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
May 19, 2023 Bulletins RESCISSION OF BULLETIN 2015-007 BULLETIN 2015-007: Issued pursuant to Sections 59A-2-8, 59A-12-21, 59A-14-11 NMSA 1978 of the New Mexico Insurance Code and 13.1.2 et seq and 13.19.2.17 NMAC. Bulletin 2015-007 is hereby rescinded. RESCISSION OF BULLETIN 2015-007 Read More
May 11, 2023 Bulletins NQTL COMPARATIVE ANALYSES DATA CALL BULLETIN 2023-011: The Consolidated Appropriations Act, 2021, which was signed into law and became effective December 27, 2020, included an amendment to Section 2726(a) of the Public Health Service Act, Strengthening Parity in Mental Health and Substance Use Disorder benefits. The Final Rules for the Mental Health Parity and Addiction Equity Act of 2008, (MHPAEA), were issued […] Read More
May 1, 2023 Bulletins SMALL BUSINESS HEALTH INSURANCE PREMIUM RELIEF INITIATIVE PREMIUM REDUCTION PERCENTAGE FOR COVERAGE ACTIVE July 1, 2023 UNTIL BULLETIN 2023-010: THIS BULLETIN is issued pursuant to NMSA 1978, Section 59A-23F-11, which established the Health Care Affordability Fund to “reduce premiums for small businesses and their employees.” This Bulletin sets forth program parameters, requirements for issuers, and the Office of Superintendent of Insurance’s (OSI’s) responsibilities under the Small Business Health Insurance Premium Relief Initiative established in […] Read More
April 20, 2023 Bulletins COVERAGE FOR RECONSTRUCTIVE SURGERY FOLLOWING MASTECTOMY BULLETIN 2023-008: This Bulletin replaces Bulletin No. 2000-008, which is hereby rescinded and withdrawn. This Bulletin is issued by the New Mexico Office of Superintendent of Insurance (OSI) to remind managed health care plans and health insurers offering major medical plans in New Mexico about the requirements of the Women’s Health and Cancer Rights Act of 1998 […] Read More
