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
August 14, 2025 Bulletins SENATE BILL 39, ADD CLASSES TO PRIOR AUTHORIZATION DRUGS Updated Bulletin 2025-005: This is an update to Bulletin No. 2025-005, dated August 1, 2025, references to “calendar days”have been changed to “business days” on page 3 and page 4. Senate Bill 39 (SB39) was signed into law by Governor Michelle Lujan Grisham on April 7, 2025, andbecame effective July 1, 2025. SB39 amends the Prior Authorization Act, […] Read More
August 1, 2025 Bulletins SENATE BILL 39, ADD CLASSES TO PRIOR AUTHORIZATION DRUGS BULLETIN 2025-005: Senate Bill 39 (SB39) was signed into law by Governor Michelle Lujan Grisham on April 7, 2025, and became effective July 1, 2025. SB39 amends the Prior Authorization Act, NMSA 1978, Sections 59A-22B-2, 59A-22B-5, and 59A-22B-8 to include the following: To ensure equal application of the provisions of SB39 and the requirements with respect to […] Read More
July 23, 2025 Bulletins ADJUSTMENT OF PRESUMPTIVELY ACCEPTABLE CREDIT LIFEINSURANCE AND CREDIT ACCIDENT AND HEALTH INSURANCE PREMIUM RATES Updated Bulletin 2025-002: THIS UPDATED BULLETIN IS ISSUED this 23rd day of July, 2025. THE FOLLOWING BULLETIN is updated and 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.This update is being issued to allow a sixty-day (60-day) time period from the date of the effective date of July 1, 2025 […] Read More
July 7, 2025 Bulletins NMPIP RESIDENTIAL PROPERTY LIMITS BULLETIN 2025-004: The Superintendent of Insurance (Superintendent) provisionally approved residential property limits as follows on March 8, 2025, that expired on June 20, 2025: The maximum limit of liability per fire division which may be insured under the Plan shall be: Protected Unprotected Protection Class 1-7 Protection Class 8-10 One, two, three and four family dwellings […] Read More
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
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
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 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
