• File a Complaint

What does the Office of Superintendent of Insurance do?

We ensure compliance of Insurance Statutes and Regulations under the New Mexico Insurance Code by all Insurance Companies, Agents, Adjusters, Third Party Administrators, and other insurance industry staff operating within the State.

We provide consumers and the insurance company staff members with information regarding the policies and procedures involving insurance within New Mexico.

In assisting consumers, the Consumer Assistance Bureau accepts complaints who are having difficulty in dealing with insurance companies regarding policy applications, binding of policies, claim handling and other matters involving insurance.

Before filing a complaint 

  • Contact your insurance company and request an explanation.  
  • Make sure you have provided all information requested by the company.  
  • If you are concerned about the handling of a health insurance claim, ask what appeal and grievance procedures are available to you. (Add MHC content) 

If you are not satisfied with the company’s response to your concerns, you may consider filing a complaint.  Be prepared to summarize your complaint, so people who are not familiar with your issue will be able to understand. 

What the Superintendent of Insurance cannot do: 

  • Order the company to pay your claim or refund premium  
  • Decide who was at fault in an accident 
  • Act as a court of law or provide legal advice  
  • Recommend an agent, company, or products 
  • Identify an insurance company with whom a particular person may hold a policy 
  • Establish the facts surrounding a claim (for example: who is being truthful when there are conflicting reports of a situation) 
  • Determine the cause of loss, the value of a claim, the amount owed to you, or act as your adjuster 
  • Address issues the Department can’t legally enforce 


The Managed Health Care Bureau will investigate this complaint to determine if there are any violations of the New Mexico Insurance Code, Managed Health Care Rule or insurance policy language.

“Pharmacy Benefits Manager” means a person or a wholly or partially owned or controlled subsidiary of a person that provides claims administration, benefit design and management, pharmacy network management, negotiation and administration of product discounts, rebates and other benefits accruing to the pharmacy benefits manager or other prescription drug or device services to third parties, but “pharmacy benefits manager” does not include licensed health care facilities, pharmacies, licensed health care professionals, health insurers, unions, health maintenance organizations, Medicare advantage plans or prescription drug plans when providing formulary services to their patients, employees, members or beneficiaries.

The New Mexico Office of Superintendent of Insurance investigates health care provider complaints filed against health care insurers such as health maintenance organizations, individual health plans, group and blanket plans, provider service networks, non-profit healthcare plans, and third-party payers or their agents that provide, offer or administer health benefit plans subject to the insurance laws and regulations of this state. The Superintendent can assist with grievances regarding provider termination, discrimination, credentialing, timely payment of claims and other provider concerns in regards to the operations of the health insurer or plan.

Title Insurance Bureau processes all complaints involving Title Insurance in New Mexico.

Submit all other generic questions, concerns, and complaints here:

Recent News

Get the latest information about rule changes, legislation, industry information and consumer news.

Read All OSI News

CLARIFICATION ON COORDINATION OF BENEFITS (COB) PROVISIONS FOR MINOR CHILDREN

BULLETIN 2025-015: This bulletin is issued in accordance with Sections 59-2-8, 59A-2-10, 59A-16-11(B) and 59A-46-31 NMSA 1978, and 13.1.2 and 13.10.13.11(B)(2) NMAC. The purpose of this bulletin is to clarify the position of the Office of Superintendent of Insurance (OSI) regarding allowable coordination of benefits provisions for a dependent child covered under more than one health insurance […]

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Mandatory Reporting Requirements Under the New Mexico Insurance Fraud Act

NOTICE TO ALL LICENSEES, INSURERS, AND INSURANCE PROFESSIONALS Subject: Mandatory Reporting Requirements Under the New Mexico Insurance Fraud Act   This notice serves as an official reminder that all insurers and licensed insurance professionals are required to comply with the mandatory reporting and cooperation requirements established under the New Mexico Insurance Fraud Act. These obligations […]

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NEW MEXICO OFFICE OF THE SUPERINTENDENT OF INSURANCE HOSTS TOWN HALL IN SILVER CITY ON WILDFIRE PREPAREDNESS, MITIGATION AND INSURANCE RESOURCES

Contact: Elouisa Macias, Consumer Assistance Bureau ChiefEmail: Elouisa.Macias@osi.nm.gov Santa Fe, NM – On Wednesday, the Office of the Superintendent of Insurance (OSI) hosted a town hall in Silver City, NM related to wildfire preparedness and insurance resources. The town hall was moderated by Elouisa Macias, Consumer Assistance Bureau Chief, Civil Investigations Bureau at OSI. The […]

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