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 BinderProvider CredentialingNetwork AdequacyManaged Health Care Compliance DeadlinesMental Health ParityMiscellaneous Resource Binder ContentSmall Business Health Insurance Premium Relief InitiativePrescription Drug Price TransparencyMember GrievanceHealth Rate ReviewProvider GrievanceMonthly Member EnrollmentHealth Care Affordability FundRequest for Confidential StatusContinuous Quality ImprovementUtilization ManagementDebt Collection Protection Act - Provider ResourceVaccine Purchasing ActGuidance for CarriersProperty & CasualtyFinancial RegulationFinancial and Market Conduct Examinations - ArchiveAccredited ReinsurersFinancial StatementsFinancial Statements ArchiveFinancial Examinations Financial Examinations ArchiveTitle Insurance Forms & TablesASR USR Schedules & InstructionsStatistical ReportsIndividuals and AgenciesContinuing Education (CE)Criminal OffenseLicense Status Verification OSI Events Calendar View our calendar of events The Grievance Procedures, as outlined in 13.10.17 NMAC states the requirements for filing and processing grievances against health care insurers that provide, offer or administer health benefit plans, including those with a point-of-service option that allows covered persons to obtain health care services out of network; provided by an entity that purchases or is authorized to purchase health care benefits pursuant to the New Mexico Health Care Purchasing Act; and utilizing a preferred provider network, as defined under NMSA 1978 Section 59A-22A-3. OSI regulates member and provider grievances for major medical health insurance plans. See details below on OSI’s member grievance regulatory requirements. Guidance Chart Updated Guidance Chart Coming Member Grievance Compliance FAQ’s Member Grievance Compliance FAQ’s 2026 Regulations 13.10.17 NMAC Summary of Health Insurance Grievance Procedures – Updated 2025 Bulletins and News Bulletin 2023-003 Member Complaint Form Managed Health Care Complaint Form Grievance Logs Annual Grievance Log 2026 Sample 2025 Grievance Log
February 11, 2026 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE§59A-18-33, NMSA 1978 UPDATED BULLETIN 2026-003: This Bulletin updates Bulletin No. 2026-003 by correcting the sentence “This Bulletin is issued as required by general OSI Bulletin 2026-003” to properly say, “This Bulletin is issued as required by general OSI Bulletin No. 2024-022.” The OSI has been notified by ISO, a rating/advisory organization, about a recent Public Protection Classification (PPC) survey involving […] Read More
January 14, 2026 Bulletins REPEAL OF BULLETIN NO. 2022-004 BULLETIN 2026-002: Repeal Note: This bulletin hereby repeals Bulletin No. 2022-004 issued on April 4, 2022. ISSUED this 12th day of January, 2026. REPEAL OF BULLETIN NO. 2022-004 Read More
