Section 59A-24A-13 – Administrative procedures.
Regulations adopted pursuant to the Medicare Supplement Act shall be subject to the provisions of 59A-2-9 NMSA 1978. History: Laws 1989, ch. 28, § 13.
Section 59A-24A-14 – Penalties.
In addition to any other applicable penalties for violations of the Insurance Code, the superintendent may impose penalties pursuant to the provisions of Section 59A-1-18 NMSA 1978, for a violation of the Medicare Supplement Act. The superintendent may require issuers violating any provision of the Medicare Supplement Act or regulations adopted pursuant to that act […]
Section 59A-24A-15 – Medicare supplement policy; provisions relating to individuals who are eligible for medical benefits under the medicaid program.
A. Each medicare supplement policy that is delivered, issued for delivery or renewed in this state shall include provisions that require benefits paid on behalf of a child or other insured person under the policy to be paid to the human services department when: (1) the human services department has paid or is paying benefits […]
Section 59A-24A-16 – Rules and regulations; procedures.
Rules and regulations adopted pursuant to the provisions of the Medicare Supplement Act shall be subject to the provisions of Section 59A-2-9 NMSA 1978. History: 1978 Comp., § 59A-24A-16, enacted by Laws 1992, ch. 3, § 13. ANNOTATIONS Severability. — Laws 1992, ch. 3, § 15 provides for the severability of the act if any […]
Section 59A-24A-6 – Loss ratio standards.
Medicare supplement policies and other policies designed to reimburse or pay as the result of hospitalization for the hospital, medical and surgical expenses of persons eligible for medicare shall return to policyholders benefits that are reasonable in relation to the premium charged. The superintendent shall issue reasonable regulations to establish minimum standards for loss ratios […]
Section 59A-24A-7 – Repealed.
ANNOTATIONS Repeals. — Laws 1992, ch. 3, § 14 repealed 59A-24A-7 NMSA 1978, as enacted by Laws 1989, ch. 28, § 7, relating to filing requirements for out-of-state group policies, effective March 2, 1992. For provisions of former section, see the 1991 NMSA 1978 on NMOneSource.com.
Section 59A-24A-8 – Filing of health insurance for seniors; rates and forms.
A. The superintendent shall adopt regulations for the review and approval or disapproval of all rate filings or forms made pursuant to Chapter 59A, Articles 15, 18, 44, 46 and 47 NMSA 1978. During the initial review periods provided under Chapter 59A, Articles 15, 18, 44, 46 and 47 NMSA 1978, the superintendent may disapprove […]
Section 59A-24A-9 – Disclosure standards.
A. In order to provide for full and fair disclosure in the sale of medicare supplement policies or certificates, no medicare supplement policy or certificate shall be delivered or issued for delivery in this state unless an outline of coverage is delivered to the applicant at the time application is made. B. The superintendent shall […]
Section 59A-24A-10 – Notice of free examination.
Medicare supplement policies and certificates shall have a notice printed prominently on the first page of the policy or certificate or attached to the policy stating that the applicant shall have the right to return the policy or certificate within thirty days of delivery and have the premium refunded if, after examination of the policy […]
Section 59A-24A-11 – Limitation of sales of medicare supplement policies and other policies designed to reimburse or pay as the result of hospitalization for hospital, medical or surgical expenses.
The superintendent may establish reasonable rules and regulations to restrict the sale of medicare supplement policies and other policies designed to reimburse or pay as the result of hospitalization for hospital, medical or surgical expenses that result in over-insurance to an insured. History: Laws 1989, ch. 28, § 11; 1992, ch. 3, § 9. ANNOTATIONS […]