What are you looking for? Other Types of Health InsuranceStay Ready for Disasters!FloodWildfireWind & HailWinter StormPatients Debt Collection Protection ActReport Insurance Fraud in New MexicoInsurance TypesTitle InsuranceHomeowners InsuranceCondo InsuranceRenters InsuranceAuto InsuranceHealth InsuranceManaged Health Care ReviewGrievance Procedures RulesWhat Consumers need to know about Surprise BillingIndependent Review OrganizationBilling ExamplesHealthcare Provider ArrangementsMultiple Employer Welfare Arrangement (MEWA)Life Insurance OSI Events Calendar View our calendar of events What is Insurance Fraud? The willful abuse of an insurance policy for financial gain. Fraud is an intentional act and is illegal. The OSI Insurance Fraud & law Enforcement Division is a unique department that combines the criminal investigative powers of a law enforcement organization with the protective role of a regulatory agency. As a fully accredited law enforcement agency of the state of New Mexico, OSI agents have full authority to investigate, arrest, and prosecute criminals who commit insurance fraud. While that might sound like an unusual combination, it is precisely this dual capability that makes OSI effective in its core mission: ensuring New Mexicans have access to reliable insurance products while safeguarding them from fraud and unfair practices. We want to get your information to the right team so we can help you as quickly as possible. Please review our guidance for when it’s best to file a complaint and when it’s best to report insurance fraud. Meet the OSI Law Enforcement Team When to report insurance fraud If you believe a person in New Mexico is trying to cheat or commit fraud against an insurer or agent, you should report insurance fraud to our office. Common reasons to file an insurance fraud report include: Falsely reporting a stolen vehicle or property Filing claims with multiple companies, sometimes known as double-dipping Medical insurance fraud including billing for services not rendered Report Insurance Fraud
September 30, 2026 Bulletins REQUESTING CONFIDENTIALITY OF A RECORD SUBMITTED TO OSI BULLETIN 2026-011: This Bulletin 2026-011 replaces former Bulletin 2024-018, which expires on October 1, 2026. Also, this Bulletin replaces a portion of the “Confidentiality Requests” paragraph on page 3 of Bulletin 2025-0111 as expressly discussed below. In accordance with the Insurance Code and to align with OSI’s mission to regulate the business of insurance, health insurance & […] Read More
August 11, 2026 Announcements ORDER ESTABLISHING PARAMETERS FOR DEFRAYAL UNDER 13.10.41 NMAC, COVERAGE FOR SPECIFICED SEX TRAIT MODIFICATION PROCEDURE Pursuant to NMSA, Section 59A-2-8 General powers and duties of superintendent, this order provides an initial interpretation of what specified sex trait modification procedures and prescriptions are eligible for defrayal starting Plan Year 2027 for health plans sold on the New Mexico BeWell Exchange. Office of Superintendent of Insurance (OSI) staff may revisit this interpretation […] Read More