2020 New Mexico Statutes
Chapter 59A - Insurance Code
Article 17 - Insurance Rates and Rating
Section 59A-17-8 - Making of rates; workers' compensation; rate calculations; rate classifications.
A. A workers' compensation insurer shall adhere to a uniform classification system and uniform experience rating system filed with the superintendent by an advisory organization designated by the superintendent.
B. A workers' compensation insurer shall report its experience in accordance with the statistical plans and other reporting requirements in use by the advisory organization designated by the superintendent.
C. Workers' compensation premium rates shall be equalized and calculated on a basis that does not discriminate against or penalize employers who pay higher wages than other employers to workers in the same job classification. The legislature finds that calculating workers' compensation premium rates strictly on the basis of an employer's wages paid discriminates against and penalizes higher-paying employers. The legislature accordingly directs that the superintendent shall:
(1) investigate alternatives to the current method of computing workers' compensation premiums, including but not limited to:
(a) split classification;
(b) payroll cap;
(c) hours worked; and
(d) premium credits;
(2) immediately conduct hearings on the issue, including consideration of other alternatives; and
(3) adopt regulations, to become effective no later than April 1, 1991, to equalize the workers' compensation premium rates employers must pay for workers who perform the same job.
Nothing in this subsection shall be construed to prohibit the use of experience rating or scheduled credits.
D. A workers' compensation insurer may develop subclassifications of the uniform classification system upon which rates may be made. Such subclassifications and their filing shall be subject to all applicable provisions of the Insurance Rate Regulation Law. Data produced from such subclassifications shall be reported in accordance with the statistical plans, uniform classification system and experience rating system in use by the advisory organization designated by the superintendent.
E. Classification assignments may be changed within sixty days of the effective date or renewal date of the policy, provided the employer is given reasonable prior notice of the proposed change in order to object and provided further that the change is based upon an appropriate audit or investigation. The same provisions apply to initial classification assignments for new operations added by the employer so that they may be changed within sixty days of the date the classification assignments are initially established. No subsequent changes shall be made unless the insurer proves, after conducting an audit or investigation, that:
(1) there has been a substantial change in the nature of the work performed; or
(2) the initial assignment was in error due to withheld or inaccurate material information provided by the employer.
F. A workers' compensation insurer may develop rating plans that identify loss experience as a factor to be used. The rating plans and their filing shall be subject to all applicable provisions of the Insurance Rate Regulation Law.
G. The superintendent shall disapprove subclassifications, rating plans or other variations from supplementary rate information filed by a workers' compensation insurer if the insurer fails to demonstrate that the data produced can be reported consistent with the uniform classification system and experience rating system and in such a fashion so as to allow for the application of experience rating filed by the advisory organization designated by the superintendent.
History: Laws 1984, ch. 127, § 304; 1987, ch. 244, § 1; 1990 (2nd S.S.), ch. 2, § 92; 2007, ch. 367, § 11.
ANNOTATIONSThe 2007 amendment, effective July 1, 2007, deleted former Subsections A, B and D and added new Subsections A, B, D, F and G.
Requiring rate service organization to submit investment income data. — Given the mandate in Subsection A(1) to consider "all other relevant factors" to determine the propriety of proposed workers' compensation premiums, it was within the board's power to request a rate service organization to submit investment income data. National Council on Comp. Ins. v. New Mexico SCC, 1988-NMSC-036, 107 N.M. 278, 756 P.2d 558.
Although a rate service organization presented evidence that insurers were incurring significant underwriting losses in New Mexico, that did not preclude the board from disapproving its filing because of other deficiencies in information, such as failure to provide investment income data, which would affect the materiality of underwriting losses. National Council on Comp. Ins. v. New Mexico SCC, 1988-NMSC-036, 107 N.M. 278, 756 P.2d 558.
Law reviews. — For survey of 1990-91 workers' compensation law, see 22 N.M.L. Rev. 845 (1992).
Am. Jur. 2d, A.L.R. and C.J.S. references. — 43 Am. Jur. 2d Insurance § 64.
44 C.J.S. Insurance § 15 et seq.
