A. After written notice to the participating employee, eligible retiree or eligible dependent and hearing with a fair opportunity to appear and present the case personally or by counsel, the board may expel from participation in the retiree health care plan or plans any participating employee, eligible retiree or eligible dependent who submits a false claim under, or has falsified or attempted to falsify, any claim for health benefits or life insurance offered by the authority.
B. On its motion or on the receipt of a complaint, the board may call and hold a hearing to determine whether a participating employee, eligible retiree or eligible dependent has submitted a false claim under, or has falsified or attempted to falsify any claim for health benefits or life insurance offered under the Retiree Health Care Act.
C. If the board, at the conclusion of the hearing, issues a decision that finds that a participating employee, eligible retiree or eligible dependent submitted a false claim or has falsified or attempted to falsify any claim for health benefits or life insurance offered under that act, the board shall expel the participating employee, eligible retiree or eligible dependent from participation in any or all coverage plans or impose conditions upon continued or future participation.
History: Laws 1990, ch. 6, ยง 10.
Structure New Mexico Statutes
Chapter 10 - Public Officers and Employees
Article 7C - Retiree Health Care
Section 10-7C-1 - Short title.
Section 10-7C-2 - Purpose of act.
Section 10-7C-3 - Legislative findings and declaration of policy.
Section 10-7C-4 - Definitions.
Section 10-7C-5 - Authority created.
Section 10-7C-6 - Board created; membership; authority.
Section 10-7C-7 - Board; duties.
Section 10-7C-7.2 - New Mexico finance authority revenue bonds; purpose; appropriation.
Section 10-7C-8 - Fund created; investment; premiums; appropriation.
Section 10-7C-9 - Participation.
Section 10-7C-10 - Expulsion from program for falsification.
Section 10-7C-11 - Purchase of group insurance.
Section 10-7C-12 - Automatic coverage; effect of preexisting conditions.
Section 10-7C-13 - Payment of premiums on health care plans.
Section 10-7C-14 - Exemption from legal process.
Section 10-7C-15 - Retiree health care fund contributions.