New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 15 - LONG-TERM CARE INSURANCE
Section 13.10.15.15 - DISCONTINUANCE AND REPLACEMENT
Universal Citation: 13 NM Admin Code 13.10.15.15
Current through Register Vol. 35, No. 6, March 26, 2024
If a group long-term care policy is replaced by another group long-term care policy issued to the same policyholder, the succeeding insurer shall offer coverage to all persons covered under the previous group policy on its date of termination. Coverage provided or offered to individuals by the insurer and premiums charged to persons under the new group policy:
A. shall not result in any exclusion for preexisting conditions that would have been covered under the group policy being replaced; and
B. shall not vary or otherwise depend on the individuals health or disability status, claim experience or use of long-term care services.
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