New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 6 - LIFE AND HEALTH INSURANCE POLICIES AND RATES
Part 1 - LIFE AND HEALTH MATRIX POLICY FORM FILING
Section 13.6.1.7 - DEFINITIONS
Current through Register Vol. 35, No. 6, March 26, 2024
As used in this rule:
A. "Group policy" means a contract for group life or group health insurance made between an insurer and an employer, association, trust or other group that covers individuals based on their relationships to the group policy holder with or without the covered individuals' dependents. Group policy does not include the certificate of insurance delivered to individuals insured under such contracts.
B. "Health insurance" has the meaning as set forth in Section 59A-7-3 NMSA 1978.
C. "Individual" has the meaning set forth in Subsection B of Section 59A-1-10 NMSA 1978.
D. "Insurer" has the meaning set forth in Section 59A-1-8 NMSA 1978.
E. "Life insurance" has the meaning as set forth in Section 59A-7-2 NMSA 1978.
F. "Matrix form" means a policy or certificate consisting of multiple insert pages or paragraphs each with its own unique identifiable form number, allowing for the creation of multiple policies, certificates or applications by using combinations of the insert pages and paragraphs. Matrix forms do not include riders, amendments, endorsements, declaration pages, schedule pages and certificate/policy specification pages and a matrix form is not created by the addition of such forms.
G. "SERFF" means the national association of insurance commissioners (NAIC) system for electronic rate and form filings.
H. "Subscriber" means an individual whose employment or other group status, except family dependency, is the basis for their coverage for group insurance.
