A. Each group shall have an administrator. In providing day-to-day management for the group, the administrator may provide claims adjustment; safety engineering; compilation of statistics and the preparation of premium, loss and tax reports; preparation of other required self-insurance reports; development of members' assessments and fees; and administration of a claim fund.
B. Each group may have a service company. The service company may provide services the administrator delegates to it or does not itself provide.
C. No service company or its employees, officers or directors shall be an employee, officer or director of, or have either a direct or indirect financial interest in, an administrator for the same group. No administrator or its employees, officers or directors shall be an employee, officer or director of, or have either a direct or indirect financial interest in, a service company for the same group. Nothing in this section shall prohibit an administrator or service company for one group from being an administrator or service company for another group.
D. An administrator, officer, trustee or employee of a group or an employee of an administrator shall disclose in writing to the group's board of trustees and director a conflict of interest. For purposes of this subsection, a "conflict of interest" means that a person accepts or is a beneficiary of a fee, brokerage, gift or other thing of value, other than fixed salary or compensation, as consideration for an investment, loan, deposit, purchase, sale, exchange, insurance, reinsurance or other similar transaction made by or for the group, or that a person is financially interested in any capacity in a transaction for the group except on behalf of the group.
E. No group shall pay remuneration, compensation or any thing of value to an officer, administrator or director of the group unless the payment has been authorized by the group's board of trustees.
F. A service contract shall state that, unless the director permits otherwise, the service company shall handle, to their conclusion, all claims and other obligations incurred during the contract period.
History: Laws 1986, ch. 22, § 84; 1990 (2nd S.S.), ch. 2, § 75; 1993, ch. 96, § 1.
The 1993 amendment, effective June 18, 1993, added "Administrators and" at the beginning of the catchline; inserted present Subsections A, B, D, and E, and redesignated former Subsections A and B as present Subsections C and F; and, in Subsection C, added "for the same group" at the end of the first and second sentences, and added the last sentence.
The 1990 (2nd S.S.) amendment, effective January 1, 1991, substituted "director" for "superintendent" in Subsection B.
Structure New Mexico Statutes
Chapter 52 - Workers' Compensation
Article 6 - Group Self-Insurance
Section 52-6-4 - Authority to act as a group.
Section 52-6-5 - Initial approval and continued approval to act as a group; qualifications.
Section 52-6-6 - Certificate of approval; termination.
Section 52-6-7 - Examinations.
Section 52-6-8 - Board of trustees; membership, powers, duties and prohibitions.
Section 52-6-9 - Group membership; termination; liability.
Section 52-6-10 - Administrators and service companies; conflicts.
Section 52-6-11 - Licensing of agent.
Section 52-6-12 - Financial statements; other reports.
Section 52-6-14 - Subsequent injury fund.
Section 52-6-15 - Misrepresentation prohibited.
Section 52-6-16 - Investments.
Section 52-6-17 - Rates; reporting.
Section 52-6-19 - Premium payment; reserves.
Section 52-6-20 - Deficits and insolvencies.
Section 52-6-21 - Monetary penalties.
Section 52-6-22 - Cease and desist orders.
Section 52-6-23 - Revocation of certificate of approval.