reglab/housing_qa huggingface dataset:
NM Stat § 59A-21-13 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-13 - Noncontestability.

A group life insurance policy shall contain in substance a provision that the validity of the policy shall not be contested, except for nonpayment of premiums, after it has been in force for two (2) years from its date of issue; and that no statement made by any person insured under the policy relating to his insurability shall be used in contesting the validity of the insurance with respect to which such statement was made after such insurance has been in force prior to the contest for a period of two (2) years during such person's lifetime nor unless contained in a written instrument signed by him; provided, however, that no such provision shall preclude assertion at any time of defenses based upon provisions in the policy which relate to eligibility for coverage. History: Laws 1984, ch. 127, § 410.
NM Stat § 59A-21-14 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-14 - Statements by insured.

A group life insurance policy shall contain in substance a provision that a copy of the application, if any, of the policyholder shall be attached to the policy when issued, that all statements made by the policyholder or by the persons insured shall be deemed representations and not warranties and that no statement made by any person insured shall be used in any contest unless a copy of the instrument containing the statement is or has been furnished to such person or in the event of death or incapacity of the insured person, to his beneficiary or personal representative. History: Laws 1984, ch. 127, § 411.
NM Stat § 59A-21-15 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-15 - Evidence of insurability.

A group life insurance policy shall contain in substance a provision setting forth the conditions, if any, under which the insurer reserves the right to require a person eligible for insurance to furnish evidence of individual insurability satisfactory to the insurer as a condition to part or all of his coverage. History: Laws 1984, ch. 127, § 412. ANNOTATIONSConditions for acceptance of application allowed. — The retention of the premium check by the life insurance company, and its failure to give notice of rejection after learning of the death of the applicant, does not constitute an acceptance of the application where applicant has undergone heart surgery, has been refused insurance by other companies, is advised that permission to contact his physician would be required by the company, and that his application would have to be approved by the company before it would become effective. Stubben v. National Fid. Life Ins. Co., 1968-NMSC-013, 78 N.M. 667, 437 P.2d 128.
NM Stat § 59A-21-16 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-16 - Misstatement of age.

A group life insurance policy shall contain in substance a provision specifying an equitable adjustment of premiums or of benefits or of both to be made in the event the age of a person insured has been misstated, such provision to contain a clear statement of the method of adjustment to be used. History: Laws 1984, ch. 127, § 413.
NM Stat § 59A-21-17 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-17 - Payment to beneficiary; funeral expenses.

A group life insurance policy shall contain in substance a provision that any sum becoming due by reason of the death of the person insured shall be payable to the beneficiary designated by the person insured, except that where the policy contains conditions pertaining to family status the beneficiary may be the family member specified by the policy terms, subject to the provisions of the policy in the event there is no designated beneficiary, as to all or any part of such sum, living at the death of the person insured, and subject to any right reserved by the insurer in the policy and set forth in the certificate to pay at its option a part of such sum not exceeding two thousand dollars ($2,000) to any person appearing to the insurer to be equitably entitled thereto by reason of having incurred funeral or other expenses incident to the last illness or death of the person insured. History: Laws 1984, ch. 127, § 414. ANNOTATIONSAm. Jur. 2d, A.L.R. and C.J.S. references. — What are necessary funeral expenses within coverage of medical payment and funeral expense provision of insurance policy, 87 A.L.R.3d 497.
NM Stat § 59A-21-18 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-18 - Certificate or statement of insurance protection.

A. A group life insurance policy shall contain in substance a provision that the insurer will issue to the policyholder for delivery to each person insured an individual certificate setting forth a statement as to the insurance protection to which he is entitled, to whom the insurance benefits are payable and the rights and conditions set forth in Sections 416, 417, and 418 [59A-21-19, 59A-21-20, 59A-21-21 NMSA 1978] of this article. B. A group life insurance policy issued to a creditor to insure debtors of such creditor, shall contain in substance a provision that the insurer will furnish to the policyholder for delivery to each debtor insured under the policy a form which will contain a statement that the life of the debtor is insured under the policy and that any death benefit paid thereunder by reason of his death shall first be applied to reduce or extinguish the indebtedness. History: Laws 1984, ch. 127, § 415.
NM Stat § 59A-21-19 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-19 - Conversion privilege; termination of membership in group or by death of employee.

A group life insurance policy shall contain in substance a provision that if the insurance, or any portion of it, on a person covered under the policy or on the dependent of such person ceases because of termination of employment or of membership in the class or classes eligible for coverage under the policy, such person shall be entitled to have issued to him by the insurer, without evidence of insurability, an individual policy of life insurance without disability or other supplementary benefits, provided application for the individual policy shall be made, and the first premium paid to the insurer, within thirty-one (31) days after such termination, and such individual policy shall be subject to the following requirements: A. the individual policy shall, at the option of such person be on any one of the forms, except term insurance, then customarily issued by the insurer at the age and for the amount applied for; B. the individual policy shall be in an amount not in excess of the amount of life insurance which ceases because of such termination, less the amount of any life insurance for which such person becomes eligible under the same or any other group policy within thirty-one (31) days after such termination, provided that any amount of insurance which shall have matured on or before the date of such termination as an endowment payable to the person insured, whether in one sum or in installments or in the form of an annuity, shall not, for the purposes of this provision, be included in the amount which is considered to cease because of such termination; and C. the premium on the individual policy shall be at the insurer's then customary rate applicable to the form and amount of the individual policy, to the class of risk to which such person then belongs and to his age attained on the effective date of the individual policy. D. subject to the same conditions set forth above, the conversion privilege shall be available (1) to a surviving dependent, if any, at the death of the employee or member, with respect to the coverage under the group policy which terminates by reason of such death and (2) to the dependent of the employee or member upon termination of coverage of the dependent, while the employee or member remains insured under the group policy, by reason of the dependent ceasing to be a qualified family member, by divorce or otherwise, under the group policy. History: Laws 1984, ch. 127, § 416. ANNOTATIONSAm. Jur. 2d, A.L.R. and C.J.S. references. — Failure of employer or insurer to notify employee dropped from payroll of necessity for and time of contribution to group insurance premium, 2 A.L.R.2d 852. Termination of coverage under group policy with regard to termination of employment, 68 A.L.R.2d 8, 32 A.L.R.4th 1037.
NM Stat § 59A-21-20 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-20 - Conversion privilege; termination of group policy.

A group life insurance policy shall contain in substance a provision that if the group policy terminates or is amended so as to terminate the insurance of any class of insured persons, every person insured thereunder at the date of such termination whose insurance terminates, including the insured dependent of a covered person, and who has been so insured for at least five (5) years prior to such termination date shall be entitled to have issued to him by the insurer an individual policy of life insurance, subject to the same conditions and limitations as are provided by Section 416 [59A-21-19 NMSA 1978] of this article, except that the group policy may provide that the amount of such individual policy shall not exceed the smaller of: A. the amount of the person's life insurance protection ceasing because of the termination or amendment of the group policy, less the amount of any life insurance for which he is or becomes eligible under any group policy issued or reinstated by the same or another insurer within thirty-one (31) days after such termination; and B. ten thousand dollars ($10,000). History: Laws 1984, ch. 127, § 417. ANNOTATIONSAm. Jur. 2d, A.L.R. and C.J.S. references. — Rights as between insurer and employer in respect of termination of group annuity insurance agreement, 41 A.L.R.2d 772.
NM Stat § 59A-21-21 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-21 - Conversion privilege; death benefit.

A group life insurance policy shall contain in substance a provision that if a person insured under the group policy, or the insured dependent of a covered person, dies during the period within which he would have been entitled to have an individual policy issued to him in accordance with Sections 416 or 417 [59A-21-19 or 59A-21-20 NMSA 1978] above and before such an individual policy shall have become effective, the amount of life insurance which he would have been entitled to have issued to him under such individual policy shall be payable as a claim under the group policy, whether or not application for the individual policy or the payment of the first premium therefor has been made. History: Laws 1984, ch. 127, § 418.
NM Stat § 59A-21-22 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-22 - Conversion privilege; extension by failure to give notice.

If any individual insured under a group life insurance policy hereafter delivered in this state becomes entitled under the terms of such policy to have an individual policy of life insurance issued to him without evidence of insurability, subject to making of application and payment of the first premium within the period specified in such policy, and if such individual is not given notice of the existence of such right at least fifteen (15) days prior to the expiration date of such period, then in such event the individual shall have an additional period within which to exercise such right, but nothing herein contained shall be construed to continue any insurance beyond the period provided in such policy. This additional period shall expire fifteen (15) days next after the individual is given such notice but in no event shall such additional period extend beyond sixty (60) days next after the expiration date of the period provided in such policy. Written notice presented to the individual or mailed by the policyholder to the last known address of the individual or mailed by the insurer to the last known address of the individual as furnished by the policyholder shall constitute notice for the purpose of this section. History: Laws 1984, ch. 127, § 419. ANNOTATIONSTime limit for premium notice. — Where plaintiffs' decedent was hospitalized and died well within the time during which the policy provisions could be construed to say that he would be billed for the premium, the trial court could not grant summary judgment by concluding that the insurer did not have to provide decedent with a premium notice. Estate of Griego v. Reliance Standard Life Ins. Co., 2000-NMCA-022, 128 N.M. 676, 997 P.2d 150.
NM Stat § 59A-21-23 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-23 - Continuance of coverage during total disability.

Where active employment is a condition of insurance, a group life insurance policy shall contain a provision in substance that an insured may continue coverage during the insured's total disability by timely payment to the policyholder of that portion, if any, of the premium that would have been required from the insured had total disability not occurred. The continuation shall be on a premium paying basis for a period of six (6) months from the date on which the total disability started, but not beyond the earlier of (1) approval by the insurer of continuation of the coverage under any disability provision which the group insurance policy may contain or (2) the discontinuance of the group insurance policy. History: Laws 1984, ch. 127, § 420.
NM Stat § 59A-21-24 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-24 - Assignment of interest under policy.

A. Subject to the terms of the policy relating to assignment of incidents of ownership, a person whose life is insured under any policy of group life insurance can assign all or any part of his incidents of ownership under the policy including any right to designate a beneficiary under the policy and any right to have an individual policy issued to him in accordance with Sections 416 through 419 [59A-21-19 to 59A-21-22 NMSA 1978] of this article. B. Subject to the terms of the policy relating to assignment of incidents of ownership, an assignment of the incidents of ownership by an insured, made either before or after March 8, 1969, is valid for the purpose of vesting in the assignee, in accordance with any provisions included in the assignment about the time at which it is to be effective, all of the incidents of ownership assigned, but without prejudice to the insurer on account of any payment it may make or individual policy it may issue in accordance with Sections 418 and 420 [59A-21-21 and 59A-21-23 NMSA 1978] of this article prior to receipt of notice of the assignment. History: Laws 1984, ch. 127, § 421. ANNOTATIONSAm. Jur. 2d, A.L.R. and C.J.S. references. — 43 Am. Jur. 2d Insurance § 690.
NM Stat § 59A-21-25 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-25 - Coverage under group policy issued in another state.

A. No group life insurance coverage shall be offered in this state by an insurer under a policy issued in another state if the superintendent, or the appropriate insurance supervisory public official of another state, has determined that: (1) issuance of the group policy was contrary to the best interests of the public; (2) issuance of the group policy was not actuarially sound; (3) issuance of the group policy did not result in economies of acquisition and administration; or (4) benefits provided under the group policy are not reasonable in relation to the premiums charged. B. Upon the superintendent's request the insurer shall promptly furnish to the superintendent a copy of any such group policy and of the certificate of insurance to be issued thereunder. History: Laws 1984, ch. 127, § 421a.
NM Stat § 59A-21-26 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-26 - Purpose.

The purpose of this act [59A-21-26 to 59A-21-28 NMSA 1978] is to permit and set guidelines for life insurers to include in life insurance policies issued after the effective date of this act a provision for periodic adjustment of policy loan interest rates. History: 1978 Comp., § 59-16-44, enacted by Laws 1983, ch. 283, § 1; 1978 Comp., § 59-16-44, recompiled as § 59A-21-26 by Laws 1987, ch. 259, § 32. ANNOTATIONSCompiler's notes. — Laws 1983, ch. 283, § 4, provided that the provisions of the act shall not apply to any insurance contract issued before the effective date of the act unless the policyholder agrees in writing to the applicability of such provisions.
NM Stat § 59A-21-27 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 21 - Group Life Insurance|Section 59A-21-27 - Definition.

For the purposes of this act [59A-21-26 to 59A-21-28 NMSA 1978], "published monthly average" means "Moody's corporate bond yield average-monthly average corporates" as published by Moody's Investors Service, Inc. or any successor thereto or in the event that "Moody's corporate bond yield average-monthly average corporates" is no longer published, a substantially similar average as established by regulation of the superintendent of insurance. History: 1978 Comp., § 59-16-45, enacted by Laws 1983, ch. 283, § 2; 1978 Comp., § 59-16-45, recompiled as § 59A-21-27 by Laws 1987, ch. 259, § 32. ANNOTATIONSCompiler's notes. — Laws 1983, ch. 283, § 4, provides that the provisions of the act shall not apply to any insurance contract issued before the effective date of the act unless the policyholder agrees in writing to the applicability of such provisions.
NM Stat § 59A-22-1 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 22 - Health Insurance Contracts|Section 59A-22-1 - Scope of article.

Chapter 59A, Article 22 NMSA 1978 applies generally to policies of individual health insurance, including student health plan policies. Nothing in that article shall apply to or affect: A. any policy of workers' compensation insurance or any policy of liability insurance with or without supplementary expense coverage therein; B. life insurance, endowment or annuity contracts or contracts supplemental thereto that contain only such provisions relating to health insurance as: (1) provide additional benefits in case of death by accident; and (2) operate to safeguard such contracts against lapse or to give a special surrender value or special benefit or annuity in event the insured or annuitant becomes totally and permanently disabled, as defined by the contract or supplemental contract; C. group or blanket health insurance, except as stated in Chapter 59A, Article 23 NMSA 1978; or D. reinsurance. History: Laws 1984, ch. 127, § 422; 2017, ch. 130, § 14. ANNOTATIONSThe 2017 amendment, effective July 1, 2017, included student health plan policies within the scope of Chapter 59A, Article 22 NMSA 1978; in the introductory language, changed "This article" to "Chapter 59A, Article 22 NMSA 1978", after "individual health insurance", added "including student health plan policies", after "Nothing in", deleted "this" and added "that"; in Subsection A, after "any policy of", deleted "workmen's" and added "workers'", and after the semicolon, deleted "or"; and in Subsection C, after "stated in", added "Chapter 59A", and after "Article 23", deleted "of the Insurance Code" and added "NMSA 1978". Am. Jur. 2d, A.L.R. and C.J.S. references. — 43 Am. Jur. 2d Insurance §§ 547 to 554.
NM Stat § 59A-22-3 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 22 - Health Insurance Contracts|Section 59A-22-3 - Required provisions.

A. Except as provided in Subsection B of this section, each such policy delivered or issued for delivery in this state shall contain the provisions specified in Sections 425 through 436 [59A-22-4 to 59A-22-15 NMSA 1978], inclusive, of this article; except, that the insurer may, at its option, substitute for one or more of such provisions corresponding provisions of different wording approved by the superintendent which are in each instance not less favorable in any respect to the insured or beneficiary. Such required provisions shall be preceded individually by the applicable caption shown or, at the insurer's option, by such appropriate individual or group captions or subcaptions as the superintendent may approve. B. If any provision of this article is in whole or in part inapplicable to or inconsistent with the coverage provided by a particular form of policy, the insurer, with the superintendent's approval, shall omit from such policy any inapplicable provision in such manner as to make the provision as contained in the policy consistent with the coverage provided by the policy. History: Laws 1984, ch. 127, § 424. ANNOTATIONSCross references. — For existing forms and filings, see notes following 59A-5-21 NMSA 1978. Ambiguous provision construed to favor insured. — The court's responsibility is to consider the intent of the parties as expressed in the policy, and where questions arise because of ambiguities, a liberal construction in favor of the insured is to be adopted. Couey v. National Benefit Life Ins. Co., 1967-NMSC-044, 77 N.M. 512, 424 P.2d 793. Words given ordinary meaning. — In construing the language, the court must read terms and phrases in their usual and ordinary sense unless language of the policy requires something different. Couey v. National Benefit Life Ins. Co., 1967-NMSC-044, 77 N.M. 512, 424 P.2d 793. No technical interpretation. — A strict technical or legalistic interpretation of the terms of the policy will not be accepted when it is fully within the power of the insurance company to affirmatively specify some meaning other than that understood by the average individual. Scott v. New Empire Ins. Co., 1965-NMSC-034, 75 N.M. 81, 400 P.2d 953. Absent provision in policy defining "accidental means" as something different from that as understood by the general public, words, phrases or terms will be given their ordinary meaning. Scott v. New Empire Ins. Co., 1965-NMSC-034, 75 N.M. 81, 400 P.2d 953. Limitations period permitted. — Pursuant to this section, a health insurance policy could contain a four-year limitations period, and 59A-22-14 NMSA 1978 would not bar an action filed within that four-year period. Willey v. United Mercantile Life Ins. Co., 1999-NMCA-137, 128 N.M. 98, 990 P.2d 211. Am. Jur. 2d, A.L.R. and C.J.S. references. — 43 Am. Jur. 2d Insurance §§ 503 to 522. 45 C.J.S. Insurance §§ 886, 887; 46 C.J.S. Insurance § 1118 et seq.
NM Stat § 59A-22-4 (2021)
2021 New Mexico Statutes|Chapter 59A - Insurance Code|Article 22 - Health Insurance Contracts|Section 59A-22-4 - Entire contract; changes.

There shall be a provision as follows: This policy, including the endorsements and attached papers, if any, constitutes the entire contract of insurance. No change in this policy shall be valid until approved by an executive officer of the insurance company and unless such approval and countersignature be endorsed hereon or attached hereto. No agent has authority to change this policy or to waive any of its provisions. History: Laws 1984, ch. 127, § 425.