July 17, 2023 Bulletins GOLD CARDING REPORTING PURSUANT TO 13.10.31.12 BULLETIN 2023-020: Section 13.10.31.12 NMAC of the Prior Authorization Rule requires major medical insurers to report on efforts to evaluate prior authorization policy and provider performance. This regulation requires annual reporting by insurers by September 30th of each year. GOLD CARDING REPORTING PURSUANT TO 13.10.31.12 Read More
July 14, 2023 Bulletins SUBSTANCE USE TREATMENT DATA CALL BULLETIN 2023-019: Section 59A-4-3 N.M.S.A 1978 authorizes the New Mexico Office of the Superintendent to issue inquiries to regulated entities, including fully-insured health insurance companies. OSI issues this inquiry, or data call, in partnership with the New Mexico Legislative Finance Committee to gather data on the number of individuals in the state receiving health insurance coverage of […] Read More
July 12, 2023 News Releases July is Auto Theft Prevention Month July is Auto Theft Prevention Month Read More
July 6, 2023 News Releases NM Insurance Nominating Committee Welcomes Alice Kane as Superintendent of Insurance New Mexico Office of the Superintendent of Insurance Nominating Committee Welcomes Alice Kane as Superintendent of Insurance Read More
June 30, 2023 Bulletins PRIOR AUTHORIZATION DATA CALL BULLETIN 2023-018: Section 59A-22B-4 NMSA 1978 of the Prior Authorization Act (“the Act”) requires the Office of Superintendent of Insurance (“OSI”) to collect and issue a report on adherence to the Act and accompanying regulations. Accordingly, all entities subject to the Act shall complete and submit to OSI the data reporting form available for download on OSI’s […] Read More
June 23, 2023 Bulletins INTERIM GUIDANCE ON MEWA REGISTRATION PENDING ISSUANCE OF FINAL REGULATION AT 13.19.4 NMAC BULLETIN 2023-017: The Legislature directed the Superintendent to adopt and promulgate rules for Multiple Employer Welfare Arrangements (“MEWA”) in NMSA 1978 §59A-15-20. These regulations primarily addressed self-funded MEWAs, without specifically addressing requirements as other types of MEWAs, including Employee Leasing Contractors. On June 16, 2023, HB255 becomes law, which codifies Employee Leasing Contractors as MEWAs. The Superintendent […] Read More
June 14, 2023 Bulletins DECLARATION OF CATASTROPHE IN CURRY COUNTY AND QUAY COUNTY, NEW MEXICO AS A RESULT OF A SERIES OF NATURAL EVENTS BULLETIN 2023-016: This bulletin is issued in accordance with Section 59-2-8 NMSA 1978, 13.1.2 NMAC, and 13.7.4 NMAC. Some parts of the state of New Mexico faced tornadoes and severe thunderstorms beginning on May 24, 2023 and lasting over the course of the next several days. On June 1, 2023, the Superintendent of Insurance issued Bulletin No. […] Read More
June 7, 2023 Bulletins EXTENSION OF INTERVALS FOR HEARINGS ON PREMIUM RATES AND OTHER TITLE INSURANCE MATTERS BULLETIN 2023-015: THIS BULLETIN is issued pursuant to NMSA 1978, § 59A-2-8 and 13.1.2 NMAC. This Bulletin is issued to inform all interested persons that the New Mexico Title Insurance Law has been amended to extend the interval between hearings for premium rates and other title insurance matters to every three years. See, Section 59A-30-8, NMSA 1978 […] Read More
June 1, 2023 Bulletins CLAIMS SUBMITTED AS A RESULT OF A SERIES OF NATURAL EVENTS OCCURRING BETWEEN MAY 24 AND MAY 30, 2023 BULLETIN 2023-014: This bulletin is issued in accordance with Section 59-2-8 NMSA 1978, 13.1.2 NMAC, and 13.7.4 NMAC. Some parts of the state of New Mexico faced tornadoes and severe thunderstorms beginning on May 24, 2023 and lasting over the course of the next several days. CLAIMS SUBMITTED AS A RESULT OF A SERIES OF NATURAL EVENTS […] Read More
May 30, 2023 Bulletins REASONABLE ACCESS TO OUT OF NETWORK PROVIDERS BULLETIN 2023-013: It has come to the attention of the Superintendent that some carriers administratively deny coverage for all services rendered by an out of network provider, contrary to the requirements of NMSA 1978, §59A-57-4. These are violations of the Patient Protection Act, NMSA 1978, §59A-57-1 et seq. REASONABLE ACCESS TO OUT OF NETWORK PROVIDERS Read More
