Section 59A-16B-5 - Justification of adverse insurance underwriting decisions.

NM Stat § 59A-16B-5 (2019) (N/A)

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An insurer that takes an underwriting action that adversely affects a victim of domestic abuse on the basis of a medical condition, claims history or other underwriting information that the insurer knows is abuse-related shall explain the reason for its action to the applicant or insured in writing and, upon request, shall be able to demonstrate that its action and any applicable plan provision:

A. does not treat abuse status as a medical condition or underwriting criterion;

B. is otherwise permissible by law and applies in the same manner and to the same extent to all applicants and insureds with a similar condition or claims history without regard to whether the condition, history or claim is abuse-related; and

C. is based on a determination, made in conformance with sound actuarial principles and supported by reasonable statistical evidence, or related to actual or reasonably anticipated experience, that there is a correlation between the medical condition, claims history or other underwriting information and a material increase in insurance risk.

History: Laws 1997, ch. 141, § 5.

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Section 59A-16B-4 - Unfair discrimination on the basis of a person's abuse status prohibited.

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Section 59A-16B-6 - Insurance company procedures to protect the safety and privacy of victims of domestic abuse.