Current through Register Vol. 35, No. 18, September 24, 2024
In the event an insured, an agent, a group or a member
believes the performance of the alliance or a member does not meet
its expectations or conform to a policy or plan issued by a member through the
alliance, that person may bring the matter to the attention of the
alliance by a complaint or grievance. The alliance
shall act promptly and impartially when considering all complaints and
grievances.
A.
Definitions. As used in this section:
(1)
complaint means a
relatively minor verbal or written expression of concern which may lend itself
to resolution on an informal basis and which relates to the operation or
decision of the alliance or a member of the
alliance;
(2)
grievance means a more serious written expression of concern or a
complaint which had not been resolved to the person's satisfaction; both
situations require a thorough investigation and a formal response to the
parties;
(3)
group
means a small employer group eligible for coverage or covered by an insurance
policy, nonprofit health care plan contract or HMO plan issued through the
alliance by a member; and
(4)
insured means a person
covered under an insurance policy or a nonprofit health care plan contract, or
enrolled in an HMO plan issued through the alliance by a
member;
B.
Handling a complaint. Complaints should be made to the executive
director of the alliance. The executive director has the
discretionary power to handle complaints on an informal basis. The grievance
procedure outlined in Subsection C of 13.10.11.17 NMAC will be followed if the
complainant or the responding party wishes to appeal the decision of the
executive director, if a determination has already been made by the executive
director, or if the executive director decides that the issue at hand needs to
be reviewed by the grievance committee of the alliance.
C.
Grievance procedure.
(1)
Between an insured or group and a
member.
(a) If the grievance is
between an insured or a group and a member, the insured or group shall complete
all internal complaint and grievance procedures offered by a member prior to
filing a grievance with the alliance.
(b) An insured or group must submit the
grievance in writing to the alliance within 30 days following
completion of the member's internal complaint or grievance process. If the
member has no internal complaint or grievance process, or if the member has
failed to respond to the complaint or grievance within 30 days after the
insured or the group had made the complaint or grievance, the grievance must be
submitted in writing to the alliance within 90 days after the
incident occurred.
(c) The
grievance should accurately describe the incident and must be signed by the
insured or group filing the grievance.
(d) Upon receipt of the written grievance,
the executive director of the alliance shall conduct a thorough
review of the grievance and mail a response to the insured or group and to the
member. If the parties are satisfied with the solution, the grievance matter
shall be considered resolved.
(e)
If the insured or group or the member is not satisfied with the solution
proposed by the executive director, the grievance may be appealed in writing to
the grievance committee of the alliance. Such appeal must be
submitted within 30 days of the first grievance response and must include the
reason for the appeal.
(2)
Against the Alliance.
(a) Any person (including the insured, an
agent, a group or a member) filing a grievance against the
alliance must submit the grievance in writing to the
alliance within 90 days after the incident occurred or within 90
days after the executive director makes an adverse decision on the
complaint.
(b) The grievance should
accurately describe the incident and must be signed by the person filing the
grievance.
(c) Upon receipt of the
written grievance, the executive director shall conduct a thorough review of
the grievance and mail a response to the person. If the person is satisfied
with the solution, the grievance matter shall be considered resolved.
(d) If the person is not satisfied with the
solution proposed by the executive director, the grievance may be appealed in
writing to the grievance committee of the alliance. Such appeal
must be submitted within 30 days of the first grievance response and must
include the reasons for the appeal.
D.
Grievance committee.
(1) The grievance committee shall be composed
of at least three members of the alliance's board of directors.
Any director who represents a member or insured who is involved in a grievance
shall not serve on the committee hearing the grievance.
(2) The committee shall convene 30 days after
receipt of the appeal. The person filing the grievance will be invited to
appear before the committee, along with any other parties involved in the
grievance, to explain the appeal. After reviewing all previous findings of the
plan and the executive director, and such other information as the committee
may reasonably request, the committee will render a decision and deliver such
in writing to all parties within 60 days after receipt of the appeal, unless
good cause exists to extend the time. All decisions of the grievance committee
are considered final.
(3) If any
party involved is dissatisfied with the decision of the grievance committee,
they may contact the New Mexico insurance division or they may pursue other
remedies available to them. Prior to the filing of any legal proceedings or
suit against the alliance or a member of the
alliance, the complaint and grievance procedure prescribed in
13.10.11.17 NMAC must be utilized by any party alleging a claim.
(4) In adopting and utilizing this procedure
to resolve disputes between a group or an insured and a member, the
alliance and its grievance committee are providing a forum for
alternative dispute resolution. Neither the alliance nor its
grievance committee shall be a proper party to any dispute or suit between an
insured or a group and a member.