N.M. Admin. Code § 11.4.12.7

Current through Register Vol. 35, No. 21, November 5, 2024

Section 11.4.12.7 - DEFINITIONS

A."Claim" means any allegation of entitlement to benefits under Chapter 258, Laws of 2003, which has been communicated to the uninsured employer's fund or to the fund through the workers' compensation administration.

B."Eligible" and "eligibility" mean that the claim is properly subject to payment by the fund to the extent that the claim is compensable. The compensability determination is independent of the eligibility determination. Eligibility and compensability shall be determined in accordance with applicable law.

C."Fund" means the uninsured employers' fund established by Chapter 258, Laws of 2003 as administered by the workers' compensation administration.

D."Fund administrator" means a designee of the director charged with administering the fund and implementing the provisions of this rule.

E."TRD" means the New Mexico taxation and revenue department.

F."UEF in-house counsel" means lawyers who are employees of the workers' compensation administration who litigate claims on their merits on behalf of the fund and who pursue reimbursement from uninsured employers after the UEF has paid benefits to or on behalf of the worker.

G."WCA" means the workers' compensation administration of the state of New Mexico.

N.M. Admin. Code § 11.4.12.7

11.4.12.7 NMAC - N, 10/15/03; A, 11/15/04; A, 12/31/11, Amended by New Mexico Register, Volume XXXIII, Issue 24, December 27, 2022, eff. 1/1/2023