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
one and one-half percent of the outstanding premium due for each month the
member is overdue.
[6.50.8.8 NMAC - Rp, 6 NMAC
50.8.8, 09/01/2014; A, 12/10/2024]
6.50.8.9 PREMIUM PAYMENT FOR EMPLOYEE
BENEFITS COVERAGES: The authority shall invoice each member 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. Premium payments not received by the 10th
day of the month following the due date shall be subject to an interest charge
of one and one-half percent of the outstanding premium due for each month the
member is overdue.
[6.50.8.9 NMAC - N,
09/01/2014; A, 12/10/2024]
6.50.8.10 PREMIUM
PAYMENT PLAN: Any member unable to make their 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; A, 12/10/2024]
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 PREMIUM 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; A, 12/10/2024]
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 10/31/1986;
NMPSIA 86-205, Employee
Benefit Premium Payments, filed 10/31/1986;
NMPSIA 93-11,
Employee-Benefit and Risk Related Premium Payments, filed 03/22/1993.
History of Repealed Material:
6 NMAC 50.8, Employee-Benefit
and Risk-Related Premium Payments, filed 10/1/1997 - Repealed effective
09/01/2014.