A. An employer is authorized to make a payroll deduction from the compensation of an employee for the portion of the pool policy premium the employee is responsible for, and an employer shall contribute the same dollar amount of the cost of that policy on behalf of the employee that the employer contributes for other similar employees for health insurance.
B. An employer shall offer and make available to dependent family members of an employee covered by the pool the same group plan offered to other employees of the group. The employer shall charge a dependent family member a premium equal to that amount charged to other employees and shall contribute the difference between the amount the employer would pay for the employee under its group family coverage and the amount the employer has paid to the pool on behalf of the employee pursuant to Subsection A of this section. In no event shall an employer be required to pay more for a family with the employee being a high risk than for a standard family in the employer's group plan.
History: 1978 Comp., § 59A-54-15, enacted by Laws 1987, ch. 154, § 15.
Structure New Mexico Statutes
Article 54 - Medical Insurance Pool
Section 59A-54-1 - Short title.
Section 59A-54-3 - Definitions.
Section 59A-54-4 - Pool created; board.
Section 59A-54-5 - Plan of operation.
Section 59A-54-6 - Notice of pool.
Section 59A-54-7 - Board; powers and duties.
Section 59A-54-7.1 - Prescription drug program; cost-sharing.
Section 59A-54-7.2 - Expansion of programs pursuant to federal law.
Section 59A-54-8 - Examination.
Section 59A-54-9 - Policy forms.
Section 59A-54-10 - Assessments.
Section 59A-54-11 - Pool administrator; selection; duties.
Section 59A-54-12 - Eligibility; policy provisions.
Section 59A-54-14 - Deductibles; coinsurance; maximum out-of-pocket payments.
Section 59A-54-15 - Dependent family member required coverage; employer responsibilities.
Section 59A-54-16 - Pool policy.
Section 59A-54-18 - Collective action.
Section 59A-54-19 - Rates; standard risk rate.