State of New Mexico
Group Benefits Plan
Employees
Employers
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Employer Information Resources
Policies, Documents, and Forms
Administrative Guide
Administrative Letters
Benefits Eligibility Acknowledgement Form (English)
Benefits Eligibility Acknowledgement Form (Español)
Benefits Eligibility Acknowledgement Form - Waiving Benefits
Benefits Eligibility Acknowledgement Form - Waiving Benefits (Español)
COBRA Notification to Term Benefits
RMD Current Year Refund Request (Employee)
RMD Current Year Refund Request (Employer)
Death Claim Form
DFA Summary Page (Download)
Disability Policy
Disability Calculation Sheet (Download)
Domestic Partnership Form
Employee Enrollment Resources
LWOP Benefit Premium Transmittal Form
Notification to Terminate Benefits Due to Non-Payment of Premiums
POP Waiver Form (State)
PREMIUM RATE SHEETS – STATE
RMD Prior Calendar Year Refund Request Form (Employee)
RMD Prior Calendar Year Refund Request Form (Agency)
W-9 Form Instructions
W-9 New Form
Notices, Resources, Information
Benefits Comparison Guide 2024
Benefits Comparison Guide 2023
Benefits Comparison Guide 2022
Benefits Comparison Guide 2021
Benefits Information
Benefit Plan Contacts
Benefits Premium Calculator
COBRA Resources Page
Disability Resources Page
Federal Medicare Part D Creditable Coverage Notices
HIPAA Privacy Notice
HR Meetings and Recordings
SHARE Self Service Instruction Guide
Trifold Benefits Brochure
How to Submit Current Calendar and Prior Fiscal Year Refund Requests
Local Public Body (LPB) Forms
LPB Employee Change/Correction Form
POP Waiver Form (LPB)
Premium Rates Sheets – LPB
