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Current as of January 01, 2024 | Updated by Findlaw Staff
A. The superintendent shall adopt and promulgate rules to establish specific standards:
(1) that set the manner, content and required disclosure for the sale of short-term plans and excepted benefits plans, including standards for full and fair disclosure; and
(2) for the sale of short-term plans and excepted benefits plans, which standards shall include standards relating to:
(a) terms of renewability or extension of coverage;
(b) initial and subsequent conditions of eligibility;
(c) nonduplication of coverage provisions;
(d) coverage of dependents;
(e) preexisting conditions;
(f) termination of insurance;
(g) probationary periods;
(h) limitations;
(i) exceptions;
(j) reductions and exclusions;
(k) elimination periods;
(l) requirements for replacement by the health insurance carrier;
(m) recurrent conditions;
(n) the definition of terms to describe the specific types of coverage sold pursuant to the Short-Term Health Plan and Excepted Benefit Act and specific standards and policy provisions required of these plans;
(o) benefit duration;
(p) scope of coverage;
(q) advertising and marketing;
(r) sales practices;
(s) mandatory disclosures;
(t) coverage suitability; and
(u) policy and certificate approval.
B. All advertisements, marketing materials and application and policy forms relating to short-term plans shall prominently display a notice that the coverage is unavailable to any potential insured who has been covered under a short-term plan in the previous twelve-month period.
Cite this article: FindLaw.com - New Mexico Statutes Chapter 59A. Insurance Code § 59A-23G-3. Short-term plans; excepted benefits; standards for policy provisions - last updated January 01, 2024 | https://codes.findlaw.com/nm/chapter-59a-insurance-code/nm-st-sect-59a-23g-3/
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 before relying on it for your legal needs.
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