Group and Blanket Health Insurance Contracts

What this document is

NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 23 - Group and Blanket Health Insurance Contracts is a state statute published by nmonesource.com. It is one of the New Mexico documents that insurance license exam questions are written from, including new mexico life & health practice questions. This page summarizes it and points to the official version, which is the text to rely on.

Sections cited in practice questions

Each practice answer shows the exact passage it comes from. These are sections of this document that questions cite, with a short excerpt from the source text.

• NMSA 1978 ch. 59A § 59A-23-2(B) (Blanket health insurance; individual application)

  “An individual application shall not be required from a person covered under a blanket sickness or accident policy or contract.”

• NMSA 1978 ch. 59A § 59A-23-2(D) (Blanket health insurance; school contracts)

  “A blanket sickness or accident policy or contract issued to a college, school or other institution of learning or to the head or principal thereof shall not be identified or sold as a student health plan.”

• NMSA 1978 ch. 59A § 59A-23-3(B)(2) (Group health insurance; required certificate provision)

  “a provision that the insurer will furnish to the policyholder, for delivery to each employee or member of the insured group, an individual certificate setting forth in summary form a statement of the essential features of the insurance coverage of such employee or member and to whom benefits...”

• NMSA 1978 ch. 59A § 59A-23-3(B)(1) (Group health insurance; entire contract provision)

  “a provision that the policy, the application of the policyholder, if such application or copy thereof is attached to such policy, and the individual applications, if any, submitted in connection with such policy by the employees or members, shall constitute the entire contract between the parties,...”

• NMSA 1978 ch. 59A § 59A-23-8(A) (Group formed to purchase health insurance; limitations)

  “No policy or certificate of group health insurance may be renewed, delivered or issued for delivery in this state to a group formed for the purpose of purchasing one or more policies of group health insurance unless the superintendent has approved the issuance.”

• NMSA 1978, § 59A-23-5 (Extended disability benefit)

  “Any group health insurance policy may provide for payment not exceeding one thousand dollars ($1,000) as an extended disability benefit upon the insured's death from any cause, which benefit shall not be construed as life insurance.”

• NMSA 1978, § 59A-23-2(C) (Blanket health insurance)

  “C. All benefits under any blanket sickness and accident policy shall be payable to the person insured or the person's agent, or to the person's designated beneficiary or beneficiaries, or to the person's estate, except that if the person insured is a minor, such benefits may be made payable to the...”

• NMSA 1978, § 59A-23-4(A) (Other provisions applicable)

  “A. A blanket or group health insurance policy or contract shall not contain a provision relative to notice or proof of loss or the time for paying benefits or the time within which suit may be brought upon the policy that in the superintendent's opinion is less favorable to the insured than would...”

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More New Mexico sources

• NMSA 1978 Chapter 59A, Article 16 - Trade Practices and Frauds (59A-16-1 to 59A-16-30)State statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 21 - Group Life InsuranceState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 42 - Life and Health Insurance Guaranty AssociationState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 22 - Health Insurance ContractsState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 18 - The Insurance ContractState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Article 20 - Life Insurance and Annuity ContractsState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Articles 24A and 23A - Medicare Supplements; Long-Term Care InsuranceState statute
• NMSA 1978, Chapter 59A (New Mexico Insurance Code), Articles 11, 11A, 12 and 13 - Licensing Procedures for Producers and Others; Insurance Consultants; Insurance Producers; AdjustersState statute