New Mexico Register / Volume XXXV,
Issue 23 / December 10, 2024
This is an
amendment to 6.50.6 NMAC, Section 8, effective 12/10/2024.
6.50.6.8 COVERAGE
NOTIFICATION: The authority will issue notification of
coverage for each offering to each participating entity within 30 days of the
inception of the coverage. The coverage notification may specify the types,
limits, amounts and general terms of coverage to be provided to the
participating entity. The notification shall state that a complete copy of the
memorandum of coverage which governs risk-related and due process reimbursement
coverages will be made available to all interested parties upon request. Each covered employee under employee benefits
coverages shall [receive] have access to
a summary plan description or insurance certificate. The terms of the insurance
policy or memorandum of coverage, not
the coverage notification or summary shall control in any dispute over
coverage. Final determination of whether a claim is covered rests solely with the authority.
[6.50.6.8 NMAC -
Rp, 6 NMAC 50.6.8, 09/01/2014; A, 12/10/2024]