What are you looking for? Fraud AssessmentsCompany LicensingRenewalsStatutory DepositsFeesApplying for Admission & ApplicationsLife and Health DivisionProduct FilingPharmacy Benefit Managers (PBM) Reports, New Mexico Health Access Survey, and BriefsContracted and External ReportsOSI Health Insurance BriefsThe 2023 New Mexico Health Access SurveyResource BinderConsumer Assistance Plan Continuous Quality ImprovementCoverage for Individuals with Diabetes (HB53)Cultural and Linguistic PlanDebt Collection Protection Act - Provider ResourceDental Provider CredentialingGuidance for CarriersHealth Rate ReviewManaged Health Care Compliance DeadlinesMember GrievanceMental Health ParityMonthly Member EnrollmentNetwork AdequacyPrescription Drug Price TransparencyProvider CredentialingProvider GrievanceRequest for Confidential StatusSmall Business Health Insurance Premium Relief InitiativeUtilization ManagementVaccine Purchasing ActProperty & CasualtyFinancial RegulationAccredited ReinsurersFinancial StatementsFinancial Examinations Financial Examinations ArchiveFinancial and Market Conduct Examinations - ArchiveTitle Insurance Forms & TablesASR USR Schedules & InstructionsStatistical ReportsIndividuals and AgenciesContinuing Education (CE)Criminal OffenseLicense Status VerificationAnnual/Quarterly Checklists OSI Events Calendar View our calendar of events The Grievance Procedures, as outlined in 13.10.17 NMAC states the requirements for filing and processing grievances against health care insurers that provide, offer or administer health benefit plans, including those with a point-of-service option that allows covered persons to obtain health care services out of network; provided by an entity that purchases or is authorized to purchase health care benefits pursuant to the New Mexico Health Care Purchasing Act; and utilizing a preferred provider network, as defined under NMSA 1978 Section 59A-22A-3. OSI regulates member and provider grievances for major medical health insurance plans. See details below on OSI’s member grievance regulatory requirements. Guidance Chart Administrative Member Grievance Guidance Chart v1 Adverse Member Grievance Guidance Chart v1 Cover Sheet and Attestation v1 Member Grievance Compliance FAQ’s Member Grievance FAQs OSI 2026 v2 Regulations 13.10.17 NMAC Summary of Health Insurance Grievance Procedures – Updated 2025 Bulletins and News Bulletin 2023-003 Member Complaint Form Managed Health Care Complaint Form Grievance Logs Annual Grievance Log 2026 Sample 2025 Grievance Log
October 8, 2026 News Releases New Mexico Officials Demonstrate How Home Wildfire Mitigation Can Reduce Ignition Risk Socorro, N.M. — The New Mexico Office of the Superintendent of Insurance (OSI) partnered with the Insurance Institute for Business & Home Safety (IBHS) and the State Fire Marshalls Dept. on October 7 to demonstrate how wildfire mitigation can affect a home’s vulnerability to fire. The demonstration compared model homes with different levels of wildfire […] Read More
September 1, 2026 News Releases NEW MEXICO ANNOUNCES RATES FOR 2027 ACA PLANS, STATE PREMIUM SUPPORT WILL CONTINUE TO HELP ENROLLEES WITH COSTS Contact: Life and Health Product Filing BureauEmail: life.health@osi.nm.gov SANTA FE, N.M. – The New Mexico Office of Superintendent of Insurance (OSI) has approved 2027 rates for individual market Affordable Care Act (ACA) plans sold on and off BeWell, the New Mexico Health Insurance Marketplace. The average increase is 24.4%; OSI scrutinized the rates and they […] Read More
