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New Mexico Administrative Code

Part 11

Health Insurance Alliance Plan of Operation and Eligibility Criteria

State of New Mexico

1Issuing Agency 2Scope 3Statutory Authority 4Duration 5Effective Date 6Objective 7Definitions 8Membership 9Board of Directors 10Officers 11Committees 12Operations 13Interested Parties 14Records and Reports 15Agents 16Indemnification 17Complaint and Grievance Procedures 18Amendments 19Eligibility Criteria 20Eligibility as a Small Employer 21Eligibility of Employees of Small Employers 22Documentation Required 23Documentation for New Groups and Existing Groups Enrolling with a New Carrier 24Documentation for Groups Renewing with the Same Carrier 25Hmo Service Area Requirements 26Waiting Period 27Enrollment Periods 28Effective Dates 29Family Coverage 30Pre-existing Condition Exclusions 31Continuation Coverage 32Coverage of Out-of-country Services 33Changes to Coverage 34Individual Coverage 35Certificates of Creditable Coverage