New Mexico Administrative Code
Title 6 - PRIMARY AND SECONDARY EDUCATION
Chapter 50 - INSURANCE
Part 16 - ADMINISTRATIVE APPEAL OF AUTHORITY COVERAGE DETERMINATIONS
Section 6.50.16.10 - PETITION FOR REVIEW
Universal Citation: 6 NM Admin Code 6.50.16.10
Current through Register Vol. 35, No. 18, September 24, 2024
Every appeal of a coverage determination of the authority shall be initiated by mailing a petition for review, within 30 days of the mailing date of the determination, to the executive director of the New Mexico Public School Insurance authority by certified mail.
A. A petition for review must specify and include:
(1) the name of the employee or
member appealing, and, for institutional parties, the name, position, address
and phone number of a person who will be responsible for receiving
communications from the authority;
(2) a full description of the coverage
determination being appealed, including the date of the determination and,
specifically, the substance of the determination that is being
appealed;
(3) a short, concise
statement of the grounds for the appeal;
(4) if the authority determination is in a
writing, a copy of the writing must be attached to the notice;
(5) copies of all documents, photographs or
other tangible evidence that appellant contends provides support for
appellant's position; and
(6) a
memorandum stating the complete argument for overturning the determination of
the authority, including a statement of relevant facts, an outline of
controlling law, and the appellant's argument.
B. An extension of up to 14 days to provide the items specified in Paragraphs (5) and (6) of Subsection A of 6.50.16.10 NMAC may be granted at the discretion of the authority upon written request of the appellant.
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