SCORC/SB 490
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AN ACT
RELATING TO WORKERS' COMPENSATION; REVISING REPORTING
REQUIREMENTS FOR SELF-INSURED GROUPS; AMENDING THE GROUP
SELF-INSURANCE ACT.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
Section 1. Section 52-6-5 NMSA 1978 (being Laws 1986,
Chapter 22, Section 79, as amended) is amended to read:
"52-6-5. INITIAL APPROVAL AND CONTINUED APPROVAL TO ACT
AS A GROUP--QUALIFICATIONS.--
A. A proposed group shall file with the director
an application for a certificate of approval accompanied by a
nonrefundable filing fee in an amount established by the
director. The application shall include the group's name,
the location of its principal office, the date of
organization, the name and address of each member and such
other information as the director may reasonably require,
together with the following:
(1) proof of compliance with the provisions
of Subsection B of this section;
(2) a copy of the articles of association,
if any;
(3) a copy of agreements with the
administrator and with any service company;
(4) a copy of the bylaws of the proposed
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group;
(5) a copy of the agreement between the
group and each member securing the payment of workers'
compensation and occupational disease disablement benefits,
which shall include provision for payment of assessments as
provided for in Section 52-6-20 NMSA 1978;
(6) designation of the initial board of
trustees and administrator;
(7) the address in this state where the
books and records of the group will be maintained at all
times;
(8) a pro-forma financial statement on a form
acceptable to the director showing the financial ability of
the group to pay the workers' compensation and occupational
disease disablement obligations of its members; and
(9) proof of payment to the group by each
member of not less than twenty-five percent of that member's
first-year estimated annual net premium on a date approved by
the director. Each payment shall be considered to be part of
the first-year premium payment of each member if the proposed
group is granted a certificate of approval.
B. To obtain and to maintain its certificate of
approval, a group shall comply with the following
requirements as well as any other requirements established by
law or regulation not inconsistent with the following:
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(1) a combined net worth of all members of a
group of private employers of three million dollars
($3,000,000) or greater, as determined by the director;
provided that if a group's annual financial statement for the
prior calendar year shows that at the end of that year the
group had a surplus of at least one-third of its claim
reserves and not less than five million dollars ($5,000,000),
then for the current calendar year, the group shall not be
required to provide the director with evidence of the net
worth of all of the group's members;
(2) security in a form and amount prescribed
by the director, which shall be provided by either a surety
bond, security deposit or financial security endorsement or
any combination thereof. If a surety bond is used to meet
the security requirement, it shall be issued by a corporate
surety company authorized to transact business in this state.
If a security deposit is used to meet the security
requirement, securities shall be limited to bonds or other
evidences of indebtedness issued, assumed or guaranteed by
the United States or by an agency or instrumentality thereof;
certificates of deposit in a federally insured bank; shares
or savings deposits in a federally insured savings and loan
association or credit union; or any bond or security issued
by a state of the United States and backed by the full faith
and credit of the state. Any such securities shall be
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deposited with the director and assigned to and made
negotiable by the director pursuant to a trust document
acceptable to the director. Interest accruing on a
negotiable security so deposited shall be collected and
transmitted to the depositor, provided the depositor is not
in default. A financial security endorsement, issued as part
of an acceptable excess insurance contract, may be used to
meet all or part of the security requirement. The bond,
security deposit or financial security endorsement shall be
for the benefit of the state solely to pay claims and
associated expenses and payable upon the failure of the group
to pay workers' compensation or occupational disease
disablement benefits it is legally obligated to pay. The
director may establish and adjust requirements of the amount
of security based on differences among groups in their size,
types of local government services provided by members of the
group, years in existence and other relevant factors;
provided that the director shall not require an amount lower
than one hundred thousand dollars ($100,000) for any group
during its first year of operation. Subsequent to the first
year of operation, the director may waive the requirements of
this paragraph;
(3) specific and aggregate excess insurance
in a form, in an amount and by an insurance company
acceptable to the director. The director may establish
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minimum requirements for the amount of specific and aggregate
excess insurance based on differences among groups in their
size, types of employment, years in existence and other
relevant factors and may permit a group to meet this
requirement by placing in a designated depository securities
of the type referred to in Paragraph (2) of this subsection;
(4) an estimated annual standard premium of
at least two hundred fifty thousand dollars ($250,000) during
a group's first year of operation. Thereafter, the annual
standard premium shall be at least five hundred thousand
dollars ($500,000);
(5) an indemnity agreement jointly and
severally binding the group and each member of the group to
meet the workers' compensation and occupational disease
disablement obligations of each member. The indemnity
agreement shall be in a form prescribed by the director and
shall include minimum uniform substantive provisions
prescribed by the director. Subject to the director's
approval, a group may add other provisions needed because of
its particular circumstances. The requirements of this
paragraph shall only apply to private employers;
(6) a fidelity bond for the administrator in
a form and amount prescribed by the director; and
(7) a fidelity bond for the service company
in a form and amount prescribed by the director. The
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director may also require the service company providing claim
services to furnish a performance bond in a form and amount
prescribed by the director.
C. A group shall notify the director of any change
in the information required to be filed under Subsection A of
this section or in the manner of its compliance with
Subsection B of this section no later than thirty days after
that change.
D. The director shall evaluate the information
provided by the application required to be filed under
Subsection A of this section to assure that no gaps in
funding exist and that funds necessary to pay workers'
compensation and occupational disease disablement benefits
will be available on a timely basis.
E. The director shall act upon a completed
application for a certificate of approval within sixty days.
If, because of the number of applications, the director is
unable to act upon an application within that period, the
director shall have an additional sixty days to so act.
F. The director shall issue to the group a
certificate of approval upon finding that the proposed group
has met all requirements, or the director shall issue an
order refusing the certificate, setting forth reasons for
refusal, upon finding that the proposed group does not meet
all requirements.
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G. Each group shall be deemed to have appointed
the director as its attorney to receive service of legal
process issued against it in this state. The appointment
shall be irrevocable, shall bind any successor in interest
and shall remain in effect as long as there is in this state
any obligation or liability of the group for workers'
compensation or occupational disease disablement benefits."
Section 2. EFFECTIVE DATE.--The effective date of the
provisions of this act is July 1, 2007.