N.M. Admin. Code § 13.7.5.7

Current through Register Vol. 35, No. 20, October 22, 2024

Section 13.7.5.7 - DEFINITIONS

In addition to the definitions provided in Section 59A-16B-3, NMSA 1978, as used in this rule:

A."Applicant" means a person who seeks to contract for insurance coverage other than a person seeking group insurance that is not individually underwritten.

B."Insurance support organization" means any person who regularly engages, in whole or in part, in the practice of assembling or collecting information about protected persons for the primary purpose of providing the information to an insurer for insurance actions.

C."Insurance action" means any action involving insurance which entails:

(1) the determination of a protected person's eligibility for an insurance coverage, benefit or payment;

(2) the renewal, reinstatement, change of location information endorsement, or change in insurance benefits of a policy.

(3) a claim for benefits.

D."Location information" means the address and telephone number of the residence, place of employment, school or other location of a protected person.

E. "Protected person" means:

(1) a victim of domestic abuse who has notified an insurer that he or she is or has been a victim of domestic abuse and who:

(a) in the case of property or casualty insurance, is a present or proposed named insured or certificate-holder;

(b) in the case of life, health, or disability insurance, is a present or proposed principal insured or certificate-holder;

(c) is a present or proposed policy-owner;

(d) is a present applicant;

(e) is a present claimant;

(f) derives or is proposed to derive insurance coverage under an insurance policy subject to this rule; or

(2) an individual or entity that provides shelter, advocacy, counseling, or protection to victims of domestic abuse.

N.M. Admin. Code § 13.7.5.7

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