June 23, 2025 Bulletins DATA CALL PURSUANT TO THE SURPRISE BILLING PROTECTION ACT (ACT), NMSA 1978, CHAPTER 59A, ARTICLE 57A OF THE INSURANCE CODE BULLETIN 2025-003: Pursuant to NMSA 1978, Section 59A-57A-l1 of the Act, the Superintendent of Insurance (Superintendent) “may require health insurance carriers” to “report the annual percentage of claims and expenditures paid to nonparticipating providers for health care services,” to monitor the effectiveness of the requirements in the Act, and the impact on provider networks and health care […] Read More
June 18, 2025 News Releases Superintendent of Insurance issues Emergency Order to provide enhanced Insurance Protections for New Mexicans impacted by the WildFires Contact: Elouisa Macias, Consumer Assistance Bureau ChiefEmail: Elouisa.Macias@osi.nm.gov Santa Fe, NM – Pursuant to Governor Lujan Grisham’s Executive Order in response to the devastating Trout Fire impacting Grant County, the New Mexico Office of Superintendent of Insurance (OSI) issued an Emergency Order to provide enhanced insurance protections and support for policyholders in fire-impacted areas over […] Read More
May 9, 2025 Bulletins ADJUSTMENT OF PRESUMPTIVELY ACCEPTABLE CREDIT LIFEINSURANCE AND CREDIT ACCIDENT AND HEALTH INSURANCE PREMIUM RATES BULLETIN 2025-002: THE FOLLOWING BULLETIN is issued pursuant to NMSA 1978, Sections 59A-2-8 and 59A-2-10 and 13.1.2 NMAC, 13.18.2.18, and 13.18.2.26 NMAC.13.18.2.18 and 13.18.2.26 NMAC allows the Superintendent to set and adjust premium rates for Credit Life and Credit Accident and Health benefits as needed. For complete content please see PDF below. ADJUSTMENT OF PRESUMPTIVELY ACCEPTABLE CREDIT […] Read More
March 7, 2025 News Releases Office of the Superintendent of Insurance Moves Forward with Interim Solution to Increase New Mexico FAIR Plan Policy Limits for Wildfire Prone Areas Statewide Superintendent Kane says more needs to be done for homeowners and small business and praises efforts of Senators Wirth and Ramos, and Representatives Vincent and Gonzales to Raise Insurance Protections for All New Mexicans Santa Fe, NM – Citing an immediate need to help New Mexico residents rebuild their homes destroyed by wildfires, New Mexico […] Read More
February 24, 2025 Bulletins MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY DATA CALL, CONFIDENTIALITY OF DATA SUBMISSIONS UPDATED BULLETIN 2024-021: UPDATE: The data submitted pursuant to the data call described in the bulletin will be deemed confidential pursuant to NMSA 1978, Sections 59A-2-12(B), 59A-18-13.2(G), 59A-23-30, 59A-46-69, and 59A-47-64. The Mental Health Parity and Addiction Equity Act (MHPAEA), amended in November 2013, includes provisions that require group health plans and health insurance carriers to ensure […] Read More
January 16, 2025 News Releases Protecting New Mexico Residents Living in High-Risk Wildfire Areas Focus of Initiative New Mexico State Senator Peter Wirth and State Representative Harlan Vincent and the Office of the Superintendent of Insurance Partner for the Fair Access to Insurance Requirements (FAIR) Plan The New Mexico Office of the Superintendent of Insurance (OSI) is taking steps to shore up resources to protect residents and business owners living in high-risk […] Read More
January 9, 2025 Bulletins PRIOR AUTHORIZATION FORM AND PROCESS FOR OBTAINING APPROVAL OF ALTERNATIVE PRIOR AUTHORIZATION REQUEST FORM BULLETIN 2025-001: This bulletin is issued pursuant to NMSA 1978, Sections 59A-2-8, 59A-2-10, 59A-22B-1 through 59A-22B-8, the Prior Authorization Act, 13.12.2.1 to 13.1.2.10 NMAC, and 13.10.31.10 NMAC. The Prior Authorization Act required the Office of Superintendent of Insurance (OSI or Superintendent) to issue a standardized prior authorization form by September 1, 2019, which shall be used by […] Read More
November 19, 2024 Bulletins EXTENSION OF DEADLINE FOR COMPLIANCE WITH 13.10.34.23 NMAC TO JULY 1, 2025- THIS BULLETIN WILL EXPIRE JULY 1, 2025 BULLETIN 2024-024: The New Mexico Legislature enacted the Short-Term Health Plan and Excepted Benefit Act (Act), NMSA 1978, Sections 59A-23G-1 through 59A-23G-6, effective June 14, 2019. The Act required the Superintendent to adopt and promulgate rules for excepted benefit plans as defined in the Act. The Superintendent adopted 13.10.34.23 NMAC, to be effective on January 1, 2025. […] Read More
November 14, 2024 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE §59A-18-33, NMSA1978 Bulletin 2024-023: This Bulletin shall expire two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked. 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 […] Read More
October 29, 2024 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE §59A-18-33 NMSA 1978 BULLETIN 2024-023: This Bulletin shall expire two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked. 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 […] Read More
