N.M. Admin. Code § 13.7.5.11

Current through Register Vol. 35, No. 24, December 23, 2024

Section 13.7.5.11 - WHEN NOTICE TO BE GIVEN

The notice of confidential abuse information practices shall be provided to:

A. all persons who submit applications for insurance or claims for benefits on or after the effective date of this rule as follows:

(1) in the case of an application for insurance, a notice shall be provided at the time the applicant is asked to execute a record release authorization form;

(2) in the case of a claim for benefits, if a claimant is asked to execute a record release authorization form before the claim can be processed, a notice shall be provided at the same time.

B. all protected persons within one year of the effective date of this rule as follows:

(1) in the case of a policy renewal, a notice shall be provided no later than the policy renewal date if:

(a) confidential abuse information has been received from a source other than the protected person or from public records; or

(b) a notice meeting the requirements of this section has not been given within the previous twenty-four (24) months;

(2) in the case of a policy reinstatement, change in location information endorsement, or change in insurance benefits, a notice shall be provided when the insurer sends a notice or confirmation of a policy reinstatement, change in location information endorsement, or change in insurance benefits if:

(a) confidential abuse information has been received from a source other than the protected person or from public records; or

(b) a notice meeting the requirements of this section has not been given within the previous twenty-four (24) months.

N.M. Admin. Code § 13.7.5.11

1/1/99; Recompiled 11/30/01