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]