What are you looking for? Fraud AssessmentsCompany LicensingRenewalsStatutory DepositsFeesApplying for Admission & ApplicationsLife and Health DivisionProduct FilingPharmacy Benefit Managers (PBM) Reports, New Mexico Health Access Survey, and BriefsContracted and External ReportsOSI Health Insurance BriefsThe 2023 New Mexico Health Access SurveyResource BinderMiscellaneous Resource Binder ContentSmall Business Health Insurance Premium Relief InitiativePrescription Drug Price TransparencyMember GrievanceHealth Rate ReviewProvider GrievanceHealth Care Affordability FundRequest for Confidential StatusContinuous Quality ImprovementUtilization ManagementProvider CredentialingNetwork AdequacyManaged Health Care Compliance DeadlinesMental Health ParityDebt Collection Protection Act - Provider ResourceVaccine Purchasing ActGuidance for CarriersProperty & CasualtyFinancial RegulationAccredited ReinsurersFinancial StatementsFinancial Statements ArchiveFinancial Examinations Financial Examinations ArchiveFinancial and Market Conduct Examinations - ArchiveTitle Insurance Forms & TablesASR USR Schedules & InstructionsStatistical ReportsIndividuals and AgenciesContinuing Education (CE)Criminal OffenseLicense Status Verification Contact life.health@osi.nm.gov OSI Events Calendar View our calendar of events Prescription Benefit Manager (PBM) statutory and regulatory compliance Information and enforcement. Complaints and Annual Reporting Requirements Pharmacists may file a complaint against a PBM: Complaint Against PBM Consumers may file a complaint about a denial of a pharmacy benefit: Consumers Complaint about Denial of Pharmacy Benefit: New Mexico PBM Law Pharmacy Benefit Manager Regulation Act Pharmacy Benefit Manager Rule Reports or News Related to PBMs HB 292 Report on Prescription Drug Costs Letter to Legislative on HB 292 Report on Prescription Drug Costs Pharmacy Services Administrative Organization (PSAO) Registration PSAO Registration Form Data Calls to PBM’s Reporting Template for Claims Adjudication Fees Confidentiality Request PBMs may request confidentiality of reporting pursuant to Bulletin 2024-018. Please also refer to Request for Confidential Status.
November 18, 2025 Bulletins 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 […] Read More
December 8, 2025 Announcements 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 […] Read More
November 17, 2025 News Releases 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 […] Read More
