Nonprofit Health Care Plans

  1. Law
  2. New Mexico Statutes
  3. Insurance Code
  4. Nonprofit Health Care Plans

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Section
59A-47-1

Short title.

Section
59A-47-2

Purpose; exemptions.

Section
59A-47-3

Definitions.

Section
59A-47-4

Organization; profit corporations prohibited; merger and consolidation of health care plans.

Section
59A-47-5

Qualifications for health care plan authority.

Section
59A-47-6

Preliminary permit for solicitations.

Section
59A-47-7

Escrow of preliminary premiums.

Section
59A-47-8

Certificate of authority required; application and conditions; exceptions.

Section
59A-47-9

Issuance and denial of initial certificate of authority.

Section
59A-47-10

Trust deposit.

Section
59A-47-11

Expiration, continuance of certificate of authority.

Section
59A-47-12

Suspension, revocation or refusal to continue certificate of authority.

Section
59A-47-13

Service of process; superintendent as attorney.

Section
59A-47-14

Annual statement.

Section
59A-47-15

Assets.

Section
59A-47-16

Reserves.

Section
59A-47-17

Examination.

Section
59A-47-18

Investments.

Section
59A-47-19

Limitation upon acquisition and administration expenses.

Section
59A-47-20

Conflicts of interest as to certain transactions.

Section
59A-47-21

Joint coverage, reinsurance.

Section
59A-47-22

Transfer of subscribership.

Section
59A-47-23

Subscriber contracts; coverage period.

Section
59A-47-24

Subscriber contracts; requirements and provisions.

Section
59A-47-25

Subscriber contracts; filing, approval.

Section
59A-47-26

Premium rates; filing and approval.

Section
59A-47-27

Coverage for newly born children, maternity transport, home health care.

Section
59A-47-27.1

Coverage of circumcision for newborn males.

Section
59A-47-28

Coverage for service of chiropractor.

Section
59A-47-28.1

Coverage for service of certified nurse-midwives and registered lay midwives.

Section
59A-47-28.2

Doctor of oriental medicine discrimination prohibited.

Section
59A-47-28.3

Provider discrimination prohibited.

Section
59A-47-28.4

Coverage for collaborative practice; dental therapists; dental hygienists.

Section
59A-47-29

Settlement of disputes; appeal.

Section
59A-47-30

Licensed insurance producers required; qualifications, licensing procedures and conditions.

Section
59A-47-31

Rehabilitation, liquidation or dissolution.

Section
59A-47-32

Unauthorized contract or adjustment transactions; penalty.

Section
59A-47-33

Other provisions applicable.

Section
59A-47-34

Continuation of coverage and conversion rights; health care plans.

Section
59A-47-35

Alcohol dependency coverage.

Section
59A-47-36

Nonprofit health care plans; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section
59A-47-37

Coverage of children. (Effective July 1, 2020.)

Section
59A-47-37.1

Hearing aid coverage for children required.

Section
59A-47-38

Coverage for medical diets for genetic inborn errors of metabolism.

Section
59A-47-39

Employer utilization and loss experience availability.

Section
59A-47-40

Maximum age of dependent.

Section
59A-47-41

Coverage of alpha-fetoprotein IV screening test.

Section
59A-47-41.1

Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section
59A-47-42

Coverage of part-time employees.

Section
59A-47-43

Coverage of colorectal cancer screening.

Section
59A-47-44

General anesthesia and hospitalization for dental surgery.

Section
59A-47-45

Coverage for autism spectrum disorder diagnosis and treatment.

Section
59A-47-45.1

Coverage for orally administered anticancer medications; limits on patient costs.

Section
59A-47-45.2

Coverage of prescription eye drop refills.

Section
59A-47-45.3

Coverage for telemedicine services.

Section
59A-47-45.4

Prescription drugs; prohibited formulary changes; notice requirements.

Section
59A-47-45.5

Coverage for contraception.

Section
59A-47-45.6

Coverage exclusion. (Contingent repeal. See note.)

Section
59A-47-45.7

Heart artery calcium scan coverage.

Section
59A-47-46

Health insurers; direct services.

Section
59A-47-47

Prescription drug prior authorization protocols.

Section
59A-47-47.1

Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section
59A-47-47.2

Pharmacist prescriptive authority services; reimbursement parity.

Section
59A-47-48

Pharmacy benefit; prescription synchronization.

Section
59A-47-49

Provider credentialing; requirements; deadline.

Section
59A-47-50

Physical rehabilitation services; limits on cost sharing.