New Mexico Statutes
Article 1 - Workers' Compensation
Section 52-1-4.2 - Controlled insurance plan; penalty.

A. An owner or the principal contractor of a construction project may establish and administer a controlled insurance plan, provided the covered project is a construction project, a plant expansion or real property improvements within New Mexico with an aggregate construction value in excess of one hundred fifty million dollars ($150,000,000) expended within a five-year period. As used in this section, "aggregate construction value" includes design, utilities, site excavation, construction costs of improvements to real property and acquisition of equipment and furnishings but does not include the cost of fees or charges associated with financing the construction project.
B. Rolling wrap-ups are prohibited. Controlled insurance plans covering non-contiguous construction sites are prohibited.
C. The owner shall include in any request for proposals for bids a notice that participation in a controlled insurance plan is a requirement of the bid and shall provide a copy of the specifications of the controlled insurance plan. The specifications shall include a statement of the bidding contractor's or subcontractor's responsibilities relative to the plan.
D. A dispute regarding which workers' compensation coverage or insurer is responsible shall be resolved by the administration. An administrative or judicial finding shall include appropriate reimbursement of benefit payments and expenses. For disputed cases as described herein, initial benefits shall be provided by the controlled insurance plan until such time as the coverage dispute is resolved.
E. An owner or principal contractor who enters into a contract for a controlled insurance plan shall file a copy of the contract and evidence of compliance with the requirements of this section with the superintendent of insurance and the workers' compensation administration at least thirty days before the date on which the owner is to begin receiving bids or requests for proposals on the project.
F. An owner or principal contractor using a controlled insurance plan shall distribute any project performance-based refunded premium or dividend to each participating contractor and subcontractor on a proportional basis if provided in the construction contract.
G. An owner or principal contractor shall provide for a safety plan for an employee engaged in the construction project when the employee is present at the construction project site. The owner or principal contractor of the construction project shall develop and carry out a health and safety program approved by the workers' compensation administration. The plan shall include a protocol that encourages return to work guidelines pursuant to the Workers' Compensation Act.
H. The owner or principal contractor of a construction project that uses a controlled insurance plan shall:
(1) establish a method for timely reporting of job-related injuries to the employer, the insured and the administration;
(2) provide modifier experienced units statistical rating information and any other statistical information required by the superintendent of insurance for all contractors and subcontractors, including losses and payroll, to the appropriate rating service within six months following the end of the annual policy period;
(3) provide contractors or subcontractors or their representatives with actual and specific payroll audit data generated under the controlled insurance plan, as would be customarily provided to the employer from a non-controlled insurance plan; and
(4) provide the same access to information on injured employees as would customarily be available to the employer from a non-controlled insurance plan.
I. In addition to any other penalties provided under the law, a person found to have violated any requirement of this section shall be subject to a penalty pursuant to Section 52-1-61 NMSA 1978.
History: Laws 2003, ch. 263, § 2.
Effective dates. — Laws 2003, ch. 263 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 20, 2003, 90 days after adjournment of the legislature.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 52 - Workers' Compensation

Article 1 - Workers' Compensation

Section 52-1-1 - Short title.

Section 52-1-1.1 - Definitions.

Section 52-1-1.2 - Advisory council on workers' compensation and occupational disease disablement; functions and duties; independent medical examinations committee.

Section 52-1-2 - Employers who come within act.

Section 52-1-3 - Workers' compensation coverage; coverage by state agencies.

Section 52-1-3.1 - Public employee.

Section 52-1-4 - Filing certificate of insurance coverage or other evidence of coverage with workers' compensation administration; exemptions from requirement.

Section 52-1-4.1 - Repealed.

Section 52-1-4.2 - Controlled insurance plan; penalty.

Section 52-1-5 - Destruction of policies, bonds and undertakings.

Section 52-1-6 - Application of provisions of act.

Section 52-1-6.1 - Worker's compensation; definition.

Section 52-1-6.2 - Safety programs; inspections; penalties; bonuses.

Section 52-1-7 - Application of provisions of act to certain executive employees or sole proprietors.

Section 52-1-8 - Defenses to action by employee.

Section 52-1-9 - Right to compensation; exclusive.

Section 52-1-9.1 - Uninsured employers' fund; workers' compensation administration; additional duties.

Section 52-1-10 - Increase or reduction in compensation based on failure of employer to provide or failure of employee to use safety devices.

Section 52-1-10.1 - Allocation of fault; reimbursement.

Section 52-1-11 - Injuries caused by the willfulness or intention of worker are noncompensable.

Section 52-1-12 - Repealed.

Section 52-1-12.1 - Reduction in compensation when alcohol or drugs contribute to injury or death; exceptions.

Section 52-1-13 - Termination of agreements.

Section 52-1-14 - [Interstate commerce not subject to state legislation exempted.]

Section 52-1-15 - Employer.

Section 52-1-16 - Worker; real estate salesperson excepted.

Section 52-1-17 - Dependents.

Section 52-1-18 - Child.

Section 52-1-19 - Injury by accident; course of employment.

Section 52-1-20 - Determination of average weekly wage.

Section 52-1-21 - Repealed.

Section 52-1-22 - Work not casual employment.

Section 52-1-23 - Contractor becoming employer in casual employment.

Section 52-1-24 - Impairment; definition.

Section 52-1-24.1 - Date of maximum medical improvement.

Section 52-1-25 - Permanent total disability.

Section 52-1-25.1 - Temporary total disability; return to work.

Section 52-1-26 - Permanent partial disability.

Section 52-1-26.1 - Partial disability determination; calculation of modifications.

Section 52-1-26.2 - Partial disability determination; age modification.

Section 52-1-26.3 - Partial disability determination; education modification.

Section 52-1-26.4 - Partial disability determination; physical capacity modification.

Section 52-1-27 - Repealed.

Section 52-1-28 - Compensable claims; proof.

Section 52-1-28.1 - Unfair claim-processing practices; bad faith.

Section 52-1-28.2 - Retaliation against employee seeking benefits; civil penalty.

Section 52-1-28.3 - False statements or representations with regard to physical condition; forfeiture.

Section 52-1-29 - Notice of accident to employer; employer to post clear notice of requirement.

Section 52-1-30 - Payment of compensation benefits; installments.

Section 52-1-31 - Claim to be filed for workers' compensation; effect of failure to give required notice or to file claim within time allowed.

Section 52-1-32 to 52-1-35 - Repealed.

Section 52-1-36 - Effect of failure of worker to file claim by reason of conduct of employer.

Section 52-1-37 - Repealed.

Section 52-1-38 - Judgment; provisions; execution; subrogation; contempts.

Section 52-1-39 - Repealed.

Section 52-1-40 - Waiting period.

Section 52-1-41 - Compensation benefits; total disability.

Section 52-1-42 - Compensation benefits; permanent partial disability; maximum duration of benefits.

Section 52-1-43 - Compensation benefits; injury to specific body members.

Section 52-1-44 - Compensation benefits; facial disfigurement.

Section 52-1-45 - Compensation benefits; hernia; proof of claim; failure to be operated [upon]; examination; medical care.

Section 52-1-46 - Compensation benefits for death.

Section 52-1-47 - Limitations on compensation benefits.

Section 52-1-47.1 - Compensation benefits limit.

Section 52-1-48 - Additional limitation on benefits.

Section 52-1-49 - Medical and related benefits; selection of health care provider; artificial members.

Section 52-1-50 - Repealed.

Section 52-1-50.1 - Rehiring of injured workers.

Section 52-1-51 - Physical examinations of worker; independent medical examination; unsanitary or injurious practices by worker; testimony of health care providers.

Section 52-1-52 - Exemption from creditors.

Section 52-1-53 - [Accident prevention laws not affected.]

Section 52-1-54 - Fee restrictions; appointment of attorneys by the director or workers' compensation judge; discovery costs; offer of judgment; penalty for violations.

Section 52-1-55 - Physical examinations; statements regarding dependents; pre-employment physical condition statements.

Section 52-1-56 - Diminution; termination or increase of compensation.

Section 52-1-57 - Repealed.

Section 52-1-58 - Reports to be filed with director.

Section 52-1-59 - Effect of failure to file report.

Section 52-1-60 - Notice to director of date of payment.

Section 52-1-61 - Penalties.

Section 52-1-62 - Director to enforce Workers' Compensation Act.

Section 52-1-63 - Educational institutions exempt.

Section 52-1-64 - Extra-territorial coverage.

Section 52-1-65 - Credit for benefits furnished or paid under laws of other jurisdictions.

Section 52-1-66 - Nonresident employers employing workers in state; requirement for insurance; enforcement.

Section 52-1-67 - Locale of employment; definitions.

Section 52-1-68 - Reciprocal recognition of extra-territorial coverage with other jurisdictions.

Section 52-1-69 - Repealed.

Section 52-1-70 - Offset of unemployment compensation benefits.