New Mexico Statutes
Article 54 - Medical Insurance Pool
Section 59A-54-6 - Notice of pool.

A. Every insurer shall provide a notice and an application for coverage by the pool to any person who receives:
(1) a rejection of coverage for health insurance or health care services;
(2) a notice that the rate for health insurance or coverage for health care services provided will exceed the rates of a pool policy;
(3) a notice of reduction or limitation of coverage, including a restrictive rider, from an insurer if the effect of the reduction or limitation is to substantially reduce coverage compared to the coverage available to a person considered a standard risk for the type of coverage provided by the plan; or
(4) a termination of coverage for health insurance or health care services by either the carrier or the covered individual.
B. The notice required by Subsection A of this section shall state that the person is eligible to apply for health insurance provided by the pool. Application for the health insurance shall be on forms prescribed by the board and made available to all insurers.
History: 1978 Comp., § 59A-54-6, enacted by Laws 1987, ch. 154, § 6; 1991, ch. 200, § 4; 2021, ch. 108, § 31.
The 2021 amendment, effective July 1, 2021, included "termination of coverage" as a reason an insurer must provide their previously covered member with notice of, and an application for, coverage by the medical insurance pool; and in Subsection A, deleted "Commencing September 1, 1987, and added Paragraph A(4).
The 1991 amendment, effective June 14, 1991, deleted former Subsection C, which read "A copy of the notice required by Subsection A of this section shall be sent to the board".

Structure New Mexico Statutes