• Resource Binder

The listed items represent key components of healthcare oversight and consumer protection managed by the New Mexico Office of Superintendent of Insurance. They cover a broad range of regulatory, operational, and support functions. These include protections like Patient Debt Collection policies and Requests for Confidential Status, compliance requirements such as Managed Health Care Compliance, Rate Review, and adherence to the Vaccine Purchasing Act. Tools like the Cultural and Linguistic Plan Checklist, Consumer Assistance Plan, and Continuous Quality Improvement efforts ensure services are inclusive, accessible, and constantly improving. Operational checklists, Qualified Health Plan Instructions, and oversight in areas like Utilization Management, Provider Credentialing, and Network Adequacy support the delivery of fair, effective care. Lastly, MHCC Deadlines ensure timely compliance with reporting and regulatory requirements. Together, these elements promote a patient-centered, equitable, and well-regulated healthcare system in New Mexico.

  • Consumer Assistance Plan 
  • Continuous Quality Improvement
    • Checklist
    • Qualified health plan instructions
  • Coverage for Individuals with Diabetes (HB53)
  • Cultural and Linguistic Plan
  • Debt Collection Protection Act – Provider Resource
  • Dental Provider Credentialing
  • Guidance for Carriers
  • Health Rate Review
  • Managed Health Care Compliance Deadlines
  • Member Grievance
  • Mental Health Parity
  • Monthly Member Enrollment
  • Network Adequacy
  • Prescription Drug Price Transparency
  • Provider Credentialing
  • Provider Grievance
  • Request for Confidential Status
  • Small Business Health Insurance Premium Relief Initiative
  • Utilization Management
  • Vaccine Purchasing Act

Recent News

Get the latest information about rule changes, legislation, industry information and consumer news.

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New Mexico Annual Appointment Renewal 2027

DATE: November 4th, 2026 TO: Insurance Companies with New Mexico Agent Appointments SUBJECT: New Mexico Agent Appointment Renewal Invoices for 2027 The New Mexico Office of the Superintendent of Insurance (OSI) will process all company appointments electronically through the National Insurance Producer Registry (NIPR). The appointment renewal invoice will include all resident/nonresident appointment renewals. All […]

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NEW MEXICO ANNOUNCES RATES FOR 2027 SMALL GROUP HEALTH INSURANCE MARKET

Contact: Viara IanakievaEmail: Viara.Ianakieva@osi.nm.gov Santa Fe, NM – The New Mexico Office of Superintendent of Insurance (OSI) has approved 2027 health insurance premium rates for the small group health insurance market. As of March 2026, over 31,000 New Mexicans were enrolled in a small group plan. The average increase across small group plans is 19.8%. […]

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