The Consumer Assistance Bureau assists consumers who are having difficulty with an insurance issue. Consumers may submit complaints involving insurance companies concerning the issuance or cancellation of policies and the processing of claims.
Producers are key resources for New Mexicans looking for quality insurance products. Whether you're looking to get licensed, renew your license, or complying with educational requirements, you may find the information and forms you need for Producers right here.
OSI works to ensure that New Mexicans have access to the insurance they need to provide economic security. OSI enforces laws passed by the state legislature and follows federal rules, licenses insurers, reviews and approves rate filings, and takes enforcement actions when laws are violated.
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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. […]
Santa Fe, NM – The New Mexico Office of the Superintendent of Insurance (OSI) has approved 2026 health insurance premium rates for the small group health insurance market. The average increase across all plans is 16.8%. The new rates take effect on January 1, 2026, when health insurance small group consumers in New Mexico will […]
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 […]
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 […]
Santa Fe, NM – The New Mexico Office of Superintendent of Insurance urges all health insurance consumers to actively monitor the status of any prior authorization requests submitted on their behalf. Prior authorization is your health insurance company’s review of a request for medication, procedure, or specialist visits before you get care. Sometimes prior authorization […]
Santa Fe, NM – The New Mexico Office of the Superintendent of Insurance (OSI) has approved 2026 rates for individual market Affordable Care Act (ACA) plans sold on and off BeWell, the New Mexico Health Insurance Marketplace, with an average increase of 35.7%. Today, 75,000 New Mexicans buy health insurance through BeWell and 88% of […]
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 […]
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 […]
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, […]
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 […]
