2011 New Mexico Statutes
Chapter 59A: Insurance Code
Article 54: Medical Insurance Pool, 59A-54-1 through 59A-54-21
Section 59A-54-6: Notice of pool.


NM Stat § 59A-54-6 (1996 through 1st Sess 50th Legis) What's This?

59A-54-6. Notice of pool.

A. Commencing September 1, 1987, every insurer shall provide a notice and an application for coverage by the pool to any person who receives:

(1) a rejection of coverage for health insurance or health care services;

(2) a notice that the rate for health insurance or coverage for health care services provided will exceed the rates of a pool policy; or

(3) a notice of reduction or limitation of coverage, including a restrictive rider, from an insurer if the effect of the reduction or limitation is to substantially reduce coverage compared to the coverage available to a person considered a standard risk for the type of coverage provided by the plan.

B. The notice required by Subsection A of this section shall state that effective January 1, 1988 or an earlier date, that person is eligible to apply for health insurance provided by the pool. Application for the health insurance shall be on forms prescribed by the board and made available to all insurers.

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