What are you looking for? Property & 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 VerificationFraud 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 Carriers 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. “OSI is currently working on updating the guidance and documents for these submissions. Please continue to check for updates, as OSI plans to have the materials re-posted by the end of the year to give carriers time to prepare prior to the March 1, 2026 submission deadline.” Guidance Chart Updated Guidance Chart Coming Soon! 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 2025 v1 Sample 2025 Grievance Log
January 30, 2026 Bulletins REPEAL OF BULLETIN NO. 2023-009 BULLETIN 2026-004: Repeal Note: This bulletin hereby repeals Bulletin No. 2023-009 issued on April 6, 2023. ISSUED this 27 day of January, 2026. REPEAL OF BULLETIN NO. 2023-009 Read More
January 14, 2026 Bulletins REPEAL OF BULLETIN NO. 2018-013 BULLETIN 2026-001: Repeal Note: This bulletin hereby repeals Bulletin No. 2018-013 issued on August 23, 2018. ISSUED this 12th day of January, 2026. REPEAL OF BULLETIN NO. 2018-013 Read More
December 8, 2025 Announcements 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 are ongoing and apply to every insurer, adjuster, producer, and insurance professional conducting business within the State of New Mexico. […] Read More
