New Mexico Administrative Code
Title 2 - PUBLIC FINANCE
Chapter 81 - RETIREE HEALTH CARE FUNDS
Part 7 - BENEFITS ELIGIBILITY OR NON ELIGIBILITY FOR RETIREES OF INDEPENDENT PUBLIC EMPLOYERS
Section 2.81.7.9 - APPLICANTS FOR COVERAGE/NOT ELIGIBLE

Acceptance of a contribution by an applicant for coverage shall not constitute a determination by the NMRHCA, any of its officers, agents or employees that the applicant, spouse or dependents are eligible for coverage. The third party administrator shall be responsible for making a determination with regard to eligibility of applicants for coverage. In the event the third party administrator determines the applicant to be ineligible, the contribution shall be returned without interest. Such determination may be appealed to the NMRHCA board by the applicant and the board shall at its next regular meeting after notice of appeal hear and make a final decision on the issue, which decision is not appealable.