Claims Kit
New Mexico
Forms
State Compliance Information
Penalties for Late Reporting
Each instance of failure to file when required is punishable by a fine of up to $1,000.00.
Posting Requirements
Employers are required to post the Workers' Compensation Act poster at all work sites, where employees will have access to it. The employer is also required to post Notice of Accident forms with it. This poster without Notice of Accident forms does not comply with law
Full Size 11 X 17 Poster - Prints out in full size.
8.5 X 11 Two-Part Poster - Use the landscape printing function for this version. Be sure to connect the two pages, as indicated on the poster.
If the employer does not post the poster, the right of the injured worker to notify the employer and make a claim is extended from 15 days to 60 days.
Physician Selection 52-1-49 NMSA
The initial treating physician may be selected by either the employer or the employee. At the end of 60 days, the party not originally choosing the physician may select another physician. Unless the parties agree, the party seeking a change must provide notify the other party at least 10 days in advance with the name and address of his choice. If the one party objects to this selection, they may file notice of the objection with the parties and the Workers' Compensation Administration. The Workers' Compensation Judge then has 7 days to make a determination.
Reporting of Claim by Employer 52-1-58, 11.4.3.12
The employer must report every accident to their insurer or, in the case of a self-insured employer or member of a self-insurance group, their claims administrator, whether or not the employer considers the claim to be valid, within 72 hours of the earlier of:
(a) actual knowledge of the accident by the employer; or
(b) presentation of a notice of accident form to the employer.
A report must be filed with the director within 10 days of knowledge of any alleged work-related injury or illness that results in more than 7 days of lost work. A copy of the report must be given to the employee.
NOTE: Employers may NOT pay claims. This practice is illegal. Benefit payments must come from the insurance carrier.
Posters & Brochures
Documents Provided by CopperPoint
Portal User Help
Pharmacy First Fill - ENG/SPA
Change of Address
Witness Statement - ENG/SPA
Accident Report - ENG/SPA
Gramm-Leach-Bliley Act (GLBA) Privacy Notice
Return To Work
Return To Work Transitional Employment Offer Template - ENG/SPA
Return To Work Policy Guide
Injured Worker Guide
The worker's compensation system can be complicated, and each state has its own laws regarding workers' compensation.
The information contained in your state's resources provides a general guide for workers injured or made ill on the job.
This state-issued publication will assist you in navigating the workers' compensation system and serve as a resource for basic legal rights as well as steps to take to initiate workers' compensation benefits, deadlines and who to contact for additional assistance.
If you have questions about the workers' compensation process, this guide will provide the contact information for the regulatory agency for your state. In addition, many states have an ombudsman to oversee and assist all interested parties in the workers' compensation system.
Publications
Need help?
CopperPoint Insurance Company
PO Box 36070
Phoenix, AZ 85067
Phone: 800.231.1363
For Claim Reporting, please complete your First Notice of Loss and email to reportaclaim@copperpoint.com