New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 21 - PATIENT'S COMPENSATION FUND
Part 1 - GENERAL PROVISIONS
Section 13.21.1.7 - DEFINITIONS
Current through Register Vol. 35, No. 18, September 24, 2024
This chapter adopts the definitions found in Section 41-5-3 NMSA 1978, in Section 14-4-2 NMSA 1978, in Chapter 59A, Article 1, NMSA 1978, and in 1.24.1.7 NMAC. In addition:
A. "Base coverage" means the medical malpractice liability coverage, as required by the MMA or as determined by the superintendent for a hospital or outpatient health care facility, that must be provided by an insurance policy issued to a health care provider;
B. "Insured" means a health care provider insured under a medical malpractice liability insurance policy;
C. "MMA" means the New Mexico Medical Malpractice Act, Sections 41-5-1 through 41-5-29 NMSA 1978;
D. "Occurrence coverage" means malpractice liability insurance for medical malpractice that occurs during the policy term, regardless of when the claim was reported;
E. "Qualified health care provider" or "QHP" means a health care provider, as defined in Subsection A of Section 41-5-1 NMSA 1978, who is admitted to the fund pursuant to these rules;
F. "Self-insured" means a person who satisfies, or seeks to satisfy, the requirements for becoming a "qualified health care provider" by depositing funds with the superintendent;
G. "Slot coverage" means prohibited coverage for more than one part-time health care provider on a "full-time equivalency" (FTE) basis calculated on how many hours, collectively, the part-time health care providers would be working during the period of coverage and calculating the premium as comparable to the one full-time health care provider's premium; and
H. "Third-party administrator" or "TPA" means the third-party administrator identified in Section 41-5-25 NMSA 1978.