER VALID .20 (b) A PARTY'S CONSENT TO HAVE NOTICES OR DOCUMENTS21 DELIVERED BY ELECTRONIC MEANS DOES NOT PRECLUDE THE CARRIER22 FROM DELIVERING A NOTICE OR DOCUMENT BY ANY OTHER DELIVERY23 METHOD PERMITTED BY LAW .24 (12) A N INSURANCE PRODUCER LICENSED PURSUANT TO PART 4 OF25 ARTICLE 2 OF THIS TITLE 10 IS NOT SUBJECT TO CIVIL LIABILITY FOR ANY26 HARM OR INJURY THAT OCCURS BECAUSE OF A PARTY 'S ELECTION TO27 010 -10- RECEIVE ANY NOTICE OR DOCUMENT BY ELECTRONIC MEANS OR BY A1 CARRIER'S FAILURE TO DELIVER OR A PARTY 'S FAILURE TO RECEIVE A2 NOTICE OR DOCUMENT BY ELECTRONIC MEANS .3 (13) (a) A HEALTH COVERAGE PLAN AND AN ENDORSEMENT THAT4 DOES NOT CONTAIN PERSONAL IDENTIFYING INFORMATION MAY BE5 MAILED, DELIVERED, OR, IF THE CARRIER OBTAINS SEPARATE, SPECIFIC6 CONSENT, POSTED ON THE CARRIER'S WEBSITE. IF THE CARRIER ELECTS TO7 POST A COVERED PERSON 'S HEALTH COVERAGE PLAN AND AN8 ENDORSEMENT ON THE CARRIER 'S WEBSITE IN LIEU OF MAILING OR9 DELIVERING THE HEALTH COVERAGE PLAN AND ENDORSEMENT TO THE10 COVERED PERSON, THE CARRIER SHALL COMPLY WITH THE FOLLOWING11 CONDITIONS:12 (I) T HE HEALTH COVERAGE PLAN AND ENDORSEMENT MUST BE13 ACCESSIBLE TO THE COVERED PERSON AND PRODUCER OF RECORD AND14 REMAIN ACCESSIBLE WHILE THE HEALTH COVERAGE PLAN IS IN FORCE ;15 (II) A FTER THE EXPIRATION OF THE HEALTH COVERAGE PLAN , THE16 CARRIER SHALL EITHER:17 (A) M AKE THE EXPIRED HEALTH COVERAGE PLAN AND18 ENDORSEMENT AVAILABLE UPON REQUEST , FOR A PERIOD OF FIVE YEARS;19 OR20 (B) I F THE CARRIER CONTINUES TO MAKE THE EXPIRED HEALTH21 COVERAGE PLAN OR ENDORSEMENT AVAILABLE ON ITS WEBSITE , CONTINUE22 TO ALLOW THE COVERED PERSON TO ACCESS THE HEALTH COVERAGE PLAN23 AND ENDORSEMENT FOR AT LEAST FIVE YEARS ;24 (III) T HE CARRIER SHALL POST THE HEALTH COVERAGE PLAN AND25 ENDORSEMENT IN A MANNER THAT ENABLES THE COVERED PERSON AND26 PRODUCER OF RECORD TO PRINT AND SAVE THE HEALTH COVERAGE PLAN27 010 -11- AND ENDORSEMENT USING A PROGRAM OR APPLICATION THAT IS WIDELY1 AVAILABLE ON THE INTERNET AND FREE TO USE ;2 (IV) T HE CARRIER SHALL PROVIDE THE FOLLOWING INFORMATION3 IN, OR SIMULTANEOUS WITH, EACH DECLARATION PAGE PROVIDED AT THE4 TIME OF ISSUANCE OF THE INITIAL HEALTH COVERAGE PLAN AND ANY5 RENEWALS OF THE HEALTH COVERAGE PLAN :6 (A) A DESCRIPTION OF THE EXACT HEALTH COVERAGE PLAN AND7 ENDORSEMENT FORM APPLICABLE TO THE COVERED PERSON ;8 (B) A DESCRIPTION OF THE COVERED PERSON'S RIGHT TO RECEIVE,9 UPON REQUEST AND WITHOUT CHARGE , AN ELECTRONIC AND A PAPER COPY10 OF THE HEALTH COVERAGE PLAN AND ENDORSEMENT ; AND11 (C) T HE INTERNET ADDRESS AT WHICH THE HEALTH COVERAGE12 PLAN AND ENDORSEMENT ARE POSTED ;13 (V) T HE CARRIER, UPON A COVERED PERSON 'S REQUEST AND14 WITHOUT CHARGE FOLLOWING RECEIPT OF THE INITIAL COPY , SHALL MAIL15 A PAPER COPY OF THE HEALTH COVERAGE PLAN AND ENDORSEMENT TO16 THE COVERED PERSON; EXCEPT THAT THE CARRIER MAY CHARGE A FEE FOR17 SUBSEQUENT MAILINGS OF PAPER COPIES ; AND18 (VI) T HE CARRIER SHALL PROVIDE NOTICE , EITHER19 ELECTRONICALLY OR IN WRITING AT THE COVERED PERSON 'S OPTION, OF:20 (A) A NY CHANGE TO THE FORMS OR ENDORSEMENT ;21 (B) T HE COVERED PERSON'S RIGHT TO OBTAIN, UPON REQUEST AND22 ONCE WITHOUT CHARGE FOLLOWING RECEIPT OF THE INITIAL COPY , A23 PAPER COPY OF THE FORMS OR ENDORSEMENT ; AND24 (C) T HE INTERNET ADDRESS AT WHICH THE FORMS OR25 ENDORSEMENT IS POSTED.26 (b) T HIS SUBSECTION (13) DOES NOT AFFECT THE TIMING OR27 010 -12- CONTENT OF ANY DISCLOSURE OR DOCUMENT REQUIRED TO BE PROVIDED1 OR MADE AVAILABLE TO ANY COVERED PERSON UNDER APPLICABLE LAW .2 (14) T HE COMMISSIONER MAY ADOPT RULES TO IMPLEMENT THIS 3 SECTION. 4 SECTION 3. Act subject to petition - effective date -5 applicability. (1) This act takes effect January 1, 2026; except that, if a6 referendum petition is filed pursuant to section 1 (3) of article V of the7 state constitution against this act or an item, section, or part of this act8 within the ninety-day period after final adjournment of the general9 assembly, then the act, item, section, or part will not take effect unless10 approved by the people at the general election to be held in November11 2026 and, in such case, will take effect January 1, 2026, or on the date of12 the official declaration of the vote thereon by the governor, whichever is13 later.14 (2) This act applies to conduct occurring on or after the applicable15 effective date of this act.16 010 -13-