a. An eligible employee includes any regular employee hired, who is scheduled to work at least 20 hours per week and whose term of employment, when hired, is for six or more months.
b. Temporary employees, whose original term of employment was to be less than six months, but is later determined that employment would be longer than 6 months, are eligible at the time the determination is made.
c. Employees must enroll within 31 days of their date of hire. Employees who fail to enroll within 31 days are considered late enrollees. See “late enrollees” section.
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a. Dependents may be covered if they are any one of the following:
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A lawful spouse (not legally separated). Common-law marriages are not recognized under New Mexico statute;
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Domestic Partners - Each employee and domestic partner must complete an affidavit of domestic partnership affirming they are in a mutually exclusive, committed relationship, and have shared a primary residence for twelve or more consecutive months, are jointly responsible for the common welfare of each other and share financial obligations.
- Please note premiums for domestic partners can not be taken on a pre-tax basis.
- Unmarried, natural children, adopted children, stepchildren and children for whom the employee has court-approved legal guardianship are covered to age 25. They are not required to be in college.
b. Stepchildren are covered if the:
c. Extended family members such as parents, and other dependents, relatives, e.g. aunts, uncles, cousins, and domestic partners, are not eligible.
d. A court order to provide coverage for the extended family member does not require the State to grant eligibility to that dependent.
Exception: The State will allow coverage for dependent children up to age 25 when guardianship is court approved. Note-a power of attorney is not considered court approved.
e. Physically or mentally impaired children. Carriers may inquire for evidence of medical necessity.
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