New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 14 - MINIMUM RESERVE STANDARDS FOR INDIVIDUAL AND GROUP HEALTH INSURANCE CONTRACTS
Section 13.10.14.23 - MINIMUM MORBIDITY STANDARDS FOR VALUATION OF SPECIFIED GROUP CONTRACT HEALTH INSURANCE BENEFITS

Universal Citation: 13 NM Admin Code 13.10.14.23

Current through Register Vol. 35, No. 6, March 26, 2024

A. Disability Income Benefits Due to Accident or Sickness.

(1) Contract reserves. Contracts issued on or after January 1, 1997, the 1987 commissioners group disability income table (87CGDT).

(2) Claim reserves.
(a) For claims incurred on or after January 1, 1997, the 1987 commissioners group disability income table (87CGDT).

(b) For claims incurred prior to January 1, 1997, use of the 87CGDT is optional.

B. Other Group Contract Benefits.

(1) Contract reserves. For all other group contract benefits, morbidity assumptions are to be determined as provided in the reserve standards.

(2) Claim reserves. For all benefits other than disability, claim reserves are to be determined as provided in the standards.

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