New Mexico
Register / Volume XXXV, Issue 23 / December 10, 2024
TITLE 13 INSURANCE
CHAPTER 4 LICENSING OF INSURANCE PROFESSIONALS
PART 2 RESIDENT PRODUCERS AND OTHER
RESIDENT LICENSES
13.4.2.1 ISSUING AGENCY: Office of
Superintendent of Insurance (OSI).
[13.4.2.1 NMAC – Rp, 13.4.2.1 NMAC, 04/01/2025]
13.4.2.2 SCOPE: This rule applies to persons seeking
licensure to engage in insurance-related activities as defined in Articles 1
and 7 of Chapter 59A NMSA 1978 and who shall be licensed pursuant to articles
of the Insurance Code.
[13.4.2.2 NMAC – Rp, 13.4.2.2 NMAC, 04/01/2025]
13.4.2.3 STATUTORY AUTHORITY: Chapter 59A, Articles 11, 12, 12A, 12B and 13
and Section 59A-2-9 NMSA 1978, and 18 U.S.C. Section 1033.
[13.4.2.3 NMAC –
Rp, 13.4.2.3 NMAC, 04/01/2025]
13.4.2.4 DURATION: Permanent.
[13.4.2.4 NMAC – Rp, 13.4.2.4 NMAC, 04/01/2025]
13.4.2.5 EFFECTIVE DATE: April 1, 2025,
unless a later date is cited at the end of a section.
[13.4.2.5 NMAC – Rp, 13.4.2.5 NMAC, 04/01/2025]
13.4.2.6 OBJECTIVE:
A. Covered by
this rule. The purpose of this rule is to implement Chapter
59A, Articles 11, 12, 12A, 12B and 13 NMSA 1978 and Section 59A-2-9 NMSA 1978, and
other articles within the Insurance Code that address licensing of insurance
professionals by the superintendent of insurance. This rule establishes requirements for
obtaining a license as a resident insurance producer, insurance consultant,
producer for prepaid dental plans, producer for sales of membership in a health
maintenance organization, producer for a fraternal benefit society, vendor
selling portable electronics insurance, salesperson for prearranged funeral
plans, title insurance producer, reinsurance intermediary, managing
general agent, registered motor club representative, rental car insurance
producer or endorsee, temporary insurance producer or travel insurance producer. This
rule also establishes requirements for qualifying examinations and the
issuance, duration, continuation and termination of all such licenses,
appointments and registrations, referred to herein as “licenses.”
B. Covered under other rules. For licensing of bail bondsmen and their
solicitors, refer to 13.20.2 NMAC. For
licensing of surplus lines brokers, refer to Section 59A-14-1 et seq. NMSA 1978
and 13.4.4 NMAC. For licensing of
resident annuity or securities salespersons, refer to Section 59A-35-1 et seq.
NMSA 1978 and 13.3.6 NMAC. For licensing
of staff, independent and public adjusters refer to Section 59A-13-1 et seq.
NMSA 1978 and 13.4.8 NMAC. For licensing of third-party administrators,
refer to 13.4.5 NMAC. For appointment of licensed producers to
transact credit life and credit health insurance, refer to Section 59A-25-1 et
seq. NMSA 1978 and 13.18.2 NMAC. For
licensing of pharmacy benefit managers, refer to Section 59A-61-1 et seq. NMSA
1978 and other OSI rules.
[13.4.2.6 NMAC – Rp, 13.4.2.6 NMAC, 04/01/2025]
13.4.2.7 DEFINITIONS: For the purposes of this rule:
A. “affiliate”
means a person that controls, is controlled by or is under common control with
an insurance producer;
B. “appointment”
means official authorization by an insurer of a licensed producer to transact
insurance on the insurer’s behalf upon application and the payment of required
fees by the insurer to the superintendent;
C. “broker” means
a type of insurance producer who, not being an agent of the insurer, but as an
independent contractor and on behalf of the insured, solicits, negotiates or
procures insurance or annuity contracts or the renewal or continuation thereof
for insureds or prospective insureds other than the broker. In any controversy between an insured or an
insured’s beneficiary and the insurer issuing the insurance through its
licensed insurance producer at the request of a broker, the broker shall be
held to be the agent of the insured unless under particular circumstances it is
found that the broker is representing the insurer or in instances of fraud or
attempted fraud by the insured. “Broker”
does not include a surplus lines broker as defined in Chapter 59A, Article 14
NMSA 1978;
D. “business entity”
means a corporation, association, partnership, limited liability company,
limited liability partnership or other legal entity;
E.
“central registration
depository” or “CRD” means the
national program overseen by the financial industry regulatory authority
that supports the licensing and
registration filing requirements of the United States securities industry and
its regulators by maintaining registration records of broker-dealer firms,
branch offices and their associated individuals, including their qualification,
employment and disclosure histories; the CRD also directs the processing of
form filings, fingerprint submissions, collection and disbursement of
registration-related fees, qualification exams and continuing education
sessions;
F. “compensation” means payments, commissions, fees, awards,
overrides, bonuses, contingent commissions, loans, stock options, gifts, prizes
or any other form of valuable consideration, whether or not payable pursuant to
a written agreement;
G. “designated home
state” means a state in which an insurance producer is licensed and which
the producer designates for purposes of compliance with licensing regulations;
H. “designated responsible licensed producer” or “DRLP” is as
defined in Subsection B of 13.4.2.10 NMAC;
I. “errors
and omissions policy” or “professional
indemnity insurance” means a form of casualty insurance that helps
to protect individuals and companies from costs of defending against a
negligence claim based on allegations of loss caused by an error or omission in
the service sold;
J. “escrow” means a transaction in
which funds are delivered or given to a person not otherwise having any right,
title or interest in them, to be held by that person for delivery or
disbursement to another person upon the occurrence of a specified event or the
performance of a specified condition;
K. “financial
industry regulatory authority” or
“FINRA” means the not-for-profit organization authorized by Congress that
oversees United States securities broker-dealers;
L. “home state”
means the District of Columbia or any state or territory of the United States
which is the principal place of residence or principal place of business for an
insurance producer and in which the producer is licensed to transact insurance;
M. “insurance” has
the meaning set forth in Section 59A-1-5 NMSA 1978;
N. “insurance consultant” means a person who, under
an agreement with an insured or potential insured, provides professional advice
regarding a policy, annuity or other instrument of insurance in exchange for a
fee, as set forth in Section 59A-11A-1 NMSA 1978.
O. “insurance
producer” means a person required to be licensed in this state to sell,
solicit or negotiate insurance. A
licensed insurance producer appointed by an insurer shall, in any controversy
between an insured or an insured’s beneficiary and the insurer, be held to be
the agent of the insurer that issued the insurance solicited or applied for;
P. “insurer” has
the meaning set forth in Section 59A-1-8 NMSA 1978;
Q. “license” means a document issued by the superintendent of
insurance authorizing a person to act as an insurance producer for the lines of
authority specified in the document or to engage in other insurance
transactions based on the type of license;
R. “limited lines
insurance” means those lines of insurance as set forth in Sections
59A-12-18, 59A-12-18.1 and 59A-60-1 et seq. NMSA 1978, or any other line of
insurance that the superintendent deems necessary;
S. “limited
lines insurance producer” means a
licensed insurance producer who is qualified to solicit and sell limited lines
insurance;
T. “managing general agent” means a
specialized type of licensed insurance producer as defined in Subsection C of
Section 59A-12B-2 NMSA 1978;
U. “NAIC” means the national association
of insurance commissioners;
V. “negotiate” means the act of conferring directly with or
offering advice directly to a purchaser or prospective purchaser of a
particular contract of insurance concerning any of the substantive benefits,
terms or conditions of the contract, provided that the person engaged in that
act either sells insurance or obtains insurance from insurers for purchasers;
W. “offer
and disseminate” means providing
general information, such as a description of coverage and price, processing
applications, collecting premiums and performing other insurance-related
activities for which a license is not required by this state;
X. “prearranged funeral plan” means a contract for future
delivery of a funeral plan as defined in Subsections A, B and C of Section
59A-49-4 NMSA 1978;
Y. “prepaid dental plan” means a contractual arrangement whereby a prepaid
dental plan organization undertakes to directly provide or to arrange for the
provision of prepaid dental services and to pay or make reimbursement for any
remaining portion of such prepaid dental services on a prepaid basis through
insurance or otherwise;
Z. “principal” means a
person who gives authority to another to act on the person’s behalf;
AA. “rental
car endorsee” means a rental car agent’s employee who offers, sells, binds,
effects, solicits or negotiates rental car insurance and who satisfies the
requirements of Subsection C of 13.4.2.15 NMAC;
BB. “rental car insurance” means insurance sold in
connection with and incidental to the rental of a vehicle and that applies only
to the vehicle that is the subject of the rental agreement, and as further
defined in Subsection E of Section 59A-32A-2 NMSA 1978;
CC. “rental car producer” means a person or entity in the business of renting
rental cars to the public and that is licensed to offer, sell, bind, effect,
solicit or negotiate rental car insurance;
DD. “resident of the state” means an individual who maintains a principal home
in New Mexico and holds no active resident insurance license in another state;
EE. “sell” means to exchange a contract of insurance by any means, for money or its
equivalent, on behalf of an insurer;
FF. “service
representative” means an individual regularly employed and salaried by an
insurer, group of insurers or managing general agent who assists insurance
producers in soliciting, negotiating and effectuating insurance for the
insurer, group or managing general agent and who, in the conduct of their
business, receives no part of the commission on insurance written. A service representative is not required to
be licensed, nor shall the service representative independently solicit or negotiate
insurance or annuity contracts;
GG. “solicit” means to attempt to sell insurance or ask or
urge a person to apply for a particular kind of insurance from a particular
insurer;
HH. “superintendent”
means the superintendent of insurance, the office of superintendent of
insurance or employees of the office of superintendent of insurance acting
within the scope of the superintendent’s official duties and with the
superintendent’s authorization;
II. “terminate” means to cancel the relationship between an
insurance producer and the insurer or to terminate a licensed insurance
professional’s authority to transact insurance;
JJ. “title abstract plant” is as defined in Section
59A-12-13 NMSA 1978;
KK. “title insurance
policy” means an insurance contract indemnifying against loss or damages, as set forth in Subsection
H of Section 59A-30-3 NMSA 1978;
LL. “title insurance business” means the types of
business set forth in Subsection C of
Section 59A-30-3 NMSA 1978;
MM. “title insurance producer” is a person licensed in this state to engage in the
business of title insurance and who has been appointed to perform escrow,
closing and settlement functions of a real estate transaction by a title
insurer;
NN. “travel insurance policy” means insurance coverage
for personal risks incident to planned travel as defined in Paragraph (3) of
Subsection H of Section 59A-12-18.1 NMSA 1978; and
OO. “travel retailer” means a business entity
that makes, arranges or offers travel services.
[13.4.2.7 NMAC – Rp, 13.4.2.7 NMAC, 04/01/2025]
13.4.2.8 TYPES OF INSURANCE LICENSES:
A. License required.
(1) No individual or business entity shall sell, solicit or negotiate insurance in this state unless
licensed by the superintendent as an insurance producer for that line of insurance. Any person who is compensated for soliciting or accepting
applications for health maintenance organization membership from the public shall be licensed as a
health insurance producer in accordance with the provisions of Section 59A-46-17 NMSA 1978.
(2) A business entity that is licensed as an insurance producer shall employ
licensed individual insurance producers to transact the types of insurance for
which the business entity is licensed.
Such an individual insurance producer shall hold a license of the same
type as that of the business entity employer.
(3) Persons who engage in other transactions that are subject
to the Insurance Code shall be licensed according to requirements set forth
under relevant sections.
B. Producer license types based on lines of
authority. An insurance producer may
be qualified for one or more of the following lines of authority:
(1) casualty
insurance, including coverage against legal liability, including for death,
injury, disability or damage to real or personal property;
(2) property insurance, including coverage for direct or
consequential loss or damage to property of every kind;
(3) accident and health or sickness insurance, including
coverage for sickness, bodily injury or accidental death and may include
benefits for disability income;
(4) life insurance, including coverage on human lives, benefits
of endowment and annuities, and other benefits in the event of death or
dismemberment by accident and may include benefits for disability income;
(5) variable life and variable annuity insurance, including
contracts deemed to constitute securities that require that the producer also
possess a license as a security salesman under other applicable state laws; and
(6) personal lines, including property and casualty insurance
coverage sold to individuals and families for primarily noncommercial purposes.
C. Producer licenses for limited lines. An insurance producer may also be licensed
for any of the following limited lines:
(1) credit insurance, as sold by individual producers who are
employed full time by a vendor of merchandise or other property or by a
financial institution that executes consumer loans which require credit life
insurance, credit disability insurance, credit property insurance or credit
involuntary unemployment insurance as set forth in Section 59A-25-1 et seq. NMSA 1978;
(2) travel insurance, as sold by producers who are qualified to
solicit or sell travel insurance as set forth in Section 59A-12-18.1 et seq.
NMSA 1978 and 13.4.2.14 NMAC;
(3) portable electronics insurance, as sold by vendors and
their employees and representatives in accordance with the provisions of the
Portable Electronics Insurance Act found at Section 59A-60-1 et seq. NMSA 1978
and as set forth in 13.4.2.21 NMAC;
(4) rental car insurance, as sold in connection with and
incidental to the rental of vehicles by a rental car company and in accordance
with the provisions of the Rental Car Insurance Limited Producer License Act
found in Section 59A-32A-1 et seq. NMSA
1978 and as set forth in 13.4.2.15 NMAC;
(5) title insurance, as sold by title insurance business
entities and the title insurance producers employed by them in accordance with
the provisions of the New Mexico Title Insurance Law found in Section 59A-30-1
et seq. NMSA 1978 and as set forth in
13.4.2.13 NMAC; or
(6) motor club services, as sold by a registered representative
and provided by a motor club holding a certificate of authority in this state
in accordance with the provisions of the Motor Club Law found in Section
59A-50-1 et seq. NMSA 1978 and as set
forth in 13.4.2.16 NMAC.
D. Other licenses required.
Persons engaging in any of the following types of transaction under the
insurance code shall also be licensed:
(1) persons
offering membership in a prepaid dental plan in accordance with the provisions of the Prepaid Dental Plan Law
found in Section 59A-48-1 et seq. NMSA 1978 and as set forth in 13.4.2.18 NMAC;
(2) persons engaged in the sale of prearranged funeral
plans in accordance with the provisions of the Prearranged
Funeral Plan Regulatory Law found
in Section 59A-49-1 et seq. NMSA 1978 and as set forth in 13.4.2.19 NMAC;
(3) persons
offering benefits to members through a fraternal benefit society as set forth in Section 59A-44-1 et
seq. NMSA 1978 and 13.4.2.20 NMAC;
(4) persons
acting as reinsurance intermediaries in accordance with the provisions of the
Reinsurance Intermediary Law found at Section 59A-12D-1 et seq. NMSA 1978 and
as set forth in 13.4.2.22 NMAC;
(5) persons
selling services as insurance consultants in accordance with the provisions of
Section 59A-11A-1 et seq. NMSA 1978 and as set forth in 13.4.2.23 NMAC;
(6) third-party administrators performing or providing any
service, function, duty or activity in respect to any insurance plan,
self-insurance or alternative to insurance in an administrative or management
capacity in this state with respect to risks located or partially located in
this state or on behalf of persons in this state in accordance with the
provisions of Section 59A-12A-1 et seq. NMSA 1978 and as set forth in 13.4.5 NMAC;
(7) persons acting as independent, public and staff
adjusters in accordance with the provisions of Section 59A-13-1 et seq. NMSA
1978 and as set forth in 13.4.8 NMAC; and
(8) persons acting as surplus lines brokers in
accordance with the provisions of Section 59A-14-1 et seq. NMSA 1978 and as set forth in 13.4.4 NMAC.
[13.4.2.8 NMAC – Rp, 13.4.2.8 NMAC, 04/01/2025]
13.4.2.9 LICENSING REQUIREMENTS FOR
INDIVIDUALS: The superintendent will issue, renew and
continue resident licenses for individual insurance producers to transact the
kinds of insurance as set forth in 13.4.2.8 NMAC.
A. General requirements.
(1) An applicant shall be at least 18 years of age;
(2) an applicant shall file an application
electronically or as otherwise specified by the superintendent;
(3) an applicant shall pay the fees required by Section 59A-6-1
NMSA 1978 as well as providing any additional bond, liability coverage or
letter of credit that may be required by the license applied for;
(4) an applicant shall not have committed an act that
is a ground for license denial, suspension or revocation under the Insurance
Code; and
(5) an
applicant shall have passed the examination required for each line of authority
for which the license is sought, if examination is required by 13.4.2.11 NMAC.
B. Application
form.
(1) The application form may require the following information
about the applicant:
(a) proof of the applicant’s identity;
(b) name, date of birth, social security number and residence
and business address;
(c) personal history;
(d) business experience, including experience, special training
or education in the kind of business to be transacted under the license applied
for;
(e) previous licensing information, including:
(i) whether the applicant was ever
previously licensed to transact insurance in this state or elsewhere;
(ii) whether any license was ever refused,
suspended or revoked;
(iii) whether any insurer claims that the
applicant is indebted to it, and if so, the details of the claim; and
(iv) whether the applicant has ever had an
insurance agency contract or appointment canceled and, if so, the facts of the
cancellation;
(f) type of license applied for and kinds of insurance or
transactions to be covered thereby;
(g) if the applicant will be adjusting workers’ compensation
claims, then an in-state physical address for the business entity;
(h) the NAIC number and name of the company holding a New
Mexico certificate of authority that is sponsoring the applicant, if
applicable;
(i) additional information relating to a particular type of
license; and
(j) such other pertinent information and matters as the
superintendent may reasonably require.
(2) The superintendent may require any application to be
in the applicant’s handwriting and under the applicant’s oath.
C. Approval. Before approving a license application and
issuing a license the superintendent shall confirm that:
(1) all of the applicant’s answers to the questions on the
application are complete, truthful and satisfactory, including acknowledgment
and explanation of any prior criminal charges;
(2) the applicant does not currently hold an active New Mexico
resident or nonresident license or an active resident license in another state;
(3) the applicant has provided at least five years of
employment history without gaps in the employment record;
(4) the applicant has provided an in-state residential or
business address (a post office box does not satisfy this requirement);
(5) the applicant’s fingerprints have been submitted for
purposes of a state and federal background check, and
(a) pursuant to 18 U.S.C. Section
1033, no individual who has been convicted of a felony involving dishonesty or
a breach of trust may be licensed as a resident producer, unless the person has
the written consent of the superintendent;
(b) pursuant to the Criminal Offender
Employment Act found at Section 28-2-1 et seq. NMSA 1978, any prior criminal
record shall be considered in connection with application for any license under
this article; and
(c) if the results of
the background check have not been received or indicate a need for further
investigation, the application will not be approved pending further review;
(6) the applicant has satisfied both the general and specific
requirements and has provided any additional information necessary for the type
of license requested or as required by the superintendent based the initial
application answers;
(7) the applicant shall not use or intend to use the license
solely to write insurance on the applicant’s own life for the purpose of
evading in spirit or intent the anti-rebate or anti-discrimination laws
relating to insurance;
(8) if the applicant is a citizen of a foreign county, then the
application shall include proof that the applicant is eligible to reside and
work in the United States; and
(9) the applicant has passed any required examination based on
the type of license requested, as set forth in 13.4.2.11 NMAC.
D. Prohibitions. Pursuant to
Section 59A-12-11 NMSA 1978, the superintendent shall not license as an
insurance producer or permit any such license to continue if the superintendent
finds that an applicant for license intends to offer, give or sell stock or
other ownership or participating interest in the agency or brokerage as
inducement to or in connection with purchase of insurance or that the licensee
has previously done so.
E. Contents of license. The contents of the license shall be consistent
with the requirements set forth in Section 59A-11-9 NMSA 1978.
F. Special licensing requirements.
(1) Limited line credit insurance license applicants
shall include evidence that the insurer will provide a program of instruction
to include selling, soliciting and negotiating credit insurance that has been
approved by the superintendent.
(2) Variable life and
variable annuity or fraternal variable life and variable annuity license
applications shall be deferred and reviewed manually by the
superintendent. The applicant’s FINRA
and CRD numbers shall be supplied.
(3) Applicants
shall apply for or actively hold a producer license for the life line of
authority within the requested license class as follows:
(a) A
variable life or a variable annuity producer license requires a life producer
license.
(b) A variable life or a variable annuity
consultant license requires a life insurance consultant license.
(c) A
fraternal variable life or a variable annuity producer licenses requires a
fraternal life producer license.
(d) A temporary
variable life or a variable annuity producer license requires a temporary
producer license.
(e) A viatical variable
life or a variable annuity broker license requires a viatical life broker
license.
(4) Surplus lines broker applicants shall
actively hold both current property and casualty producer licenses prior to
applying for a surplus lines broker license.
[13.4.2.9 NMAC – Rp, 13.4.2.9 NMAC, 04/01/2025]
13.4.2.10 LICENSING REQUIREMENTS FOR
BUSINESS ENTITIES:
A. General requirements. A business
entity acting as an insurance producer is required to obtain an insurance
producer license pursuant to Sections 59A-11-3 NMSA 1978 and 59A-12-15 NMSA
(1) When licensing of a business
entity is required, the application shall be filed by the business entity.
(2) The application shall be submitted
electronically using the uniform business entity application or as otherwise
specified by the superintendent.
(3) The business entity shall specify the business type as one
of the following legal business types:
(a) partnership;
(b) limited
liability company (LLC);
(c) limited
liability partnership (LLP); or
(d) corporation.
A sole proprietorship may not apply for a business
insurance producer license.
(4) The application shall be accompanied by payment of fees, as
follows:
(a) all fees required pursuant to Section 59A-6-1 NMSA 1978;
(b) any bond or letter of credit required for the license
applied for; and
(c) an additional license application filing fee for each
individual in excess of one who is to exercise the license powers of the
business entity, if not a general partner therein.
(5) The application shall be signed on behalf of the applicant
by an authorized partner or corporate officer, under oath if required by the
superintendent.
(6) If the business is a firm, then each individual who is not
a bona fide general partner and who is to exercise license powers shall file an
application for a producer license for the same kind or kinds of business as
that applied for by the business entity.
(7) If the business is a corporation, then each individual,
whether or not an officer, director, stockholder or in other relationship to
the corporation, who is to exercise license powers shall file an application
for a producer license for the same kind or kinds of business as that applied
for by the business entity.
(8) If the business is a partnership, then each individual who
is not a general partner and who is to exercise license powers shall file an
application for a producer license for the same kind or kinds of business as
that applied for by the business entity.
B. Application form. The
application form may require information about the business entity as follows:
(1) the name, state of residence, proof of identity, business
record, reputation and experience of each partner, officer, member of the board
of directors and controlling stockholder of the business entity, and any
additional information required of an individual applicant for a producer
license as the superintendent deems necessary;
(2) evidence satisfactory to the superintendent that
transaction of the business proposed to be transacted under the requested
license is within the powers of the business entity as set forth in the
entity’s articles of incorporation, charter, bylaws, partnership, operating
agreement or other governing documents;
(3) at least one individual is specified as the designated
responsible licensed producer (DRLP) who is actively licensed in this state as
either a resident or nonresident producer for each of the lines of authority
applied for by the business entity;
(a) The DRLP(s) designated by the business entity shall
cumulatively be licensed for all lines of authority of the business entity;
except that
(b) business entities of
the following types seeking a producer license are not required to designate a
DRLP: portable electronics, rental car insurance producers and third party
administrators; and
(4) such further information concerning the applicant,
appointment of partners, corporate officers, directors and stockholders as may
be requested by the superintendent.
C. Approval. The superintendent shall
review the application and confirm that:
(1) all answers to the questions on the application are
complete, truthful and satisfactory;
(2) the applicant does not already hold an active resident or
nonresident license in New Mexico or an active resident license in another
state;
(3) the business entity has paid the fees set forth in
Section 59A-6-1 NMSA 1978, as well as providing any additional bond, liability
coverage or letter of credit that may be required by the type or types of
license applied for;
(4) the business entity
application lists at least one individual as an owner, officer, partner or
director;
(5) the business entity has designated a licensed insurance
producer responsible for the business entity’s compliance with the insurance
laws of this state for every line of authority listed in the application;
(6) the application sets forth the names of all the members,
officers and directors of the business entity and the names of each individual
who is to exercise the powers conferred by the license upon the business
entity;
(7) the business entity license application uses the entity’s
legal name, unless an assumed name has been previously approved in writing by
the superintendent; and
(8) at least one licensed insurance producer who is to exercise
license powers is affiliated by submission of an application, and the
application for affiliation was submitted with payment as required in Section
59A-6-1 NMSA 1978.
D. Prohibitions, Contents of license, Special licensing
requirements. The provisions of Subsections D,
E and F of 13.4.2.9 NMAC apply also to business entities seeking a producer
license.
[13.4.2.10 NMAC – Rp, 13.4.2.10 NMAC, 04/01/2025]
13.4.2.11 EXAMINATION OF APPLICANTS:
A. Applications requiring examination.
(1) Individuals applying for the following types of resident
licenses shall take and pass the examination required for issuance of the
license by the superintendent:
(a) insurance producer – producer
examination;
(b) independent, public or staff adjuster
– adjuster examination;
(c) insurance consultant – producer or
consultant examination;
(d) viatical broker – producer examination;
(e) surplus lines broker – surplus lines
broker examination; and
(f) title insurance producer – title
insurance producer examination.
(2) Separate exams may be required for different lines of
insurance or license types and may be administered at different times and
locations.
B. Examination exemptions.
(1) Pursuant to Section 59A-11-10 NMSA 1978, reexamination is
not required for renewal or continuance of current resident licenses unless
ordered by the superintendent.
(2) Reexamination is not
required for resident applicants
who have been licensed in this state within the five years prior to the date of
the new application and who seek to be relicensed for the same line or lines of
insurance. This exemption does not apply if the previous license was suspended
or revoked, if continuation of the license was refused by the superintendent or
if the applicant did not previously take and pass an exam in this state.
(3) Examination is not required for:
(a) Applicants
seeking a limited lines license in order to transact credit, travel or portable
electronics insurance;
(b) Applicants seeking to be licensed as a life and annuity
or accident and health insurance producer who hold the Chartered Life
Underwriter (C.L.U.) designation by the American College of Life Underwriters;
(c) Applicants
seeking to be licensed as a property or casualty insurance producer who hold
the designation of Chartered Property and Casualty Underwriter (C.P.C.U.) by
the American Institute of Property and Casualty Underwriters;
(d) Applicants
seeking a rental car endorsement to transact
rental car insurance under the supervision of a rental car producer that has
previously provided a training course that has been submitted to and approved
by the superintendent pursuant to Subsection D of Section 59A-32A-5 NMSA 1978;
(e) Applicants for a temporary license; or
(f) Applicants for registration as a motor club
representative.
(4) Examination
is not required for applicant who have taken and passed a similar examination
and received a license for the same line or lines of authority in a state in
which the reciprocal provisions of Section 59A-5-33 NMSA 1978 apply and:
(a) the
license in the other state is current, or
(b) the
application is received within 90 days after of cancellation of the previous
license. If the license has been
canceled, then the following is required:
(i) a
certification from the reciprocal state that at the time of cancellation the
applicant was in good standing in that state; or
(ii) records
maintained by the NAIC indicate that the insurance producer is or was licensed
in good standing for the line of authority requested.
(5) Examination
is not required for an applicant currently licensed as an insurance producer in
another state who moves to this state and applies to become a resident
insurance producer within 90 days of establishing legal residence. For such applicants, the examination
requirement is waived as to licensure for any line of authority previously held
in the prior state, unless otherwise determined by the superintendent.
(6) Examination is not required for an applicant for a license
who is a transportation ticket selling agent of a common carrier and who acts
under the license only in reference to the issuance of health and accident
insurance policies, or insurance on personal effects while being carried as
baggage, in connection with the transportation provided by the transportation
ticket.
C. Conduct of examinations.
(1) Applicants shall submit a
nonrefundable examination fee as set forth in Section 59A-6-1 NMSA 1978.
(2) The superintendent may designate an outside testing
service to register applicants and collect examination fees, develop and
administer exams, and score and report exam results subject to these
requirements:
(a) The activities of the testing service shall be
supervised by the superintendent.
(b) Any examination that is developed by
the testing service or other outside source shall be reviewed and approved by
the superintendent before it is administered.
Each examination question and answer shall be verified and approved as
to correctness, relevance, content and other factors.
(3) Each examination, as a whole, shall provide a comprehensive
test of the applicant’s knowledge necessary for the type of license applied
for, the duties and responsibilities of the licensee and the insurance laws and
regulations of this state.
(4) All examinations shall be conducted in an appropriate
setting.
(5) Each examination shall be offered to applicants for a
particular license type at least once each month at places within this state
designated by the superintendent.
(6) Registration for each offering of the required examinations
shall be available online or as otherwise directed by the superintendent.
(7) All examinations shall be available in the Spanish language
upon request.
(8) Examination site accommodations
shall be available upon request.
D. Examination scoring; pass and fail.
(1) Each examination shall require examinees to answer
questions.
(2) The examination shall be scored for all examinees in a
fair, impartial and non-discriminatory manner using a consistent scoring
process.
(3) An examinee shall achieve a minimum score of seventy
percent in order to pass the examination.
(4) An applicant who registers to take an examination but fails
to appear as scheduled or fails to pass the examination may reapply and shall
resubmit all required fees and forms before being scheduled for another
examination.
(5) Any applicant who fails to pass an examination may retake
the examination at any subsequent scheduled examination date. However, an applicant who has taken and
failed to pass the same examination four times shall not be entitled to take
another examination until at least six months after the date of the last
examination failed.
E. Examination preparation.
(1) The superintendent may prepare and make available a
manual showing the general type and scope of all required examinations.
(2) Information and access to manuals will be provided through
the OSI website or as otherwise determined by the superintendent.
[13.4.2.11 NMAC – Rp, 13.4.2.11 NMAC, 04/01/2025]
13.4.2.12 COMMISSIONS AND COMPENSATION:
A. Payment of commissions and compensation.
(1) An insurance company or insurance producer shall not pay to
a person, nor shall a person accept a commission, service fee, brokerage or
other valuable consideration for selling, soliciting or negotiating insurance
in this state unless that person is licensed as required by this state.
(2) Renewal and other deferred commissions may be subsequently
paid to a person for selling, soliciting or negotiating insurance in this state
if the person was licensed as required at the time of the transaction.
(3) An insurer or insurance producer shall not pay or assign
commissions, service fees or other valuable consideration derived from
insurance of risks in this state to an individual or business entity who is not
licensed to sell, solicit or negotiate insurance in this state.
B. Sharing of commissions and compensation.
(1) Sharing in commissions and compensation between licensees
shall be infrequent and shall not be used to avoid appointment of producers by
insurers.
(2) A licensee shall not receive a share in commissions or
compensation unless the licensee is licensed as to the type of transaction or
kind of insurance placed.
(3) An insurance producer shall share commissions or
compensation for or on account of the solicitation or negotiation of insurance
on individuals, property or risks in this state only with a duly licensed
producer appointed by the insurer with which the insurance was placed, or with
a duly licensed broker.
(4) The purchase price of a business entity may include ongoing
payments or partial payments of accruing commissions to or on behalf of a
former owner, whether or not the former owner maintains a current insurance
producer license.
(5) Payment of commissions, compensation or other valuable
consideration may be made to the personal representative, trust or beneficiary
of a deceased insurance producer or broker, or to the deceased producer or
broker’s heirs or devisees if the estate has been distributed and the decedent
would otherwise be entitled to the payment.
C. Disclosure of compensation.
When
any insurance producer or any affiliate of the insurance producer receives any
compensation from a customer for the placement of insurance or represents the
customer with respect to placement of insurance, that producer or affiliate
shall comply with the disclosure requirements set forth in Section 59A-12-29
NMSA 1978.
[13.4.2.12 NMAC – Rp, 13.4.2.12 NMAC, 04/01/2025]
13.4.2.13 LICENSING OF TITLE INSURANCE
PRODUCERS, ESCROW OFFICERS AND TITLE ABSTRACT PLANTS:
A. License required.
(1) Title agents and escrow officers shall be licensed as title
insurance producers. In addition to the
requirements in this section, they shall also comply with additional
requirements set forth in Section 59A-30-1 et seq. NMSA 1978 and in 13.14.1
through 13.14.19 NMAC.
(2) An applicant for a title insurance
producer license shall comply with the provisions of 13.4.2.9 NMAC for
individual producers or 13.4.2.10 NMAC for business entities.
(3) All applications for a title insurance producer license
shall contain a statement that the applicant owns, operates, controls or is
affiliated with a licensed title abstract plant or is employed by an individual
or entity that does.
(4) Applications shall specify only the county or counties that
are supported by the title abstract plant and the title producer license shall
permit the licensee to issue policies only on property located in the county or
counties for which the licensee has the necessary title abstract plant.
B. Title abstract plant defined. The title abstract plant shall consist of a
set of records in which an entry has been made for every document or matter
that under the law imparts constructive notice affecting title to, interest in
or encumbrances on real property, and that has been filed or recorded in the
county for which the title abstract plant is maintained.
(1) The records shall cover a period of 20 years immediately
prior to the date of application and shall consist of:
(a) an index or indices in which notations of or references to
any documents that describe the property affected are posted, entered or
otherwise included, sorted and filed according to the property described; or
copies or briefs of all documents that describe the property affected which are
sorted and filed according to the property described; and
(b) an index or indices in which all other documents are
posted, entered or otherwise included, sorted and filed according to the name
or names of the party or parties whose title to real property or any interest
or encumbrance is affected.
(2) A title insurance producer license permits the licensee to
issue title insurance only on property located in the county or counties for
which the licensee has the necessary licensed title abstract plant.
(3) The title insurance producer shall be responsible for
maintaining and updating the records of the title abstract plant within 30 days
of the courthouse land update schedule.
C. Plant inspections. The title
abstract plant shall be subject to inspection by the superintendent. During an inspection, the superintendent may
inspect to ascertain that the plant’s records are current and that all persons
engaged in the business of transacting title insurance are properly licensed
and have been appointed by all insurers for whom they transact business.
[13.4.2.13 NMAC – Rp, 13.4.2.13 NMAC, 04/01/2025]
13.4.2.14 LICENSING OF LIMITED LINES TRAVEL
INSURANCE PRODUCERS:
A. License required.
(1) All applicants for travel insurance producer licenses shall
comply with the provisions of 13.4.2.9 NMAC for individual producers or
13.4.2.10 NMAC for business entities.
(2) Upon licensure, the travel insurance producer shall create
a register with information about each travel retailer that offers travel
insurance on the producer’s behalf as set forth in Paragraph (2) of Subsection
B of Section 59A-12-18.1 NMSA 1978. The
register shall be updated at least annually and made available to the
superintendent upon request.
(3) The travel insurance producer shall select a licensed
individual insurance producer employee as its designated responsible producer
who shall be responsible for the travel insurance producer’s compliance with
the travel insurance laws and rules of this state.
(4) The designated responsible producer, president, secretary,
treasurer and any other officers or persons who direct or control the travel
insurance producer’s operations shall comply with the fingerprinting and
criminal background check requirements of Paragraphs (3) and (4) of Subsection
B of Section 59A-12-12 NMSA 1978.
(5) The travel insurance producer shall pay all applicable fees
set forth in Section 59A-6-1 NMSA 1978.
(6) The travel insurance producer shall require training
of employees and representatives of the retailer as set forth in Paragraph (6)
of Subsection B of Section 59A-12-18.1 NMSA 1978.
B. Travel insurance producer and travel retailer
responsibilities.
(1) A travel insurance producer shall be responsible for
acts of the travel retailer and shall reasonably ensure that the travel
retailer complies with the requirements set forth in Section 59A-12-18.1 NMSA
1978.
(2) A travel retailer may offer travel insurance under the
license of a travel insurance producer only if:
(a) the travel insurance producer or
travel retailer provides to prospective purchasers of travel insurance the
items required by Subsection C of Section 59A-12-18.1 NMSA 1978; and
(b) no travel retailer employee or
authorized representative who is not licensed as an insurance producer shall
provide certain services as set forth in Subsection D of Section 59A-12-18.1
NMSA 1978.
(3) A travel retailer’s employees and authorized
representatives whose insurance-related activities are limited to the offering
and disseminating of travel insurance on behalf and under the direction of a
licensed travel insurance producer may receive compensation for those
activities.
(4) Travel insurance may be placed as an individual, group or
master policy.
C. Travel insurance vending machines.
(1) A licensed insurance producer may solicit for and issue
personal travel accident insurance policies of an authorized insurer by means
of mechanical vending machines supervised by the insurance producer and placed
at airports and other places of convenience to the traveling public if the
superintendent finds that:
(a) the travel insurance policy provides reasonable coverage
and benefits and is suitable for sale and issuance by vending machine and that
use of such a machine in a proposed location would be of material convenience
to the public;
(b) the type of machine proposed to be used is reasonably
suitable for the purpose;
(c) reasonable means are provided for informing prospective
purchasers of policy coverages and restrictions;
(d) reasonable means are provided for the refund of money
inserted in defective machines and which insurance so paid for is not received;
and
(e) the cost of maintaining such a machine at a particular
location is reasonable.
(2) For each travel insurance vending machine the
superintendent shall issue a special vending machine license.
(a) The license shall state the name and address of the insurer
and insurance producer, the name of the policy to be sold and the serial
number, type and operating location of the machine.
(b) The license shall be subject to biennial continuation and
to expiration, suspension or revocation coincidental with the license of the
insurance producer.
(c) The superintendent shall revoke the license for any vending
machine if the superintendent finds that license qualifications no longer
exist.
(d) Proof of existence of a vending machine license shall be
displayed on or about each machine in use in the manner that the superintendent
reasonably requires.
[13.4.2.14 NMAC – Rp, 13.4.2.14 NMAC, 04/01/2025]
13.4.2.15 LICENSING OF LIMITED LINES RENTAL
CAR INSURANCE PRODUCERS AND ENDORSEES:
A. License required.
(1) No rental car company nor its officers, director, employees
or agents shall offer, sell, bind, effect, solicit or negotiate the purchase of
rental car insurance unless that company is licensed as an insurance producer
pursuant to Section 59A-32A-1 et seq. NMSA 1978.
(2) A rental car company may only act on behalf of an
insurer that is authorized to write such insurance in this state.
(3) Rental car insurance may not be offered, except in
connection with and incidental to a rental agreement.
(4) Neither a rental car insurance producer nor an
endorsee shall represent itself as qualified or licensed as an insurance
producer beyond the scope of the limitations set forth in Subsection B of
Section 59A-32A-7 NMSA 1978.
(5) A rental car company may not compensate any person,
including any of its employees, based solely on placement of rental car
insurance.
B. Rental car insurance producer license requirements.
(1) All applicants for rental car insurance producer
licenses shall comply with the provisions of 13.4.2.10 NMAC for business
entities.
(2) The application shall include a list of all the
locations within the state where the rental car insurance producer intends to
offer, sell, bind, effect, solicit or negotiate rental car insurance.
(3) The rental car insurance producer license application shall
include:
(a) a certificate filed by an insurer
indicating that the insurer has reviewed the applicant’s training program and
believes that it satisfies the requirements of Subsection D of 59A-32A-5 NMSA
1978; and
(b) the insurer intends to appoint the
applicant to act as its rental car insurance producer if a license is granted
to the applicant by the superintendent.
(4) A rental car insurance producer shall be responsible
for establishing a training program for its employees that satisfies the
requirements of Subsection D of Section 59A-32A-5 NMSA 1978. The program shall be submitted to and
approved by the superintendent prior to its use.
(5) At the time of application, a rental car insurance
producer license applicant shall establish, in a format prescribed by the
superintendent, a list of its endorsees that also identifies a manager or
supervisor for each of the applicant’s locations. The list shall be updated quarterly and
retained for three years by the applicant.
The list shall be provided to the superintendent for inspection upon
request.
(6) A rental car insurance producer shall ensure that the
actions of its endorsees are properly supervised at all of its locations and
shall be held responsible for the actions of its endorsees.
C. Rental car insurance endorsee requirements.
(1) An endorsee shall be at least 18 years of age and an
employee of a rental car insurance producer.
(2) An endorsee shall complete the
rental car insurance producer’s approved training program prior to transacting
any rental car insurance.
(3) An endorsee shall act on behalf of
the rental car insurance producer under the direct supervision of the manager
or supervisor at the location where employed.
(4) An endorsee’s authorization
expires upon termination of employment with the rental car insurance producer.
(5) The rental car insurance endorsee may offer, sell, bind,
effect, solicit or negotiate rental car insurance on behalf of the rental car
insurance producer subject to the above provisions and additional provisions
set forth in Section 59A-32A-1 et seq. NMSA 1978.
[13.4.2.15 NMAC – Rp, 13.4.2.15 NMAC, 04/01/2025]
13.4.2.16 REGISTRATION OF MOTOR CLUB
REPRESENTATIVES:
A. Registration required.
No
individual shall represent a motor club in this state unless that person is
registered with the superintendent by a motor club holding a current
certificate of authority issued pursuant to Section 59A-5-1 NMSA 1978.
B. Qualifications for registration. An applicant for registration as a motor club
representative shall, at a minimum:
(1) be at least 18 years of age;
(2) be of good personal and business reputation;
(3) not previously have had registration refused or revoked;
(4) be suitable and competent to act as such a representative;
and
(5) intend in good faith to act and hold him- or herself out as
such a representative.
C. Procedures for registration.
(1) Applications for motor club
representative registrations are handled in the same manner as applications for
casualty insurance producer licenses, except that no examination is required.
(2) Continuations, terminations,
denials, suspensions and cancellations of motor club representative
registrations are handled in the same manner as those for insurance producer
licenses as set forth in 13.4.2.27 and 13.4.2.28 NMAC.
(3) Fees for motor club representative
registrations and continuations are as set forth in Section 59A-6-1 et seq.
NMSA 1978.
[13.4.2.16 NMAC – Rp, 13.4.2.16 NMAC, 04/01/2025]
13.4.2.17 [RESERVED]
[13.2.4.17 NMAC – N, 4/2/2018; Repealed, 04/01/2025
13.4.2.18 LICENSING OF PREPAID DENTAL PLAN
MEMBERSHIP PRODUCERS:
A. License and appointment required. No person shall solicit membership in a
prepaid dental plan unless that person has been licensed by the superintendent
as a health insurance producer and appointed by the prepaid dental plan
organization to act in this state on the plan’s behalf, pursuant to Section
59A-48-14 NMSA 1978. These persons shall
comply with insurance producer licensing requirements.
B. Qualifications for licensing. Individuals shall be licensed as producers as
described in 13.4.2.9 NMAC and business entities shall be licensed as producers
as described in 13.4.2.10 NMAC.
Individual licensees shall comply with the examination and continuing
education requirements for health insurance producers.
C. Fees and renewals. Both
individual producers and business entities that are licensed as producers and
acting on behalf of a prepaid dental plan shall comply with the fee and renewal
schedules set forth in Section 59A-6-1 NMSA 1978.
[13.4.2.18 NMAC – Rp, 13.4.2.18 NMAC, 04/01/2025]
13.4.2.19 LICENSING OF PREARRANGED FUNERAL
PLAN PRODUCERS:
A. License required. Any person engaged in the
sale of prearranged funeral plans shall be licensed by the superintendent as a
life insurance producer. Individuals
shall be licensed as producers as described in 13.4.2.9 NMAC and business
entities shall be licensed as producers as described in 13.4.2.10 NMAC. The licensee may have no association with the
funeral service provider pursuant to Section 59A-49-5 NMSA 1978.
B. Handling of funds. Funds
received in connection with sale of a prearranged funeral plan shall be
deposited and withdrawn from a trustee subject to the fiduciary duties set
forth in Subsection B of 13.4.2.23 NMAC.
Strict controls shall be placed over sale of funeral plans and
management of collected funds due to the longer anticipated time between the
sale of a plan and delivery of the services.
The trustee’s records and accounting of funds shall be subject to review
by the superintendent upon reasonable request.
[13.4.2.19 NMAC – Rp, 13.4.2.19 NMAC, 04/01/2025]
13.4.2.20 LICENSING OF FRATERNAL BENEFIT
SOCIETY PRODUCERS:
A. License required. Individuals
shall be licensed as producers as described in 13.4.2.9 NMAC and business
entities shall be licensed as producers as described in 13.4.2.10 NMAC, except
as follows:
(1) Fraternal benefit society
producers are not required to fulfill the continuing education requirements set
forth in 13.4.7 NMAC.
(2) Fraternal
Benefit producers shall actively hold a producer license with the line of
authority within the requested license class as follows;
(a) A
fraternal accident and health or sickness producer license requires an accident
and health or sickness producer license.
(b) A
fraternal life or a fraternal variable annuity producer license requires a life
insurance producer license.
(c) A
fraternal life or an annuity producer licenses requires a life insurance
producer license.
B. Continuation, suspension, revocation
and termination of licenses. General
provisions pertaining to the continuation, suspension, revocation and
termination of producer licenses shall also apply to licenses issued to
fraternal benefit society producers as set forth in 13.4.2.27 and 13.4.2.28
NMAC.
[13.4.2.20 NMAC – Rp, 13.4.2.20 NMAC, 04/01/2025]
13.4.2.21 LICENSING OF PORTABLE ELECTRONICS
INSURANCE VENDORS:
A. License required. A vendor of
portable electronics shall not sell or offer insurance covering portable
electronics unless licensed as a limited lines producer in accordance with
Subsection B of Section 59A-12-18 NMSA.
(1) A vendor’s application shall identify an individual
employee or officer of the vendor’s organization as the compliance officer with
respect to requirements of the Portable Electronics Insurance Act, as set forth
in Section 59A-60-1 et seq. NMSA 1978.
The application shall also provide the address of the vendor’s home
office.
(2) Any employee or authorized representative of a
licensed vendor may offer and sell insurance covering portable electronics to
eligible customers at any location at which the vendor sells portable
electronics without obtaining a separate license from the superintendent. These employees and representatives may not
represent themselves as personally licensed as a limited lines producer.
(3) The insurer issuing the insurance or its designee shall be
responsible for supervising the activities of the vendor’s employees and
administration of the insurance program.
(a) The insurer shall develop and deliver a training
program for the vendor’s employees or authorized representatives who offer or
sell insurance covering portable electronics.
(b) The training program shall comply with all of the requirements
set forth in Paragraph (2) of Subsection D of Section 59A-60-4 NMSA 1978.
(4) A vendor shall maintain a list of its locations that are
authorized to sell portable electronics insurance in this state. The list shall be made available to the
superintendent upon reasonable notice and request.
(5) Compensation of employees who offer or sell portable
electronics insurance on behalf of the vendor shall be in accordance with
Section C of Section 59A-60-4 NMSA 1978.
B. Offer and sale of insurance. A licensed vendor shall sell or offer
portable electronics insurance only as incidental to the purchase or lease of
portable electronics or related services sold or offered by the vendor. A licensed vendor shall provide all required
insurance-related information to customers and prospective customers as set
forth in Subsection A of Section 59A-60-4 NMSA 1978.
C. Handling of payments and funds. Payments for portable electronics insurance
and handling of funds shall be consistence with the requirements of Subsection
C of Section 59A-60-4 NMSA 1978. Funds
received by a vendor for the sale of portable electronics insurance shall be
considered funds held in trust by the vendor in a fiduciary capacity for the
benefit of the insurer as set forth in Subsection B of 13.4.2.23 NMAC.
D. Penalties, fines and actions against the license. The superintendent may impose fines or suspend or
revoke a vendor’s right to transact portable electronics insurance at specific
locations where a violation has occurred or may suspend the rights of an
individual employee or representative for violation of the Portable Electronics
Insurance Act.
[13.4.2.21 NMAC – Rp, 13.4.2.21 NMAC, 04/01/2025]
13.4.2.22 LICENSING OF REINSURANCE
INTERMEDIARIES:
A. License
required.
(1) With respect to the Reinsurance Intermediary Law set
forth at Section 59A-12D-1 et seq. NMSA 1978 and this section, “producer” means
a licensed producer, broker or reinsurance intermediary. A reinsurance intermediary is as defined in
Subsection E of Section 59A-12D-2 NMSA 1978.
(2) Any person acting as either a reinsurance
intermediary-broker or as a reinsurance intermediary-manager in this state and
either domiciled or with an office located directly or indirectly in this state
shall be licensed as a producer in this state.
(a) Typically, an intermediary-broker
represents the insurer who is seeking to cede risk to a reinsurer and solicits
offers on behalf of the ceding insurer.
(b) Typically, an intermediary-manager
acts on behalf of and with authority to bind the reinsurer.
(c) The intermediary’s knowledge is
imputed to the principal, which may result in adverse consequences to the
principal in resolving a dispute.
(3) Any
person acting as either a reinsurance intermediary-broker or
intermediary-manager in this state and with an office located in another state
may be licensed as a producer in that state, if that state’s licensing law is
substantially similar to the Reinsurance Intermediary Law set forth at
Subsection D of Section 59A-12D-1 et seq. NMSA 1978. Otherwise, that person shall be licensed as a
producer in this state.
B. Licensing
requirements.
(1) A
reinsurance intermediary must file and maintain either a fidelity bond or an
errors and omissions policy for the protection of the reinsurer. The fidelity bond or the errors and omissions
policy must be issued by an admitted insurer or an eligible surplus lines
insurer, be in an amount or at an aggregate limit equal to at least $1,000,000
for the benefit of each reinsurer with whom the reinsurance intermediary
contracts, and must provide that the superintendent be notified prior to its
cancellation or nonrenewal.
(2) The
superintendent may issue a reinsurance producer license to an individual or a
business entity as follows:
(a) to an individual who has complied
with the producer licensing requirements described in 13.4.2.9 NMAC or to a
business entity that has complied with the producer licensing requirements
described in 13.4.2.10 NMAC;
(b) that has complied with the
requirements of the Reinsurance Intermediary Law set forth in Section 59A-12D-1
et seq. NMSA 1978; and
(c) if a business entity, that has
named in its application its members, officers, and designated employees who
shall act on behalf of the reinsurance intermediary in this state.
C. Denial,
suspension or revocation of license. The superintendent may refuse to issue, suspend or
revoke a reinsurance intermediary’s license in accordance with 13.4.2.27 and
13.4.2.28 NMAC. Furthermore, the
superintendent may refuse, suspend or revoke a reinsurer’s right to transact
business in this state based on the acts of its reinsurance intermediaries done
within the scope of their actual or apparent authority.
D. Exception from licensing. Attorneys
holding a current license to practice law in this state are not required to be
licensed as reinsurance producers when acting in their professional capacity.
E. Duties
of a reinsurance intermediary.
(1) Required
contract provisions between insurers or reinsurers and reinsurance
intermediaries. A
reinsurance intermediary may not transact reinsurance in this state except
pursuant to a written contract detailing the responsibilities and agreement
between the reinsurance intermediary and the principal.
(a) The contract
shall be as set forth in Section 59A-23D-7 NMSA 1978 and shall be filed with
the superintendent for approval at least thirty days in advance of its
effective date.
(b) Duty of care and loyalty. The
contract shall clearly set forth the reinsurance intermediary’s duty to clearly
communicate the terms of a proposed reinsurance agreement, to disclose facts
and circumstances including material information pertaining to underlying risks
that may reasonably be expected to impact the obligations of the insurer or
reinsurer, to negotiate terms and conditions of a contract for reinsurance, to
assist in memorializing the agreement and to maintain records.
(c) Program of reinsurance. Depending on the terms of the written
contract, a reinsurance intermediary’s duties may extend to developing a
program of reinsurance on behalf of the insurer that includes modeling to
estimate probabilities of potential loss outcomes, estimating costs of
alternate programs, identifying a pool of potential reinsurers, presenting an
information packet to reinsurers on behalf of the insurer, negotiating terms of
a contract and assisting in drafting and execution of a contract for
reinsurance.
(2) Fiduciary
duty. A
reinsurance intermediary may act as a conduit between the insurer and
reinsurer, including for collection and transmission of premiums, communication
of loss and claim information, and collection of funds from a reinsurer on
behalf of the insurer. A reinsurance
intermediary has a fiduciary duty with respect to any funds held in trust by or
transmitted through the reinsurance intermediary by either the insurer or
reinsurer.
(3) Record-keeping requirements. A
reinsurance intermediary shall annually file with the reinsurer a statement of
its financial condition as set forth in Subsection K of Section 59A-12D-7 NMSA
1978. The reinsurance intermediary shall
be subject to semi-annual review and inspection of its operations by the
reinsurer. A reinsurance intermediary
shall maintain complete records of all contracts and transactions for a minimum
of ten years following the expiration of each contract for reinsurance.
[13.4.2.22 NMAC – Rp, 13.4.2.22 NMAC, 04/01/2025]
13.4.2.23 LICENSING OF INSURANCE
CONSULTANTS:
A. License required. No person shall examine or
offer to examine in exchange for a fee an insurance policy, annuity, endowment
contract or other insurance document in order to offer advice, counsel, a
recommendation or other information as described in Subsection A of Section
59A-11A-1 NMSA 1978 unless licensed as an insurance consultant. Neither may a person offer such services
through advertisements or any other means that indicate the person is in
business for that purpose, unless licensed as an insurance consultant.
B. Qualifications.
(1) Individual applicants for an insurance consultant
license shall apply as though for an individual producer’s license as set forth
in 13.4.2.9 NMAC.
(2) An applicant shall pay the
examination application fee as set forth in Section 59A-6-1 NMSA 1978 and shall
pass either the insurance producer license examination or the insurance
consultant examination required by 13.4.2.11 NMAC.
(3) The applicant shall demonstrate
competence and knowledge of insurance contracts and practices of the insurance industry
in the lines of insurance for which the license is applied.
C. Limitations, exemptions and conflicts.
(1) A licensed insurance producer may
offer customary advice without holding an insurance consultant license.
(2) A licensee shall not receive
compensation as either a producer or as a broker if the licensee receives a fee
as a consultant for the same transaction as the subject of the consulting
service provided.
(3) An attorney or a public accountant licensed to
practice in this state is exempt from the insurance consultant licensing
requirement when acting within the scope of their practice.
D. Renewal of license. The
insurance consultant license is subject to biennial renewal according to the
schedule set forth in 13.4.2.26 NMAC, and to suspension or revocation as set
forth in 13.4.2.27 NMAC.
E. Contracts and agreements; collection of consulting fees.
(1) An insurance consultant shall not
enforce an agreement to provide advice, counsel or a recommendation in exchange
for a fee unless a written agreement has been executed between the insurance
consultant and the advisee.
(2) At a minimum, the written
agreement shall:
(a) be signed by the advisee;
(b) be executed in duplicate, with
one copy retained by the advisee;
(c) state the amount paid by the
advisee for the service if payment is made in advance, or the amount to be paid
if payment is due following delivery of the service;
(d) state the terms of payment agreed upon
by the parties if payment is not due immediately upon delivery of the service;
(e) specify the documents to be reviewed by the insurance
consultant, and a copy of those documents shall be attached to the agreement,
if available;
(f) specify the services to be
delivered by the insurance consultant and the format in which delivery shall be
made to the advisee;
(g) state the date and method by which
the services shall be delivered; and
(h) provide any other information
required by the superintendent.
(3) At a minimum, the insurance
consultant shall provide the following upon delivery of the agreed services:
(a) a signed statement specifying the
advice, counsel, recommendation or information provided to the advisee;
(b) a receipt for the fee paid or a
statement indicating the fee to be paid to the consultant.
F. Recordkeeping requirements.
(1) An insurance consultant shall maintain records consistent
with good business practices and shall furnish records of business methods,
policies and transactions of the licensee within 10 days of a request by the
superintendent.
(2) An insurance consultant shall,
upon a request by the superintendent, furnish both the standard written
agreement form used to document an agreement between the insurance consultant
and an advisee and examples of executed agreements that confirm the insurance
consultant’s business practices.
[13.4.2.23 NMAC – Rp, 13.4.2.23 NMAC, 04/01/2025]
13.4.2.24 LICENSING OF MANAGING GENERAL
AGENTS:
A. License
required.
(1) No person shall act as a
managing general agent on behalf of any insurer with respect to risks located
in this state unless licensed as a producer in this state.
(2) No person shall act as a managing
general agent on behalf of an insurer domiciled in this state with respect to
risks located outside this state unless licensed as a producer in this state.
(3) The
superintendent may issue a producer license to an individual managing general
agent or a business entity acting as a managing general agent as follows:
(a) to an individual who has complied
with the producer licensing requirements described in 13.4.2.9 NMAC or to a
business entity that has complied with the producer licensing requirements
described in 13.4.2.10 NMAC; and
(b) that has complied with the
requirements of the Managing General
Agents Law as set forth at Section 59A-12B-1 et seq. NMSA 1978.
B. Examination
and penalties.
(1) The superintendent may refuse to issue, suspend or
revoke a managing general agent’s license in accordance with 13.4.2.27 and
13.4.2.28 NMAC.
(2) Actions of a managing general
agent are considered to be those of the insurer on whose behalf the managing
general agent is acting.
(3) The superintendent may examine a
managing general agent as if examining the insurer on whose behalf the managing
general agent is acting.
(4) If the superintendent determines
that a managing general agent, an insurer or another person has failed to
comply with the requirements of the
Managing General Agents Law as set forth at Section 59A-12B-1 et seq. NMSA 1978,
the superintendent may impose any of the penalties set forth in Subsection A of
Section 59A-12B-7 NMSA 1978 or any other penalties permitted under the
Insurance Code.
C. Required contract provisions. A
managing general agent shall not act on behalf of an insurer except as pursuant
to a written contract detailing the responsibilities and agreement
between the managing general agent and the insurer as set forth in Section
59A-23B-4 NMSA 1978. The contract
between a managing general agent and an insurer shall not be assigned by a
managing general agent.
D. Record-keeping requirements. A
managing general agent shall maintain complete records of all contracts and
transactions for a minimum of seven years following the expiration of each
written agreement. The superintendent shall have access to the records for the
purpose of examination, audit and inspection.
The
insurer shall have access sufficient to permit the insurer to fulfill its
contractual obligations to insured persons.
E. Duties of insurers. An insurer that has contracted with one or
more managing general agents shall comply with the requirements as set forth in
Section 59A-12B-5 NMSA 1978, including but not limited to those pertaining to
inspection and oversight of the managing general agent’s processes and records
and those requiring specific notifications to the superintendent.
[13.4.2.24 NMAC – Rp, 13.4.2.24 NMAC, 04/01/2025]
13.4.2.25 OBTAINING A TEMPORARY INSURANCE
PRODUCER LICENSE:
A. Necessity and duration of license. The superintendent may issue a temporary
insurance producer license to an individual for a period not to exceed 180 days
without requiring an examination if the superintendent determines that the
temporary license is necessary for the servicing of an insurance business in
the following situations:
(1) to the surviving spouse or court-appointed personal
representative of a licensed individual insurance producer who dies or becomes
mentally or physically disabled, in order to allow adequate time for the sale
of the producer’s insurance business, for the producer’s recovery and return to
the business or to provide for the training and licensing of new personnel to
operate the insurance producer’s business;
(2) to an individual who is a member or employee of a business
entity upon the death or disability of an individual who is a DRLP with respect
to the business entity;
(3) to the designee of a licensed insurance producer entering
active service in the armed forces of the United States; or
(4) in any other circumstance in which the superintendent
determines that the public interest will best be served by issuance of the
license.
B. Limitations.
(1) An applicant will not be issued a temporary license unless
supervised by a suitable sponsor who is a licensed insurance producer or by an
insurer who assumes responsibility for all acts of the temporary licensee.
(2) The superintendent may impose other limitations on the
authority of any temporary licensee to protect insureds and the public.
(3) The superintendent may revoke a temporary insurance
producer license if the interest of insureds or the public are endangered.
(4) A temporary license shall not continue after the
owner or personal representative disposes of the business.
C. Application granted. Upon
application for a temporary insurance producer license, the insurer and the
applicant may assume that the license will be issued in due course, effective
as of the date the application was filed with the superintendent, unless the
superintendent notifies the insurer to the contrary within 15 days after the
date of application.
[13.4.2.25 NMAC – Rp, 13.4.2.25 NMAC, 04/01/2025]
13.4.2.26 OTHER DUTIES OF LICENSEES:
A. Place of business.
(1) A resident licensed insurance producer shall have
and maintain a place of business within this state that is accessible to the
public and where the licensee transacts business under the license.
(2) With the exception of title insurance producers, a
licensee’s place of business may be in the licensee’s residence.
(3) A licensee shall inform the superintendent in the format
prescribed by the superintendent of a change in the licensee’s legal name or
address within 20 days of the change.
Failure to timely inform the superintendent of a change in legal name or
address shall result in a penalty of $50 pursuant to Subsection G of Section
59A-12-17 NMSA 1978.
B. Fiduciary duties.
(1) All funds of others received by a licensee shall be held in
a fiduciary capacity. A licensee who
diverts or appropriates such funds for personal use or takes or secrets such
funds with intent to embezzle without the consent of the person entitled to the
funds is guilty of larceny by embezzlement.
(2) Subject to the terms of any agreement between a
licensee and the licensee’s principal or obligee, each licensee who does not
make immediate remittance of funds to the insurer or other person entitled to
them shall elect and follow one of the following methods:
(a) remit insurance charges or premiums collected (less
applicable commissions, if any) and return premiums to the insurer or person
entitled thereto within 15 days after receipt; or
(b) establish and maintain one or more fiduciary bank accounts
separate from accounts holding personal, firm or corporate funds, and promptly
deposit and retain therein all funds of others pending transmittal to the
insurer or person thereto entitled.
(i) Funds belonging to more than one principal may be as
deposited and held in the same account so long as the amount held for each
principal is readily ascertainable from the records of the licensee.
(ii) The licensee may commingle with such fiduciary funds in a
particular account such additional funds as the licensee deems prudent for
advancing premiums, reserves for the payment of return commissions or for other
contingencies arising in the business of receiving and transmitting premiums or
return premiums.
(3) The licensee may commingle with the licensee’s own
funds those funds of a particular principal who has expressly waived the
segregation requirement in writing and in advance.
(4) Permitted commingling of the funds of others with
funds of the licensee shall not alter the fiduciary duties of the licensee as
to the others’ funds.
(5) When requirements for handling of funds contained in
other sections are in conflict with the requirements contained in this section,
then those other requirements shall prevail as follows:
(a) Third-party administrators shall
handle funds and pay, adjust and settle claims pursuant to the requirements of
Sections 59A-12A-9 through 59A-12A-11 NMSA 1978.
(b) Title insurance producers shall manage escrow and
other funds held in trust pursuant to the requirements of Section 59A-12-22
NMSA 1978 and 13.14.4
NMAC.
(c) Payments received in connection
with the sale of prearranged funeral plans shall be subject to additional
controls and shall be handled as set forth in 13.4.2.19 NMAC.
(d) Funds
received by rental car insurance producers for the purchase of rental car
insurance are not required to be treated as fiduciary funds or held in separate
accounts.
C. Recordkeeping requirements.
(1) The requirements contained in this section apply generally
to all licensees. However, where these
rules differ from the recordkeeping requirements that are applicable to
specific types of insurance producers the insurance producer shall also comply
with the duties imposed by other rules, where applicable.
(2) An insurance producer shall keep
complete records of transactions made under the license in the insurance
producer’s place of business. For each
insurance policy placed by or through the licensee, the record shall include:
(a) the names of the insurer and insured;
(b) the number and expiration date;
(c) the premium payable;
(d) the names of all other persons from whom business is
accepted or to whom commissions are promised or paid;
(e) all premiums collected; and
(f) additional information as the superintendent may require.
(3) The records shall be available for the
superintendent’s examination, and the superintendent may at any reasonable time
require the licensee to furnish any information kept or required to be kept in
such records.
(4) Records shall be maintained for the statutory
duration.
(a) Records of each insurance policy shall be retained
for a minimum of three years after the policy’s expiration, unless a longer
period is required.
(b) Records pertaining to title insurance policies shall
be retained for a minimum of 15 years after the issuance of the title insurance
policy pursuant to Section 59A-30-11 NMSA 1978.
(c) Complete records of reinsurance transactions shall
be retained by reinsurance intermediaries for at least ten years after the
expiration of each contract, pursuant to Section 59A-12D-5 NMSA 1978.
(d) A third-party administrator shall keep adequate
books and records of all transactions between it, insurers and insured persons
in its administrative office for the duration of its contractual duties and for
five years thereafter, pursuant to Section 59A-12A-6 NMSA 1978.
(e) Licensees may be required to manage and retain
additional records for a differing stated duration based on the provisions of
the Insurance Code.
(5) Books and records shall be maintained in accordance
with prudent standards of insurance record keeping.
D. Duty to report any administrative actions, and civil and
criminal prosecution.
(1) A licensee shall report to the superintendent any
administrative action taken against the licensee in any jurisdiction or by
another governmental agency in this state within 30 days of the final
disposition of the matter. The report
shall include a copy of the order, consent to order or other relevant legal
documents.
(2) A licensee shall report to the superintendent
any criminal prosecution of the licensee taken in any jurisdiction within 30
days after the initial pretrial hearing date.
The report shall include a copy of the initial complaint filed, any
order resulting from the hearing and other relevant legal documents.
(3) A licensee shall report to the superintendent the
filing and progress of any civil complaint filed against the licensee in any
jurisdiction. The initial report shall
include a copy of the complaint.
Subsequent reports shall be filed as the case progresses, and the final
report shall include the final order, if any, and any other relevant legal
documents.
(4) Title insurance producers shall report to the
superintendent in compliance with the requirements set forth in 13.14.4.12 NMAC.
E. Duty to report license cancellation. A licensee
whose out-of-state resident or non-resident license is canceled through either
the action or inaction of the licensee shall report the cancellation to the
superintendent within 30 days.
F. Duty to report
fraud.
(1) A
licensed insurance professional that has a reasonable belief that an act of
insurance fraud will be, is being or has been committed shall report to the
superintendent pursuant to Section 59A-16C-6 NMSA 1978 and shall cooperate
fully with any investigation conducted by the superintendent,
(2) Failure
to comply with this duty to report actual of suspected fraud shall constitute
grounds for the superintendent to impose an administrative penalty pursuant to
Section 59A-1-18 NMSA 1978 in addition to any applicable suspension, revocation
or denial of a license.
[13.4.2.26 NMAC – Rp, 13.4.2.26 NMAC, 04/01/2025]
13.4.2.27 CONTINUATION, TERMINATION AND
REINSTATEMENT OF LICENSES:
A. Continuation of producer licenses. An insurance producer license is continuous,
subject to payment of renewal fees as set forth in Section 59A-6-1 NMSA 1978
and completion and submission on or before the due date of the continuing
education requirements described in 13.4.7 NMAC, unless the license is
canceled, revoked, suspended or otherwise terminated.
(1) A licensed insurance producer who is unable to comply with
license renewal requirements due to military service or other extenuating
circumstance may request a waiver using forms available on the OSI website or
as otherwise directed by the superintendent.
An insurance producer in such circumstances may also request a waiver of
an examination requirement or of a fine or sanction imposed for failure to
comply with renewal procedures.
(2) For licenses issued to individuals:
(a) For licenses issued on or after July 1, 2017, biennial
renewal fees shall be paid on or before the last day of the second occurrence
of the individual’s birth month following issuance of the license.
(b) For licenses issued before July 1, 2017, details pertaining
to biennial continuation and renewal of licenses are available on the OSI
website for renewals due on March 1, 2018.
Thereafter, the license shall be renewed according to the biennial
schedule implemented on July 1, 2017.
(c) Continuing education requirements shall be satisfied during
the 24 months immediately preceding the renewal date of the license. Additional information pertaining to
continuing education requirements may be found in Section 13.4.7 NMAC.
(d) If the superintendent has reason to believe that the
competence of any licensee or individual designated to exercise license powers
is in question, the superintendent may require as a condition of continuation
of the license or license powers that the licensee or individual take and pass
the written examination that is required for new applicants for the same
license.
(3) For licenses issued to business entities:
(a) Business entity licenses shall renew and continue on a
biennial basis on March 1 of the biennial year except for those types of
business entity licenses that renew and continue annually pursuant to Section
59A-6-1 NMSA 1978, which shall renew and continue on March 1 of every year.
(b) Business entity affiliations shall renew and continue on an
annual basis on March 1 of every year, subject to payment of fees pursuant to
Section 59A-6-1 NMSA 1978.
B. Termination of licenses.
(1) A license that is not continued by the licensee
shall be deemed terminated at midnight on the last day of the licensee’s birth
month in the renewal year if an individual license and at midnight of March 1
in the renewal year if a business entity license. However, at the superintendent’s discretion,
a licensee’s request for continuation received within 30 days after the due
date may be granted if accompanied by a continuation fee equal to
one-hundred-and-fifty percent of the fee otherwise required.
(2) Authorization to transact business in this state shall
automatically terminate without notice as of the date and time of termination
of a license.
(3) Any license issued to an individual shall terminate upon
the death of the person.
(4) If a corporation ceases to exist, its business entity
license shall be tendered to the superintendent with notice of the dissolution.
(5) If a change occurs only in the
officers or in the name of a corporation, it may continue to transact insurance
under the license until action is taken by the superintendent upon a new
application, if:
(a) within 30 days of the change, the surviving officers of the
corporation file an application on a form prescribed by the superintendent for
registration of a change in the officers or the name of the corporation and pay
the required fees; and
(b) the application for registration of the change in officers
is signed by the secretary or corresponding officer of the corporation.
(6) If the membership of a partnership changes, the surviving
or continuing partner or partners may continue to transact insurance business
under the license issued to the predecessor partnership until action is taken
by the superintendent upon a new application, if:
(a) within 30 days, the surviving partner or partners
file an application on a form prescribed by the superintendent for registration
of a change in membership and pay the required fee;
(b) at least one person who exercises the producer
powers of the predecessor entity continues to exercise those powers of the
surviving or continuing partnership; and
(c) the application for registration of the change in
membership is signed by a general partner.
C. Reinstatement of licenses.
(1) An individual licensee who allows the license to lapse may,
within 12 months following the due
date of the required renewal fee and completion of continuing education
credits, reinstate the license without the necessity of passing a written
examination.
(2) A penalty of double the unpaid renewal fee shall be
required for a renewal received after the due date.
(3) If the producer has failed to comply with continuing
education requirements during a lapse, the producer shall complete all
continuing education hours that would have been necessary to keep the license
in compliance.
[13.4.2.27 NMAC – Rp, 13.4.2.27 NMAC, 04/01/2025]
13.4.2.28 DENIAL, SUSPENSION, REVOCATION OR
CANCELLATION OF LICENSES:
A. Effects of suspension. While a
license is suspended, the licensee shall not engage in any transaction for
which the license is required, other than receipt and remittance of premiums
paid for insurance or other business that was transacted by the licensee while
the license was active.
B. Reasons for probation, suspension, revocation or refusal
to continue license.
(1) The superintendent may take necessary action based
on information obtained via the NAIC attachment warehouse personal information
capture system alerts or other appropriate mechanisms used to monitor actions
against existing licensees.
(2) It shall be the duty of the superintendent to cancel a
license if the superintendent is satisfied that:
(a) a licensee obtained the license by
willful misrepresentation or fraud;
(b) a licensee obtained the license
chiefly for the purpose of writing insurance on the licensee’s own life,
property or liability, or on the lives, property or liability of the licensee’s
associates;
(c) a licensee is not complying with all
state and federal laws and regulations relating to insurance; or
(d) the interests of the insured or
the public are not being properly served under the license.
(3) The superintendent may place on probation, suspend,
revoke or refuse to issue or renew a license for any of the reasons set forth
in in Section 59A-11-14 NMSA 1978.
(4) A business entity’s license may be suspended,
revoked or refused if the superintendent finds after hearing that an individual
licensee’s violation was known or should have been known by one or more of the
partners, officers or managers acting on behalf of the partnership or
corporation, the violation was not reported to the superintendent and no
corrective action was taken.
(5) A rental car insurance producer’s license may be revoked or
suspended following a hearing by the superintendent for a violation by the
producer or the producer’s endorsees of the Rental Car Insurance Limited
Producer License Act set forth at Section 59A-32A-8 NMSA 1978. The
superintendent may also impose penalties or suspend a transaction of insurance
at specific rental locations where such a violation has occurred.
C. Suspension or revocation of or refusal to continue a
license.
(1) If the superintendent suspends, revokes or refuses to
continue a license, the superintendent shall notify the applicant in
writing. The notice shall advise the
applicant of the reason for the decision.
(2) Within 30 days of the date of issuance of the
notice, the applicant may request a hearing in writing pursuant to Section
59A-4-15 NMSA 1978. The hearing shall be
held within 90 days.
(3) The superintendent retains the authority to enforce
the provisions of and impose any penalty or remedy authorized by the Insurance
Code against any person who is under investigation for or charged with a
violation of the Insurance Code even if the person’s license has been
surrendered or has lapsed by operation of law.
D. Administrative fines.
(1) In addition to, or in lieu of, any applicable suspension,
revocation or denial of a license the superintendent may impose fees or
administrative fines pursuant to Section 59A-1-18 NMSA 1978 or a specific
section of the Insurance Code.
(2) The amount of the administrative fine shall be not
less than $100 nor more than $500 unless a small or larger fine is set by a
specific section of the Insurance Code.
(3) In the order imposing the fine, the superintendent
shall specify the grounds therefor and the period, not to exceed 60 days,
within which the licensee shall pay the fine.
(4) If at the end of the allowed payment period the
licensee has not paid the fine in full, the license immediately shall be
suspended or revoked, or its renewal denied, as the case may be, without
further order.
E. Duration of and reinstatement following suspension or
revocation of license.
(1) In the order suspending a license, the superintendent shall
state the period of suspension, which shall not exceed one year.
(a) The period of suspension may be modified by the
superintendent’s further order.
(b) At the end of the suspension period the license
shall be reinstated upon request of the licensee unless the superintendent
finds that the cause or causes of the suspension still exist or are likely to
recur. If the superintendent so finds,
he shall forthwith revoke the license by further order.
(2) An applicant whose license has been administratively
revoked or suspended shall contact the superintendent in order to request
reinstatement of the license.
(3) A licensee whose license has been revoked or suspended for
noncompliance with the Parental Responsibility Act shall become compliant and
provide evidence of compliance to the superintendent before the license may be
reinstated.
(4) The superintendent shall not relicense a former
licensee whose license has been revoked or its continuation refused without
evidence that the former licensee is otherwise qualified for the license and
that the cause or causes of the prior revocation or refusal to continue no
longer exists and will not recur.
[13.4.2.28 NMAC – Rp, 13.4.2.28 NMAC, 04/01/2025]
13.4.2.29 APPOINTMENTS AND CANCELLATION OF
PRODUCER CONTRACTS:
A license itself does not create any authority,
actual, apparent, or inherent in the licensee to represent or commit an
insurer.
A. Appointment of insurance producers.
(1) An insurance producer shall not act as an insurance
producer on behalf of an insurer unless the insurance producer becomes an
appointed insurance producer of that insurer.
An insurance producer who is not acting on behalf of an insurer is not
required to become appointed.
(2) An insurer shall appoint a producer using the online
electronic application or as otherwise directed by the superintendent.
(a) The appointment shall be filed within 15 days from the date
that the agency agreement is executed or when the first insurance application
is submitted by the insurance producer on behalf of the insurer.
(b) An insurer may appoint an insurance producer to all or some
insurers within the insurer’s holding company system or group by the filing of
a single appointment.
(c) An insurer shall pay the filing appointment fee set forth
in Paragraph (3) of Subsection E of Section 59A-6-1 NMSA 1978 for each
insurance producer the insurer appoints, but may contract for reimbursement of
the fee by agreement with the producer.
(3) In the event of a merger between two or more
insurers, appointments of producers by any of the insurers absorbed by the
merger will continue with the resulting insurer.
B. Continuation of appointment.
(1) Appointments of insurance producers shall be continuous
subject to the insurer’s payment of continuation fees as required by Section
59A-6-1 NMSA 1978 and filing of notice of continuation with the superintendent.
(2) Notice of continuation and payment of continuation fees
shall be filed annually with the superintendent on or before March 1 of each
year. The annual filing shall include
the name, address and license number of each insurance producer appointed by
the insurer to solicit or transact business in this state on the insurer’s
behalf.
C. Termination of appointment.
(1) Insurance producer appointments terminate automatically on
April 30 of the year after issuance or continuation of appointment if the
appointing insurer does not file a continuation of appointment.
(2) No insurer authorized to transact property or casualty
insurance business in this state shall terminate a contract appointing an
independent insurance producer without giving the insurance producer written
notice of the termination, including the specific reason for such action, at
least 180 days prior to the termination except as provided in Subsection C of Section 59A-11-13 NMSA 1978.
(3) No insurer shall terminate an appointment with a
property or casualty insurance producer based on an adverse loss-ratio, as set
forth in Subsection B of Section 59A-11-13 NMSA 1978.
(4) Notice of termination of appointment by an insurer shall be
provided to the superintendent using the online form, or as otherwise directed
by the superintendent, within 30 days following the effective date of the
termination.
(a) If
the reason for termination is one of the reasons for which the superintendent
may cancel, suspend, revoke or refuse to issue a license as set forth in
13.4.2.27 and 13.4.2.28 NMAC, Subsection C of Section 59A-11-13 NMSA 1978 and
Section 59A-11-14 NMSA 1978, or if the insurer has knowledge that the producer
has been found by a court or regulatory agency to have engaged in any of the
activities prohibited by 13.4.2.27 NMAC, the notice shall disclose it.
(b) The insurer has a continuing obligation to report to
the superintendent should additional information become available following the
initial notification.
(c) The insurer shall provide additional information
about the reason for termination upon the superintendent’s request.
(5) If the reason for the termination is one or more of
the activities listed in 13.4.2.27 NMAC, the insurer shall provide a copy of
the notice via certified mail to the insurance producer’s last known address
within 15 days following submission of the notice to the superintendent.
(6) The insurance producer may provide to the
superintendent additional information in response to the notice filed by the
insurer within 30 days; both the insurer’s notice and the insurance producer’s
response shall be made a permanent part of the file retained by the
superintendent.
(7) Any documents and materials related to termination
or cancellation of an insurance producer’s appointment that are provided to the
superintendent shall be handled in a manner that is consistent with the
confidentiality provisions set forth in Subsection K of Section 59A-11-13 NMSA
1978.
(8) An insurer may terminate its relationship with an
insurance producer for any of the reasons set forth in Subsection C of Section
59A-11-13 NMSA 1978. The provisions of
Paragraphs (2) and (3) of Subsection C of 13.4.2.19 NMAC shall not apply for
such terminations.
(9) When an insurer ceases operation in this state, all
producers and other principals that have been appointed by the insurer shall
cease to be authorized to transact business in this state on behalf of the
insurer as of the date of such cessation and shall immediately cease all
activity on behalf of the insurer.
[13.4.2.29 NMAC – Rp, 13.4.2.29 NMAC, 04/01/2025]
13.4.2.30 SUPERINTENDENT’S LICENSING RECORDS:
A. The superintendent shall keep a
record of:
(1) each licensee’s name, address,
date of license, kind of business transacted and qualifications;
(2) the name of the principal or
insurer represented; and
(3) all cancellations, suspensions or revocations of a license
and notifications submitted by an insurer to the superintendent that pertain to
a licensee.
B. Except for confidential information
and other matters withheld by the superintendent pursuant to Sections 59A-2-12,
59A-4-11 or 59A-11-13 NMSA 1978, these records shall be made available for
public inspection upon request.
[13.4.2.30 NMAC – Rp, 13.4.2.30 NMAC, 04/01/2025]
HISTORY OF 13.4.2 NMAC:
Pre-NMAC History: The material in this rule was originally
filed with the State Records Center as:
ID 67-1, Sections 5-3-1
through 5-3-13 and 5-4-1 through 5-4-16, New Mexico Official Administrative
Rules and Regulations Code, filed 12/1/1967.
History of Repealed Material:
13.4.2 NMAC - Resident Agents And Solicitors filed
7/1/1997, was Repealed effective 4/2/2018.
Other History of 13.4.2 NMAC:
13.4.2 NMAC - Resident Agents And Solicitors filed
7/1/1997, was Repealed and Replaced by 13.4.2 NMAC - Resident Producers And Other Resident Licenses effective 4/2/2018.
13.4.2 NMAC - Resident
Producers And Other Resident Licenses, filed 4/2/2018 was repealed and replaced by 13.4.2 NMAC - Resident
Producers And Other Resident Licenses,
effective 04/01/2025.