1. A New Mexico disability income policy that pays benefits if the insured cannot perform the duties of his or her own occupation uses which definition of disability?

Own occupation

An own-occupation definition pays benefits when the insured cannot perform the duties of his or her own occupation.

2. A health savings account paired with a New Mexico high-deductible health plan allows the accountholder to:

Set aside pre-tax dollars for qualified medical expenses

An HSA lets eligible individuals contribute pre-tax dollars to pay qualified medical expenses when paired with a qualifying high-deductible plan.

3. Stop-loss coverage purchased by a New Mexico self-funded employer plan is designed to:

Protect the plan against claims exceeding a set amount

Stop-loss insurance protects a self-funded plan from losses above a specified attachment point per claim or in aggregate.

4. A New Mexico health plan requirement that certain non-emergency services be approved before they are provided is called:

Prior authorization

Prior authorization requires plan approval before certain non-emergency services to confirm medical necessity and coverage.