N.M. Admin. Code § 13.10.9.10 - POLICY OR PLAN DISCLOSURE REQUIREMENTS
A. Upon offering coverage under a policy or
plan for any individual, family or group member, an insurer, fraternal benefit
society, health maintenance organization or nonprofit healthcare plan shall
provide the individual, family or group member with a written disclosure
statement in accordance with the requirements of Section 59A-23B-5A and B NMSA
1978. Provided, however, that in the event of a lapse in healthcare coverage, a
disclosure statement need not be offered by the same carrier upon reinstatement
of the same policy or plan.
B.
Before any insurer, fraternal benefit society, health maintenance organization
or nonprofit healthcare plan issues a policy or plan contract, the insurer,
fraternal benefit society, health maintenance organization or nonprofit
healthcare plan shall obtain from the prospective policyholder, contract holder
or member a signed written statement in accordance with the requirements of
Section 59A-23B-5C and D NMSA 1978.
Notes
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