New Mexico Statutes
Article 22 - Health Insurance Contracts
Section 59A-22-12 - Payment of claims.

There shall be a provision as follows:
Indemnity for loss of life will be payable in accordance with the beneficiary designation and the provisions respecting such payment which may be prescribed herein and effective at the time of payment. If no such designation or provision is then effective, such indemnity shall be payable to the estate of the insured. Any other accrued indemnities unpaid at the insured's death may, at the option of the insurer, be paid either to such beneficiary or to such estate. All other indemnities will be payable to the insured.
(The following provisions, or either of them, may be included with the foregoing provision at the option of the insurance company.)
(If any indemnity of this policy shall be payable to the estate of the insured, or to an insured or beneficiary who is a minor or otherwise not competent to give valid release, the insurance company may pay such indemnity, up to an amount not exceeding $. . . . . (insert an amount which shall not exceed one thousand dollars ($1,000), to any relative by blood or connection by marriage of the insured or beneficiary who is deemed by the insurance company to be equitably entitled thereto. Any payment made by the insurance company in good faith pursuant to this provision shall fully discharge the insurance company to the extent of such payment.)
(Subject to any written direction of the insured in the application or otherwise all or a portion of any indemnities provided by this policy on account of hospital, nursing, medical or surgical services may, at the insurance company's option and unless the insured requests otherwise in writing not later than the time of filing proofs of such loss, be paid directly to the hospital or person rendering such services; but it is not required that the service be rendered by a particular hospital or person.)
History: Laws 1984, ch. 127, ยง 433.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 59A - Insurance Code

Article 22 - Health Insurance Contracts

Section 59A-22-1 - Scope of article.

Section 59A-22-2 - Form and content of policy.

Section 59A-22-3 - Required provisions.

Section 59A-22-4 - Entire contract; changes.

Section 59A-22-5 - Time limit on certain defenses.

Section 59A-22-6 - Grace period.

Section 59A-22-7 - Reinstatement.

Section 59A-22-8 - Notice of claim.

Section 59A-22-9 - Claim forms.

Section 59A-22-10 - Proofs of loss.

Section 59A-22-11 - Time of payment of claims.

Section 59A-22-12 - Payment of claims.

Section 59A-22-13 - Physical examination and autopsy.

Section 59A-22-14 - Legal actions.

Section 59A-22-15 - Change of beneficiary.

Section 59A-22-16 - Optional provisions.

Section 59A-22-17 - Change of occupation.

Section 59A-22-18 - Misstatement of age.

Section 59A-22-19 - Other insurance in this insurance company.

Section 59A-22-20 - Insurance with other insurance companies.

Section 59A-22-21 - Insurance with other insurance companies [; alternative provision].

Section 59A-22-22 - Relation of earnings to insurance.

Section 59A-22-23 - Unpaid premium.

Section 59A-22-24 - Cancellation.

Section 59A-22-25 - Conformity with state statutes.

Section 59A-22-26 - Order of certain policy provisions.

Section 59A-22-27 - Third party ownership.

Section 59A-22-28 - Requirements of other jurisdictions.

Section 59A-22-29 - Conforming to statute.

Section 59A-22-30 - Age limit.

Section 59A-22-30.1 - Maximum age of dependent.

Section 59A-22-31 - Industrial health insurance.

Section 59A-22-32 - Freedom of choice of hospital and practitioner.

Section 59A-22-32.1 - Freedom of choice.

Section 59A-22-33 - Children with disabilities; coverage continued.

Section 59A-22-34 - Newly born children coverage.

Section 59A-22-34.1 - Coverage for adopted children.

Section 59A-22-34.2 - Coverage of children.

Section 59A-22-34.3 - Childhood immunization coverage required.

Section 59A-22-34.4 - Coverage of circumcision for newborn males.

Section 59A-22-34.5 - Hearing aid coverage for children required.

Section 59A-22-35 - Maternity transport required.

Section 59A-22-36 - Home health care service option required.

Section 59A-22-37 - Repealed.

Section 59A-22-38 - Individual health insurance; policy provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section 59A-22-39 - Coverage for mammograms.

Section 59A-22-39.1 - Mastectomies and lymph node dissection; minimum hospital stay coverage required.

Section 59A-22-39.2 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 59A-22-40 - Coverage for cytologic and human papillomavirus screening.

Section 59A-22-40.1 - Coverage for the human papillomavirus vaccine.

Section 59A-22-41 - Coverage for individuals with diabetes.

Section 59A-22-41.1 - Coverage for medical diets for genetic inborn errors of metabolism.

Section 59A-22-42 - Coverage for prescription contraceptive drugs or devices.

Section 59A-22-43 - Required coverage of patient costs incurred in cancer clinical trials.

Section 59A-22-44 - Coverage for smoking cessation treatment.

Section 59A-22-45 - Coverage of alpha-fetoprotein IV screening test.

Section 59A-22-46 - Coverage of part-time employees.

Section 59A-22-47 - Coverage of colorectal cancer screening.

Section 59A-22-48 - General anesthesia and hospitalization for dental surgery.

Section 59A-22-49 - Coverage for autism spectrum disorder diagnosis and treatment.

Section 59A-22-49.1 - Coverage for orally administered anticancer medications; limits on patient costs.

Section 59A-22-49.2 - Coverage of prescription eye drop refills.

Section 59A-22-49.3 - Coverage for telemedicine services.

Section 59A-22-49.4 - Prescription drugs; prohibited formulary changes; notice requirements.

Section 59A-22-50 - Health insurers; direct services.

Section 59A-22-51 - Dental insurance plan; dental fees not covered; severability.

Section 59A-22-52 - Prescription drug prior authorization protocols.

Section 59A-22-53 - Pharmacy benefits; prescription synchronization.

Section 59A-22-53.1 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 59A-22-53.2 - Pharmacist prescriptive authority services; reimbursement parity.

Section 59A-22-54 - Provider credentialing; requirements; deadline.

Section 59A-22-55 - Coverage exclusion. (Contingent repeal. See note.)

Section 59A-22-56 - Physical rehabilitation services; limits on cost sharing.

Section 59A-22-57 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)