N.M. Admin. Code § 13.10.15.12

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

Section 13.10.15.12 - CONTINUATION OF COVERAGE OR CONVERSION REQUIRED

A. Group long-term care insurance issued in this state on or after July 1, 1997 shall provide covered individuals with a basis for continuation or conversion of coverage.

B. Continuation of coverage or issuance of a converted policy shall be mandatory, except where:

(1) termination of group coverage resulted from an individuals failure to make any required payment of premium or contribution when due; or

(2) the terminating coverage is replaced not later than thirty-one (31) days after termination, by group coverage effective on the day following the termination of coverage:

(a) providing benefits identical to or benefits determined by the Superintendent to be substantially equivalent to or in excess of those provided by the terminating coverage; and

(b) the premium for which is calculated in a manner consistent with the requirements of Subsection C of 13.10.15.14 NMAC.

N.M. Admin. Code § 13.10.15.12

1-1-99; 13.10.15.12 NMAC - Rn, 13 NMAC 10.15.12, 1-1-04