A. The “uninsured employers’ fund” is created in the state treasury. The fund shall be administered by the workers’ compensation administration as a separate account. The administration shall adopt rules to administer the fund pursuant to the provisions of this section.
B. The fund shall consist of thirty cents ($.30) per employee covered by the Workers’ Compensation Act [52-1-1 NMSA 1978] on the last working day of each quarter for the fee assessed against employers pursuant to Section 52-5-19 NMSA 1978 and all income derived from investment of the fund. The fund shall also consist of any other money appropriated, distributed or otherwise allocated to the fund for the purpose of this section.
C. Money in the fund is appropriated to the workers’ compensation administration to pay workers’ compensation benefits to a person entitled to the benefits when that person’s employer has failed to maintain workers’ compensation coverage because of fraud, misconduct or other failure to insure or otherwise make compensation payments. For purposes of this subsection, a worker who has affirmatively elected not to accept the provisions of the Workers’ Compensation Act [52-1-1 NMSA 1978] shall not be eligible for payment of workers’ compensation from the uninsured employers’ fund. The director may pay reasonable costs of administering the uninsured employers’ fund from the fund, but money in the fund shall not be used for administrative costs unrelated to the fund or any activity of the workers’ compensation administration other than as provided in this section. The superintendent of insurance shall examine and audit the fund pursuant to the provisions of Chapter 59A, Article 4 NMSA 1978.
D. The director may authorize payments to a person from the uninsured employers’ fund if the injury or cause of incapacity occurs in New Mexico and would be compensable under the Workers’ Compensation Act [52-1-1 NMSA 1978].
E. The uninsured employers’ fund, by subrogation, has all the rights, powers and benefits of the employee or the employee’s dependents against the employer failing to make the compensation payments.
F. The uninsured employers’ fund, subject to approval of the director, shall discharge its obligations by contracting with an independent adjusting company that is licensed and principally located in New Mexico as prescribed by Section 59A-13-11 NMSA 1978 or Chapter 59A, Article 12A NMSA 1978.
G. For the purpose of ensuring the health, safety and welfare of the public, the director or a workers’ compensation judge shall:
(1) order the uninsured employer to reimburse the uninsured employers’ fund for all benefits paid to or on behalf of an injured employee by the uninsured employers’ fund along with interest, costs and attorney fees; and
(2) impose a penalty against the uninsured employer of not less than fifteen percent nor more than fifty percent of the value of the total award in connection with the claim that shall be paid into the uninsured employers’ fund.
H. The liability of the state, the workers’ compensation administration and the state treasurer, with respect to payment of any compensation benefits, expenses, fees or disbursement properly chargeable against the uninsured employers’ fund, is limited to the assets in the uninsured employers’ fund, and they are not otherwise liable for any payment.
I. The uninsured employers’ fund shall be considered a payor of last resort within the workers’ compensation system. No other payor liable for payments under the Workers’ Compensation Act [52-1-1 NMSA 1978] shall have its liabilities affected or discharged by payments from the uninsured employers’ fund. Any payments to workers paid by the uninsured employers’ fund shall be subject to subrogation and apportionment to the same extent as payments to an injured worker from a third party tortfeasor.
J. In any claim against an employer by the uninsured employers’ fund, or by or on behalf of the employee to whom or to whose dependents compensation and other benefits are paid or payable from the uninsured employers’ fund, the burden of proof is on the employer or other party in interest objecting to the claim. The claim is presumed to be valid up to the full amount of workers’ compensation benefits paid to the employee or the employee’s dependents. This subsection applies whether the claim is filed in court or in an adjudicative proceeding under the authority of the workers’ compensation administration.
K. Nothing in this section shall be construed to extend exclusive remedy protection pursuant to Section 52-1-6 or 52-1-9 NMSA 1978 to any employer whose injured worker is paid by the uninsured employers’ fund.
L. Nothing in this section shall be construed to supersede Section 52-5-10 NMSA 1978.
HISTORY:
Laws 2003, ch. 258, § 1; 2004, ch. 36, § 1.
Amendment Notes.
The 2004 amendment, effective July 1, 2004, in Subsection B, substituted “thirty cents ($.30) per employee covered by the Worker’s Compensation Act on the last working day of each quarter for the fee assessed against employers pursuant to Section 52-5-19 NMSA 1978” for “uninsured employers’ fees pursuant to this section”, and deleted the second sentence, “Each New Mexico employer or his insurance carrier shall quarterly pay an uninsured employers’ fee to the workers’ compensation administration amounting to a percentage established by the administration, not to exceed one percent, of the money paid out during that quarter as compensation benefits and medical benefits, exclusive of attorney fees and related benefits.”; deleted former Subsection C, relating to the assessment of uninsured employers’ fees; and redesignated former Subsections D through M as present Subsections C through L.
Notes to Decisions
Generally.
Employee’s workmen’s compensation claim against his employer for failure of payments under former 59-10-13.5, 1953 Comp. (now 52-1-9.1 NMSA 1978) that was based on the fact that the employer failed to make two installments on a timely basis, failed because although the installments were paid late, they were nevertheless paid, and while such a technical default was not condoned, the claim was moot because liability for those installments was extinguished by the payment. Montoya v. Zia Co., 1971-NMCA-105, 82 N.M. 774, 487 P.2d 202, 1971 N.M. App. LEXIS 813 (N.M. Ct. App. 1971).
Construction with other law.
Former § 57-925, 1941 Comp. was reconcilable and consistent with the spirit of the Workers’ Compensation Act and was not repealed by the enactment of former §§ 57-904, 57-905, or 57-906, 1941 Comp.; former § 57-925, 1941 Comp. served to benefit both the employer and the employee and served a good purpose by bringing to account third party tortfeasors. Rader v. Rhodes, 1944-NMSC-060, 48 N.M. 511, 153 P.2d 516, 1944 N.M. LEXIS 78 (N.M. 1944).
Prejudgment interest.
New Mexico uninsured employers’ fund (UEF) was entitled to prejudgment interest under this section because legislative intent of ensuring the health, safety and welfare of the public was satisfied only when the UEF was made whole for the full cost of the benefits, including interest, that it advances on behalf of uninsured employers. A workers’ compensation judge (WCJ) is required to award interest under this section, and regardless of whether 56-8-3(B) NMSA 1978 or 56-8-4(B) NMSA 1978 is applicable in a particular case, the factors included in 56-8-4(B) NMSA 1978 may be valid considerations in the exercise of the WCJ’s discretion in deciding the appropriate rate of pre-judgment interest. Pipkin v. Daniel, 2009-NMCA-006, 145 N.M. 398, 199 P.3d 301, 2008 N.M. App. LEXIS 151 (N.M. Ct. App. 2008).
Retroactivity.
Amendment to the Workers’ Compensation Act [52-1-1 NMSA 1978] providing for an uninsured employers’ fund and for benefits to employees of uninsured employers did not apply to employees whose claims and injuries arose before the effective date of the amendment, although their claims were filed after the effective date. Wegner v. Hair Prods. of Tex., 2005-NMCA-043, 137 N.M. 328, 110 P.3d 544, 2005 N.M. App. LEXIS 22 (N.M. Ct. App. 2005).
Research References and Practice Aids
Cross references.
Information that may be revealed to other state agencies, 7-1-8.8 NMSA 1978.