November 18, 2025 Bulletins CLARIFICATION ON COORDINATION OF BENEFITS (COB) PROVISIONS FOR MINOR CHILDREN BULLETIN 2025-015: This bulletin is issued in accordance with Sections 59-2-8, 59A-2-10, 59A-16-11(B) and 59A-46-31 NMSA 1978, and 13.1.2 and 13.10.13.11(B)(2) NMAC. The purpose of this bulletin is to clarify the position of the Office of Superintendent of Insurance (OSI) regarding allowable coordination of benefits provisions for a dependent child covered under more than one health insurance […] Read More
November 13, 2025 Bulletins APPLICATION OF OPEN ENROLLMENT AND SPECIAL ENROLLMENT PERIODS TO INDIVIDUAL OFF-EXCHANGE PLANS BULLETIN 2025-014: This bulletin repeals and replaces Bulletin No. 2023-037 issued on December 13, 2023. The New Mexico Office of Superintendent of Insurance (OSI) is issuing this bulletin to clarify the application of annual open enrollment periods (OEPs) and special enrollment periods (SEPs) to the sale of individual, fully-insured, major medical plans that meet qualified health plan […] Read More
October 30, 2025 Bulletins DECEPTIVE MARKETING AND ADVERTISING PRACTICES BULLETIN 2025-012: This bulletin repeals and replaces Bulletin 2020-013. The New Mexico Office of Superintendent of Insurance (OSI) is charged with protecting New Mexicans from misleading and deceptive practices connected to the marketing and advertising of excepted health benefit plans, i.e., limited benefit plans that do not offer the full coverage required by the Affordable Care Act […] Read More
October 28, 2025 Bulletins REQUIRED DISCLOSURE TO AUTOMOBILE INSURANCE POLICYHOLDERS THAT UNINSURED MOTORIST / UNDERINSURED MOTORIST (“UM/UIM”) COVERAGE MUST BE OFFERED ON A PER-VEHICLE COST BASIS BULLETIN 2025-013: This Bulletin adds to the existing UM/UIM Disclosure and Exclusion requirements that continue to be required by Bulletin 2021-024. This Bulletin is issued following the court opinion in Kileen v. Didio, New Mexico Supreme Court Docket No. S-1-SC 39256, filed June 30, 2025 (Kileen). The Kileen opinion created the following law: After careful consideration, we […] Read More
October 21, 2025 Bulletins IT IS A PROHIBITED UNFAIR CLAIMS PRACTICE FOR PROPERTY OR HOMEOWNER’S INSURERS AND PRODUCERS TO TREAT AN APPLICANT’S OR INSURED’S INQUIRY RELATING TO DAMAGE OR LOSS AS A CLAIM WHEN THE FACTS OF THE INQUIRY ARE NOT COVERED BY THE POLICY WHERE CERTAIN ELEMENTS ARE MET BULLETIN 2025-010: THIS BULLETIN is effective immediately and is issued pursuant to Sections 59A-2-8, 59A-2-10, and 59A-4-3 NMSA 1978 and 13.1.2.9 NMAC. The Office of Superintendent of Insurance expects all property and casualty insurance companies to act in good faith and to use fair claims practices that comply with state law. The purpose of this Bulletin is […] Read More
October 15, 2025 Bulletins PHARMACY BENEFITS MANAGER APPLICATION FOR A LICENSE ANDLICENSE RENEWAL IN NEW MEXICO BULLETIN 2025-011: This bulletin repeals Bulletin No. 2023-001 dated January 3, 2023 and Bulletin No. 2023-035 issued on November 21, 2023. This Bulletin applies to any Pharmacy Benefits Manager (PBM) operating in the State of New Mexico that is required to be licensed in New Mexico pursuant to the Pharmacy Benefits Manager Act, Sections 59A-61-1 et seq. […] Read More
September 17, 2025 Bulletins COVERAGE FOR IMMUNIZATIONS IN 2025 AND 2026 PLAN YEARS BULLETIN 2025-009: This bulletin is issued in accordance with Sections 59A-2-8, 59A-2-10, 59A-18-13.2. 59A-18-13.3, and 59A-18-16.2(G)(2) NMSA 1978. The purpose of this bulletin is to clarify: Any changes to coverage for immunizations based on ACIP immunization guidance should be prospective to the 2027 plan year. Questions concerning these directives should be directed to the Life and Health […] Read More
August 26, 2025 Bulletins COVERAGE FOR CHILDHOOD IMMUNIZATIONS BULLETIN 2025-008: The Office of Superintendent of Insurance (OSI) is issuing this bulletin to remind insurers that pursuant to Sections 59A-22-34.3 and 59A-46-38.2 NMSA 1978 each individual and group health maintenance contract delivered or issued for delivery in this state shall provide coverage for childhood immunizations in accordance with the current schedule of immunizations recommended by the […] Read More
August 14, 2025 Bulletins STANDARD LANGUAGE, ADMINISTRATIVE DATA AND DISCONTINUATION NOTICES BULLETIN 2025-007: This Bulletin repeals and replaces Bulletins 2021-017 and 2021-023. The Office of Superintendent of Insurance (OSI) is amending the prior authorization standardized language previously issued in the bulletins to address the prohibitions outlined in Section 59A-22B-and 8 NMSA 1978. The Out-of-Network and Behavioral Health standardized language remains unchanged. Each issuer shall integrate the standardized language […] Read More
August 14, 2025 Bulletins NOTICE REQUIREMENT RELATED TO OFFERING VALUE-ADDED PRODUCTS AND SERVICES AND REQUIREMENTS FOR OFFERING VALUE-ADDED SERVICES PURSUANT TO SUBSECTION G OF SECTION 59A-16-17 NMSA 1978 BULLETIN 2025-006: This Amended Bulletin repeals and replaces Bulletin 2021-014. UPDATE: Bulletin 2025-006 was originally issued on August 14, 2025. An incorrect copy of the “Notification of Intent to Offer Value-Added Products and Services Filing Instructions and Form” was attached to the bulletin. This Amended Bulletin is being issued with the correct version of the “Notification of […] Read More
