A. Every group shall adhere to the uniform classification system, uniform experience-rating plan and manual rules filed with the superintendent by an advisory organization designated by the director.
B. Premium contributions to the group shall be determined by applying the manual rates and rules to the appropriate classification of each member, which shall be adjusted by each member's experience credit or debit. Subject to approval by the director, premium contributions may also be reduced by an advance premium discount reflecting the group's expense levels and loss experience.
C. Notwithstanding Subsection B of this section, a group may apply to the director for permission to make its own rates. Such rates shall be based on at least three years of the group's experience.
D. Each group shall be audited at least annually by an auditor acceptable to the director to verify proper classifications, experience rating, payroll and rates. A report of the audit shall be filed with the director in a form acceptable to him. A group or any member thereof may request a hearing on any objections to the classifications. If the director determines that, as a result of an improper classification, a member's premium contribution is insufficient, he shall order the group to assess that member an amount equal to the deficiency. If the director determines that, as a result of an improper classification, a member's premium is excessive, he shall order the group to refund to the member the excess collected. The audit shall be at the expense of the group.
History: Laws 1986, ch. 22, § 91; 1987, ch. 11, § 3; 1990 (2nd S.S.), ch. 2, § 77.
The 1990 (2nd S.S.) amendment, effective January 1, 1991, substituted "director" for "superintendent" throughout the section.
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.