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New Mexico Statutes Chapter 59A. Insurance Code § 59A-23E-12. Prohibiting discrimination based on health status against individual participants and beneficiaries in premium contributions

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A. A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not require an individual as a condition of enrollment or continued enrollment under the plan to pay a premium or contribution that is greater than the premium or contribution for a similarly situated individual enrolled in the plan on the basis of the health status related factor in relation to the individual or a person enrolled under the plan as a dependent of the individual.

B. The provisions of Subsection A of this section shall not be construed to:

(1) restrict the amount that an employer or an individual may be charged for coverage under a group health plan or individual health coverage;  or

(2) prevent a group health plan or a health insurance issuer offering group health insurance coverage from establishing premium discounts or rebates or modifying otherwise applicable copayments or deductibles in return for adherence to programs of health promotion and disease prevention.

C. A group health benefits plan or a health insurance issuer that offers group health insurance coverage in connection with a group health benefits plan shall not adjust premiums or contribution amounts for the group covered under the plan on the basis of genetic information.

Cite this article: FindLaw.com - New Mexico Statutes Chapter 59A. Insurance Code § 59A-23E-12. Prohibiting discrimination based on health status against individual participants and beneficiaries in premium contributions - last updated May 06, 2021 | https://codes.findlaw.com/nm/chapter-59a-insurance-code/nm-st-sect-59a-23e-12.html


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