What are you looking for? Patients Debt Collection Protection ActReport Insurance Fraud in New MexicoInsurance TypesTitle InsuranceHomeowners InsuranceCondo InsuranceRenters InsuranceAuto InsuranceHealth InsuranceManaged Health Care ReviewGrievance Procedures RulesWhat Consumers need to know about Surprise BillingIndependent Review OrganizationBilling ExamplesHealthcare Provider ArrangementsMultiple Employer Welfare Arrangement (MEWA)Life InsuranceOther Types of Health InsuranceStay Ready for Disasters!FloodWildfireWind & HailWinter Storm OSI Events Calendar View our calendar of events What is Insurance Fraud? The willful abuse of an insurance policy for financial gain. Fraud is an intentional act and is illegal. The OSI Insurance Fraud & law Enforcement Division is a unique department that combines the criminal investigative powers of a law enforcement organization with the protective role of a regulatory agency. As a fully accredited law enforcement agency of the state of New Mexico, OSI agents have full authority to investigate, arrest, and prosecute criminals who commit insurance fraud. While that might sound like an unusual combination, it is precisely this dual capability that makes OSI effective in its core mission: ensuring New Mexicans have access to reliable insurance products while safeguarding them from fraud and unfair practices. We want to get your information to the right team so we can help you as quickly as possible. Please review our guidance for when it’s best to file a complaint and when it’s best to report insurance fraud. Meet the OSI Law Enforcement Team When to report insurance fraud If you believe a person in New Mexico is trying to cheat or commit fraud against an insurer or agent, you should report insurance fraud to our office. Common reasons to file an insurance fraud report include: Falsely reporting a stolen vehicle or property Filing claims with multiple companies, sometimes known as double-dipping Medical insurance fraud including billing for services not rendered Report Insurance Fraud
April 9, 2026 Bulletins CLARIFICATION OF THE AMENDED ORDER FOR REVIEW OF PREMIUM RATES OF COMMERCIAL MEDICAL PROFESSIONAL LIABILITY INSURANCE CARRIERS IN CASE NO. 2026-088 BULLETIN 2026-009: On March 19, 2026, the Superintendent issued the referenced Amended Order because of the significant changes made to the Medical Malpractice Act. The Superintendent anticipates that the significant changes made to the Medical Malpractice Act should result in less costly premiums for medical professional liability insurance coverage. To satisfy the requirements of the Amended Order […] Read More
March 18, 2026 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE §59A-18-33, NMSA 1978 BULLETIN 2026-005: This Bulletin is issued as required by general OSI Bulletin No. 2024-022, except that the requirement in Bulletin 2024-022 that insurers must notify the PPC rating/advisory organization that notice was provided is waived for this Bulletin. The OSI has been notified by ISO, a rating/advisory organization, about a recent Public Protection Classification (PPC) survey involving […] Read More
