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two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked.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two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked.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
October 29, 2024 Bulletins RECISSION OF BULLETIN 2019-015 AND REPLACEMENT BULLETIN FOR NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION BULLETIN 2024-022: 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, revoked or extended. This Bulletin rescinds and replaces Bulletin 2019-015 that provided implementation guidance based on the statutory text contained in the 2019 New Mexico State Legislature’s House Bill 311. […] Read More
October 25, 2024 Announcements ORDER SETTING PATIENT COMPENSATION FUND SURCHARGE RATES FOR CALENDAR YEAR 2025 Announcements To review the complete record in this matter, including all filed documents, please click here to be directed to the OSI eDocket. Case number for this matter is 2024-0005. ORDER SETTING PATIENT COMPENSATION FUND SURCHARGE RATES FOR CALENDAR YEAR 2025 Read More
October 23, 2024 News Releases NEW MEXICO SUPERINTENDENT OF INSURANCE ISSUES EMERGENCY ORDER FOLLOWING GOVERNOR LUJAN GRISHAM’S EXECUTIVE ORDER Santa Fe, NM – Pursuant to Governor Lujan Grisham’s Executive Order 2024-155, issued October 21, 2024 in response to the devastating severe flooding impacting Chavez County, the New Mexico Office of Superintendent of Insurance (OSI) issued an Emergency Order to protect access to insurance and the stability of insurance markets during the emergencies declared in […] Read More
October 18, 2024 Bulletins MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY DATA CALL BULLETIN 2024-021: 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 Mental Health and Substance Use Disorder (MH/SUD) parity with Medical and Surgical (Med/Surg) services. This includes performing and documenting comparative analyses of network adequacy, pharmacy benefits, quantitative treatment limitations […] Read More
October 3, 2024 News Releases Office of Superintendent of Insurance Announces 2025 Qualified Health Plan Rates A dozen healthcare plans for less than $10 a month Santa Fe, NM – The Office of the Superintendent of Insurance (OSI) completed its review of 2025 Qualified Health Plan (QHP) rates for New Mexico residents. The OSI reviewed Individual Market – Medical applications from Health Care Service Corporation (dba BCBSNM), Molina Healthcare of New […] Read More
