TITLE 6 PRIMARY AND SECONDARY EDUCATION
CHAPTER 50 INSURANCE
PART 8 EMPLOYEE-BENEFIT
AND RISK-RELATED PREMIUM PAYMENTS
6.50.8.1 ISSUING
AGENCY: New Mexico Public School Insurance Authority.
[6.50.8.1 NMAC - Rp,
6 NMAC 50.8.1, 09/01/2014]
[The address of
the New Mexico Public School Insurance Authority is 410 Old Taos Highway, Santa
Fe, New Mexico 87501.]
6.50.8.2 SCOPE: This
part applies to all school districts, charter schools, other educational
entities, eligible employees, eligible retired employees, eligible dependents,
eligible participating entity governing body board members and persons or
entities authorized to participate in the authority's employee benefits,
risk-related and due process reimbursement coverages.
[6.50.8.2 NMAC - Rp,
6 NMAC 50.8.2, 09/01/2014]
6.50.8.3 STATUTORY
AUTHORITY: Subsection D of Section 22-29-7 NMSA 1978, directs
the authority to promulgate necessary rules, regulations and procedures for the
implementation of the New Mexico Public School Insurance Authority Act, Section
22-29-1 et seq. NMSA 1978.
[6.50.8.3 NMAC - Rp,
6 NMAC 50.8.3, 09/01/2014]
6.50.8.4 DURATION: Permanent.
[6.50.8.4 NMAC - Rp,
6 NMAC 50.8.4, 09/01/2014]
6.50.8.5 EFFECTIVE
DATE: September 1, 2014, unless a later date is
cited at the end of a section.
[6.50.8.5 NMAC - Rp,
6 NMAC 50.8.5, 09/01/2014]
6.50.8.6 OBJECTIVE: The
objective of this part is to set forth the requirements for premium payment by
participating entities.
[6.50.8.6 NMAC - Rp,
6 NMAC 50.8.6, 09/01/2014]
6.50.8.7 DEFINITIONS: [RESERVED]
6.50.8.8 PREMIUM
PAYMENT FOR RISK RELATED AND DUE PROCESS REIMBURSEMENT COVERAGES: The
authority shall invoice each member for risk-related and due process
reimbursement coverages. Payment for
risk-related and due process reimbursement coverages is due in full within 30
days after the billing date. Premium
payments not received by the 10th day of the month following the due date shall
be subject to an interest charge of 1.5% of the premium due for each month they
are overdue.
[6.50.8.8 NMAC - Rp,
6 NMAC 50.8.8, 09/01/2014]
6.50.8.9 PREMIUM
PAYMENT FOR EMPLOYEE BENEFITS COVERAGES: The authority
shall invoice each member, or the individual
participant where direct billing is used, for the premiums for employee
benefits coverages. Premium payments are
due in full within 10 days after billing. Premiums are due no later than the
10th of the month for which coverage is intended.
[6.50.8.9 NMAC - N,
09/01/2014]
6.50.8.10 PREMIUM
PAYMENT PLAN: Any member unable to make its premium payment
timely and in full must obtain a recommendation from the state secretary of
education for any alternate payment schedule, which shall then be submitted to
the board for approval. The board may accept or reject the secretary’s
recommendation.
[6.50.8.10 NMAC - Rp,
6 NMAC 50.8.9, 09/01/2014]
6.50.8.11 FAILURE
TO PAY PREMIUMS WHEN DUE: If any member or individual participant
responsible for making a premium payment fails to make the premium payments
when due, the member or individual participant shall be subject to suspension
of coverage or in an extreme case, as determined by the board, to termination
of coverage. Notice of suspension or termination of coverage shall be given to
the member or to the individual as appropriate. Where the coverage has been
suspended for non-payment of premiums, the authority shall act to protect the
stability of the fund in determining whether to reinstate coverage.
[6.50.8.11 NMAC - Rp,
6 NMAC 50.8.10, 09/01/2014]
6.50.8.12 PROCEDURE
FOR HANDLING DISPUTED BILLINGS: In the event any member or
individual disputes the amount of the authority’s billing, the member or
individual shall pay the bill and then file a written statement requesting a
refund of the disputed amount setting forth the amount and the reasons the member
or individual believes the billing constitutes an overcharge. The request shall
be filed within 60 days after the submission of the billing. Requests for
refunds that are not timely filed shall be deemed to be rejected. The board
shall place complaints regarding the amount of the authority’s billings that
are timely filed on the agenda of one of its meetings and give notice to the
affected member or individual so the member or individual may attend and be
heard.
[6.50.8.12 NMAC - Rp,
6 NMAC 50.8.11, 09/01/2014]
HISTORY of
6.50.8 NMAC:
Pre-NMAC History: The material in
this part was derived from that previously filed with the State Records Center
and Archives under:
NMPSIA 86-105,
Risk-Related Premium Payments, filed 10-31-86;
NMPSIA 86-205,
Employee Benefit Premium Payments, filed 10-31-86;
NMPSIA
93-11, Employee-Benefit and Risk Related Premium Payments, filed 03-22-93.
History of Repealed Material:
6 NMAC 50.8,
Employee-Benefit and Risk-Related Premium Payments, filed 10/1/97 - Repealed
effective 09/01/2014.