Tampa-Administered Forms for New Mexico

Forms are separated in three categories:

  • Pre-Sale Forms—Licensing, Master Applications, Statement of Insurability, etc.
  • Post-Sale Forms—Enrollment, Individual Applications, Refusal of Insurance, Reporting Summary etc.
  • Post-Policy Forms—Claim, Change of Beneficiary, Reinstatement, etc.
Pre-Sale Back To Top

. 06673571-1005NM Statement of Insurability for Group Programs NM
. 06673571-1098NM Application for Group Voluntary Programs All NM
. 06673571-1496NM Application for Group Voluntary Programs Life & AD&D NM

The above are the only state-specific forms. Additional forms can be found on the General Forms page.

Post-Sale Back To Top

. 06673571-1003NM Individual Application for Group Critical Illness Insurance NM
. 06673571-1004NM Individual Application for Group Accident and Sickness Indemnity Insurance NM
. 06673571-1005NM AIG - Statement of Insurability for Group Programs NM
. 06673571-1098NM AIG - Application for Group Voluntary Programs All NM
. 06673571-1496NM AIG - Application for Group Voluntary Programs Life & AD&D NM

The above are the only state-specific forms. Additional forms can be found on the General Forms page.

Post-Policy Back To Top

There are no state-specific forms. Use forms located on the General Forms page.