# C.R.S. § 10-16-1002: 10-16-1002. Definitions

> Colorado · Statutes · Repealed

URL: https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1002

## Section

- **Citation:** C.R.S. § 10-16-1002
- **Heading:** 10-16-1002. Definitions
- **Jurisdiction:** Colorado
- **Kind:** Statutes
- **Status:** Repealed
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** CO Code / Title 10 / Article 16 / Part 10 / Section 10-16-1002

## Text

10-16-1002. Definitions. As used in this part 10, unless the context otherwise requires:

(1) Repealed.

(2) "Cooperative" or "health-care coverage cooperative" means a health-care coverage cooperative created pursuant to this part 10 as an entity that provides to its members health coverage and health-care purchasing services, including but not limited to detailed information on comparative prices, usage, outcomes, quality, and member satisfaction with provider networks. "Cooperative" does not include a cooperative association organized without capital stock in accordance with article 55 of title 7, C.R.S., that is subject to articles 121 to 137 of title 7, C.R.S., and that had filed articles of incorporation with the secretary of state on or before March 15, 1991.

(3) "Health information" has the same meaning as "medical information", as set forth in section 18-4-412 (2)(b), C.R.S. "Health information" also includes information that relates to the past, present, or future physical or mental health of the member and its eligible employees and to payment for the provision of health care to the member and its eligible employees.

(4) "Licensed provider network" shall have the same meaning as in section 6-18-301.5 (1), C.R.S.

(5) "Managed care" has the same meaning as "managed care plan", as defined in section 10-16-102 (43).

(6) (a) "Member" means any public or private employer that has employees covered for health benefits through a cooperative.

(b) If, pursuant to section 10-16-1009 (3)(l), a cooperative provides coverage to individuals and allows individuals to join the cooperative, "member" may also include an individual who is covered by a plan purchased through a cooperative and any dependent of the individual, including a dependent child who is under twenty-six years of age.

(6.5) "Member class" means the class of member based on whether the member would qualify for coverage in the individual market, the small employer fully insured market, the large employer fully insured market, or the employer self-insured market.

(7) "Person with financial interest in the cooperative's business" means one of the following or an immediate family member of one of the following:

(a) A health-care provider who is contracting or attempting to contract, directly or indirectly, with the cooperative;

(b) An individual who is an employee or member of the board of directors of, has a substantial ownership interest in, or derives substantial income from an entity or person that is contracting or attempting to contract, directly or indirectly, with the cooperative; or

(c) An employee of an association, law firm, or other institution or organization that represents the interests of one or more entities or persons that are contracting or attempting to contract, directly or indirectly, with the cooperative.

(8) "Provider network" means a group of health-care providers formed to provide health-care services to individuals.

(9) "Purchaser" means an individual, an organization, or a governmental entity that makes health benefit purchasing decisions on behalf of a group of individuals.

(10) "Utilization management" means programs designed to assure appropriate utilization of health services relative to established standards or norms.

(11) Repealed.

## Nearby sections

- [C.R.S. § 10-16-1001 10-16-1001. Legislative declaration](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1001.md)
- [C.R.S. § 10-16-1002 10-16-1002. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1002.md)
- [C.R.S. § 10-16-1003 10-16-1003. Privacy of health information](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1003.md)
- [C.R.S. § 10-16-1004 10-16-1004. Health-care coverage cooperatives - establishment - fees](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1004.md)
- [C.R.S. § 10-16-1005 10-16-1005. Issuance of certificate of authority by commissioner for cooperative to purchase](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1005.md)
- [C.R.S. § 10-16-1006 10-16-1006. Authority to deny application for, revoke, or suspend certificate of authority](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1006.md)
- [C.R.S. § 10-16-1007 10-16-1007. Prohibition on cooperatives transacting insurance business](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1007.md)
- [C.R.S. § 10-16-1008 10-16-1008. Administrative structure of cooperatives - board of directors - officers - emplo](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1008.md)
- [C.R.S. § 10-16-1009 10-16-1009. Powers, duties, and responsibilities of cooperatives](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1009.md)
- [C.R.S. § 10-16-1010 10-16-1010. Marketing requirements of cooperatives](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1010.md)
- [C.R.S. § 10-16-1011 10-16-1011. Requirements for waivered health care coverage cooperatives - rules](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1011.md)
- [C.R.S. § 10-16-1012 10-16-1012. Application of rating factors inside a waivered cooperative](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1012.md)
- [C.R.S. § 10-16-1013 10-16-1013. Violations of article by persons involved with operations of cooperatives - enfo](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1013.md)
- [C.R.S. § 10-16-1014 10-16-1014. Technical assistance to authorized cooperatives from division of insurance](https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1014.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_CO_T10_A16_P10_S10-16-1002. Check the current official text before relying on it. Not legal advice.
