As a POC service provider NCCI’s approach is to provide guidance to carriers on proof of coverage reporting guidelines. This guide is not intended to provide carrier notice to insured filing requirements. All information provided in this guide is subject to change and dependent on notification from the state. Please refer to the applicable Workers Compensation Statutes or Rules for additional information. |
| NCCI POC Service Start Date | July 1, 1994 |
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POC Contact Information |
Workers’ Compensation Administration—State of New Mexico
2410 Centre Avenue, SE
PO Box 27198
Albuquerque, NM 87125-7198
Contact Name: Leonard Fulton
Tel:
505-841-6851
Fax:
505-841-6840
Email:
leonardr.fulton@wca.nm.gov |
| How NCCI Provides POC Data to State | - IAIABC POC 2.1 Format
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Proof of Coverage Inquiry
Note: Carriers should contact
POCA@ncci.com prior to reporting workers compensation coverage in New Mexico for the first time. |
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POC Timeliness Reporting Requirements |
| Transaction Received Date | NCCI’s received date is used to determine timeliness on POC transactions accepted by the state. |
| Policies | Due within 30 days of the Policy Effective Date. POC Notices may be submitted if the policy will not be issued within 30 days after the Policy Effective Date. This does not eliminate the need to submit the policy. |
| Cancellations | Due within 10 days after the Cancellation Effective Date. |
| Reinstatements | Due within 30 days after the Reinstatement Effective Date. |
| Nonrenewals | New Mexico is not a continuous coverage state. Nonrenewals are not required but are preferred for POC and should be reported—the Policy Expiration Date is recognized by the New Mexico Workers’ Compensation Administration. If a nonrenewal is reported, the transaction will be available through POC. |
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POC Data Reporting Requirements |
Data Elements: -
Industry Code—Prefers a valid North American Industry Classification System (NAICS) code (2002, 2007, 2012, 2017, or 2022 codes)
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Number of Employees—Report, if available, on Address Type Codes 1, 2, and 6
- Refer to the POC Data Element Requirements Chart located in NCCI’s
Policy and Proof of Coverage (POC) Reporting Guidebook for all requirements
Address Reporting—No Physical Location: - When there is no physical location in the state, New Mexico will accept Employer Names linked to:
- Address Type 6—No Physical Location
- New Mexico will not accept an Address Type 2—Location of Operations with an Out-of-State Address
State Processing Exceptions: - When endorsement numbers WC000308 and/or WC000310 are reported on Establishing Transactions, NCCI will send Inclusion and/or Exclusion of Corporate Officer/Partner/Sole Proprietor POC transactions to New Mexico
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POC Penalties & Appeals |
| POC Fines | No fines are assessed for late reporting or missing POC data. |
| Appeals | No appeals process is in place because no POC fines are being assessed. |
Disclaimer:
This guide is comprised of materials and information which are proprietary to NCCI and are protected by United States and international copyright and other intellectual property laws. This guide is provided solely as a reference tool to be used for the limited purpose of providing information to carriers regarding the reporting of proof of coverage information in various states. The information in this guide shall not be construed or interpreted as providing of legal or any other advice as to the cancellation, renewal or nonrenewal of an insurance policy or contract. Use of this guide for any purpose other than as set forth herein is strictly prohibited. The guide is furnished “As Is” and includes information available at the time of publication only. NCCI makes no representations or warranties of any kind relating to this guide, and expressly disclaims any and all express, statutory, or implied warranties including the implied warranty of merchantability and fitness for a particular purpose. Additionally, you assume responsibility for the use of, and for any and all results, conclusions, analyses, or decisions developed, derived or obtained as a result of this guide and NCCI does not endorse, approve, or otherwise acquiesce in your actions, results, analyses, or decisions, nor shall NCCI have any liability thereto. |
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