Current as of May 06, 2021 | Updated by FindLaw Staff
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A. The superintendent shall certify an individual or group insurance policy, insurance plan or certificate of insurance to be qualified state long-term care insurance partnership program insurance when the policy, plan or certificate of insurance:
(1) covers an insured who was a resident of the state when coverage first became effective under the policy, plan or certificate;
(2) meets the definition of a qualified state long-term care insurance contract pursuant to Section 7702B(b) of the federal Internal Revenue Code of 1986;
(3) was not issued earlier than the effective date of the state plan amendment required pursuant to Section 2 of this 2013 act;
(4) as of the date of purchase:
(a) is sold to an individual who is sixty years of age or younger and provides some level of inflation protection;
(b) is sold to an individual who is between sixty-one and seventy-five years of age and provides some level of inflation protection; or
(c) is sold to an individual who is over seventy-five years of age; and
(5) meets all other applicable federal and state laws relating to qualified state long-term care insurance partnership programs.
B. The superintendent shall adopt and promulgate rules establishing the procedures pursuant to which the superintendent shall certify an individual or group insurance policy, insurance plan, certificate of insurance or rider that is delivered, issued for delivery or renewed in this state as qualified state long-term care insurance partnership program insurance.
C. The superintendent shall consult with the secretary of human services regarding the adoption of rules regarding reciprocity with respect to individuals who have purchased qualified state long-term care insurance partnership program insurance in another state participating in a qualified state long-term care insurance partnership program.
D. The superintendent shall ensure that any licensed producer that sells a policy, plan, certificate or rider pursuant to the Long-Term Care Insurance Law demonstrates an understanding of qualified state long-term care partnership program insurance and how it relates to other public and private coverage of long-term care expenses.
E. The superintendent shall establish by rule the disclosure requirements pursuant to Section 5 of this 2013 act regarding the qualified state long-term care partnership program for licensed producers that sell or offer for sale an insurance plan, insurance policy or certificate of insurance that is intended to qualify as long-term care partnership program insurance.
F. As used in this section:
(1) “licensed producer” means an agent, broker or reinsurance intermediary licensed pursuant to the applicable provisions of the Insurance Code; and
(2) “rider” means a long-term care coverage provision added to any type of insurance plan, insurance policy or certificate of insurance.
Cite this article: FindLaw.com - New Mexico Statutes Chapter 59A. Insurance Code § 59A-23A-12. Medicaid long-term care partnership program; certification of policies; rulemaking - last updated May 06, 2021 | https://codes.findlaw.com/nm/chapter-59a-insurance-code/nm-st-sect-59a-23a-12.html
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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