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
November 19, 2024 Bulletins EXTENSION OF DEADLINE FOR COMPLIANCE WITH 13.10.34.23 NMAC TO JULY 1, 2025- THIS BULLETIN WILL EXPIRE JULY 1, 2025 BULLETIN 2024-024: The New Mexico Legislature enacted the Short-Term Health Plan and Excepted Benefit Act (Act), NMSA 1978, Sections 59A-23G-1 through 59A-23G-6, effective June 14, 2019. The Act required the Superintendent to adopt and promulgate rules for excepted benefit plans as defined in the Act. The Superintendent adopted 13.10.34.23 NMAC, to be effective on January 1, 2025. […] Read More
November 14, 2024 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE §59A-18-33, NMSA1978 Bulletin 2024-023: This Bulletin shall expire two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked. This Bulletin is issued as required by general OSI Bulletin No. 2024-022. The OSI has been notified by ISO, a rating/advisory organization, about a recent Public Protection Classification […] Read More
October 29, 2024 Bulletins NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION CLASSIFICATIONS AS REQUIRED BY INSURANCE CODE §59A-18-33 NMSA 1978 BULLETIN 2024-023: This Bulletin shall expire two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded or revoked. This Bulletin is issued as required by general OSI Bulletin No. 2024-022. The OSI has been notified by ISO, a rating/advisory organization, about a recent Public Protection Classification […] Read More
October 29, 2024 Bulletins RECISSION OF BULLETIN 2019-015 AND REPLACEMENT BULLETIN FOR NOTICES REGARDING UNFAVORABLE CHANGES TO PUBLIC PROTECTION BULLETIN 2024-022: This Bulletin shall expire two years after the date it is issued by the Office of Superintendent of Insurance (the OSI) unless otherwise earlier rescinded, revoked or extended. This Bulletin rescinds and replaces Bulletin 2019-015 that provided implementation guidance based on the statutory text contained in the 2019 New Mexico State Legislature’s House Bill 311. […] Read More
October 18, 2024 Bulletins MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY DATA CALL BULLETIN 2024-021: 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 Mental Health and Substance Use Disorder (MH/SUD) parity with Medical and Surgical (Med/Surg) services. This includes performing and documenting comparative analyses of network adequacy, pharmacy benefits, quantitative treatment limitations […] Read More
October 2, 2024 Bulletins PAYMENT OF RESIDENTIAL PROPERTY LOSS CLAIMS FOLLOWING THE SALT AND SOUTH FORK WILDFIRES UPDATED BULLETIN-2024-007: This bulletin is issued in accordance with Sections 59A-2-8, 59A-2-10 and 59A-4-3 NMSA 1978, and with 13.1.2.9 NMAC. Upon an order by the Governor based upon the invocation of a state of emergency under the All-Hazard Emergency Management Act, the Superintendent of Insurance, may “take those actions necessary to ensure access to insurance and the […] Read More
October 2, 2024 Bulletins HEALTH INSURANCE POLICIES AND THE SALT AND SOUTH FORK WILDFIRES UPDATED BULLETIN-2024-008: This bulletin is issued in accordance with Sections 59A-2-8, 59A-2-10 and 59A-4-3 NMSA 1978, and with 13.1.2.9 NMAC. Upon an order by the Governor based upon the invocation of a state of emergency under the All Hazard Emergency Management Act, the Superintendent of Insurance, may “take those actions necessary to ensure access to insurance and […] Read More
October 2, 2024 Bulletins PAYMENT OF AUTOMOBILE LOSS CLAIMS FOLLOWING THE SALT AND SOUTH FORK WILDFIRES UPDATED BULLETIN-2024-009: This bulletin is issued in accordance with Sections 59A-2-8, 59A-2-10 and 59A-4-3 NMSA 1978, and with 13.1.2.9 NMAC. Upon an order by the Governor based upon the invocation of a state of emergency under the All Hazard Emergency Management Act, the Superintendent of Insurance, may “take those actions necessary to ensure access to insurance and […] Read More
