What are you looking for? License Status VerificationAnnual/Quarterly ChecklistsFraud 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 BinderRequest for Confidential StatusContinuous Quality ImprovementUtilization ManagementMember GrievanceHealth Rate ReviewProvider GrievanceMonthly Member EnrollmentHealth Care Affordability FundProvider CredentialingDental Provider CredentialingCoverage for Individuals with Diabetes (HB53)Network AdequacyManaged Health Care Compliance DeadlinesMental Health ParityDebt Collection Protection Act - Provider ResourceMiscellaneous Resource Binder ContentSmall Business Health Insurance Premium Relief InitiativePrescription Drug Price TransparencyVaccine 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 Offense 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
June 26, 2026 Bulletins MEDICAL MALPRACTICE PREMIUM REDUCTION AMENDED BULLETIN 2026-010: The New Mexico State Legislature appropriated $5 million to the New Mexico Office of Superintendent of Insurance (OSI) to address medical malpractice insurance costs for individual providers. The appropriation was part of a supplemental appropriation package passed in 2025. This one-time appropriation directs OSI to provide a premium subsidy for private medical malpractice insurance policies. […] Read More
June 12, 2026 Announcements NOTICE OF PRESCRIPTION DRUG PRICE TRANSPARENCY ANNUAL MEETING The Office of the Superintendent of Insurance will hold its annual public meeting to present and discuss the findings and recommendations contained in the 2025 Prescription Drug Price Transparency legislative report. The purpose of this meeting is to inform the public of the report’s contents and to provide an opportunity for public comments and questions. […] Read More
