N.M. Admin. Code § 13.10.5.11
Current through Register Vol. 35, No. 21, November 5, 2024
Section 13.10.5.11 - LIABILITY OF PRIOR CARRIER WHEN GROUP CONTRACT REPLACEDA. The prior carrier remains liable only to the extent of its accrued liabilities and extensions of benefits. The position of the prior carrier shall be the same whether the group contract holder or other entity secures replacement coverage from a new carrier, the same carrier, self-insures, or foregoes the provision of coverage.B. The prior carrier, if an HMO, may limit the extension of benefits for a totally disabling illness, injury, or condition to services provided by or through its participating providers, unless services are rendered on an emergency basis.N.M. Admin. Code § 13.10.5.11
11/1/98; Recompiled 11/30/01