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2013 Bulletins
Bulletin# File Date Subject NMSA or
NMAC
2013-005 May 15, 2013 RE: Notice to Member Insurers of Summary Document Approval

13.1.2.1 NMAC

 

59A-42-17(B) NMSA
2013-004 March 26, 2013 RE: Medical Loss Ratio Reporting 13.1.2.1 to 13.1.2.10 NMAC
2013-003 January 30, 2013 RE: Grievances Received and Handled by a Health Care Insurer During the Prior Calendar Year
Grievance Spreadsheet		 13.1.2.1 to 13.1.2.10 NMAC
2013-002 January 18, 2013 RE: Interest Rate to be Applied to Unpaid Claims 13.1.2.1 to 13.1.2.10 NMAC
2013-001 January 10, 2013 RE: Tie-In Sales 13.1.2.1 to 13.1.2.10 NMAC

2012 Bulletins
Bulletin# File Date Subject NMSA or
NMAC
2012-010 July 23, 2012 RE: Garage Keepers Coverage Related to Towing Services 13.1.2.1 to 13.1.2.10 NMAC
2012-009 June 29, 2012 RE: Cancellation of Certain Policies 59A-18-29 NMSA
2012-008 June 21, 2012 RE: Workers' Compensation Claims Handling 13.1.2.1 to 13.1.2.10 NMAC
2012-007 June 14, 2012 RE: Catastrophe Declaration 59A-16-20,
13 NMAC 7.4
2012-006 May 3, 2012 RE: Health Insurance Premium Rate Filings 59A-18-13.2D., E., F.
2012-005 March 29, 2012 RE: Workers' Compensation Proof of Safety Certification for NCCI Class Codes 2721 and 2722 59A-2-10
2012-004 March 23, 2012 RE: Small Group Health Plans 13.1.2.1 to 13.1.2.10
2012-003 February 28, 2012 RE: Grievances Received and Handled by a Health Care Insurer During the Prior Calendar Year
Grievance Spreadsheet		 13.1.2.1 to 13.1.2.10
2012-002 January 31, 2012 RE: Clarification of Licensing and Registration Requirements for Adjusting Firms and Adjusters 13.1.2.1 to 13.1.2.10,
59A-13-1, 59A-11-1, 59A-61
2012-001 January 12, 2012 RE: Interest Rate to be Applied to Unpaid Claims after 45 Days after Required Proof of Loss has been Furnished 13.1.2.1 to 13.1.2.10

2011 Bulletins
Bulletin# File Date Subject NMSA or
NMAC
2011-013 December 5, 2011 RE: Catastrophe Declaration 59A-16-20,
13 NMAC 7.4
2011-012 November 21, 2011 RE: Internal Claims and Appeals and External Review Process for all Traditional Fee-for-Service Indemnity Health Plans
This Bulletin Rescinds and Withdraws Bulletin 2010-006		 59A-2-8,
13.1.2.1 to 13.1.2.10
2011-011 October 5, 2011 RE: Workers's Compensation Safety Bonus Programs 59A-2-10,
52-1-6.2
2011-010 August 17, 2011 RE: Adjustment of Presumptively Acceptable Credit Life Insurance and Credit Accident and Health Insurance Premiums 13.1.2
2011-009 May 18, 2011 RE: Requirement to Promptly Furnish Documentation to the Superintendent 59A-5-10, 59A-5-21, 59A-5-22
2011-008 April 11, 2011 RE: MANAGED HEALTH CARE INSURANCE CARDS [REPEALS AND REPLACES INSURANCE BULLETIN NO. 2011-004] 13.10.13.8
2011-007 April 11, 2011 RE: PROPERTY AND CASUALTY RATE/RULE FILING SCHEDULE 59A-2-10 59A-17-16 13.1.2
2011-006 April 8, 2011 RE: MEDICAL LOSS RATIOS AND RELATED RATE FILING REQUIREMENTS
Click here to go the the "Preliminary Justification" link contained in the bulletin		 59A-2-10 59A-22-50 13.1.2
2011-002 Supplement March 31, 2011 SUPPLEMENTAL INFORMATION FOR INSURANCE BULLETIN 2011-002: CATASTROPHE DECLARATION 59A-15-20 13.1.2.1 to 13.1.2.10
2011-004 March 08, 2011 RE: MANAGED HEALTH CARE INSURANCE CARDS [REPEALS AND REPLACES INSURANCE BULLETIN NO. 2009-006] 13.10.13.8
2011-003 February 24, 2011 RE: GREIVANCES RECEIVED AND HANDLED BY A HEALTH CARE INSURER DURING THE PRIOR CALENDAR YEAR
Grievance Log (excel)		 59A-57-5 13.10.17.12
2011-002 February 08, 2011 RE: CATASTROPHE DECLARATION 59A-15-20 13.1.2.1 to 13.1.2.10
2011-001 January 14, 2011 RE: CERTIFICATES OF INSURANCE (Pursuant to NM Insurance Code 59A-16-4) 59A-16-4

2010 Bulletins
2010-007 December 08, 2010 EXPANDED ACCESS TO STATE EXTERNAL REVIEW PROCEDURES FOR SELF-INSURED GROUPS PURSUANT TO INTERIM FINAL RULES... 59A-2-8
2010-006 August 23, 2010 This Bulletin has been rescinded and replaced with Bulletin 2011-012 59A-2-8
2010-005 August 14, 2010 FEDERAL HEALTH CARE LAW REQUIREMENTS AND THE NEW MEXICO INSURANCE CODE NM Ins. Code Art. 22, 22A, 23, 44, 46, 47, 57
2010-004 August 10, 2010 INDUCEMENTS AND AGENT FEES 59A-16-24
2010-003 July 27, 2010 This Bulletin Rescinds and Withdraws Bulletin 2010-002 59A-18-12, 59A-17-2
2010-002 June 22, 2010 FEDERAL HEALTH REFORM AND RELATED FORM FILINGS FOR EXPANDING COVERAGE FOR DEPENDENT CHILDREN TO AGE 26 59A-18-12, 59A-17-2
2010-001 March, 9, 2010 ANNUAL REPORT ASSESSING THE OPERATIONS OF MANAGED HEALTH CARE PLANS 
Grievance Log (excel)		 59A-57-5, 59A-4-3, 13.1.2.8

2009 Bulletins

2009-013 October 21, 2009 ADJUSTMENT OF PRESUMPTIVELY ACCEPTABLE CREDIT LIFE INSURANCE AND CREDIT ACCIDENT AND HEALTH INSURANCE PREMIUMS 13.18.2 
2009-011 October 9, 2009 Rescinded and replaced by Bulletin 2009-013 13.18.2 
2009-010 September 1, 2009 REVOCATION OF BULLETIN ALLOWING FOR WAIVER OF PRODUCTS UTILIZING PREFERRED PROVIDER NETWORKS - Revokes Bulletin 1997-010 issued November 20, 1997 [Notice of New Regulations for Managed Care] 13.10.13,  13.10.21, 13.10.22,  13.10.23
2009-009 August 11, 2009 MASECTOMIES AND LYMPH NODE DISSECTION; MINIMUM HOSTPITAL STAY COVERAGE 59A-22-39.1
2009-008 July 13, 2009 RETALIATORY FEES AND RECIPROCAL REQUIREMENTS 59A-6-1
2009-007 June 30, 2009 REVISED RATES AND RULES FOR THE PATIENTS COMPENSATION FUND 59A-22-39.1
2009-006 April 28, 2009 Managed Health Care Insurance Cards Repealed and Replaced by Insurance Bulletin 2011-004 13.1.2 
2009-005 April 23, 2009 Additional Data for the Superintendent's 2009 Title Insurance Rate Hearing  59A-4-3 13.1.2
2009-004 April 22, 2009 Manditory Electronic Submission of Rate & Form Filing 59A-17-9, 59A-18-12, 59A-18-13
2009-003 March 6, 2009 Annual Report Assessing the Operaions of Managed Health Plans Grievance Log (Excel)  59A-57-5, 13.10.17.12
2009-002 April 13, 2009 RE: Required Rate Disclosures Upon Policy Holder Inquiry  59A-4-3, 59A-18-13
2009-001 February 23, 2009 Annual Report Assesing the Operations of Managed Health Care Grievance Log (Excel) Plans  59A-57-5, 13.10.17.12

2008 Bulletins

2008-006 July 30, 2008 Insurers Writing Comprehensive Major-Medical Health Insurance Including HMOs and Insurers Writing PPO Coverage- Addendum to and in conjunction with Bulletin 2008-005 59A-22-5
2008-005 July 11, 2008 Insurers Writing Comprehensive Major-Medical Health Insurance Including HMOs and Insurers Writing PPO Coverage 59A-22-5
2008-004 June 13, 2008 New Mexico Resident and Non Resident Insurance Agents - Reciprocity under the Gramm-Leach-Bliley Act 15 USC 6801
2008-003 April 15, 2008 Automobile Premium Guide Data Call  New Mexico Automobile Premium Guide Data Call (excel) 59A-17-11.1
2008-002 March 18, 2008 Property/Casualty Commercial Lines Insurers Re: Tripa Filing Procedures 59A-17-9 
2008-001 March 17, 2008 Homeowner's Premium Guide Data Call  New Mexico Homeowners Premium Guide Data Call (excel)  59A-17-11.1

2007 Bulletins

2007-009 December 13, 2007 Annual Report Assessing the Operations of Managed Health Care Plans 59A-57-5, 13.10.17 
2007-008 October 31, 2007 Adjustment of Presumptively Acceptable Credit Life Insurance and Credit Accident and Health Insurance Premium 13.18.2
2007-007 October 3, 2007 Investigative Survey of Windshield Repair Practices Under Automobile Comprehensive Coverage NewMexico Windshield Survey re Bulletin2007-007  59A-4-2, HM 98
2007-006 October 1, 2007 Rate and Form Filing Requirements NM L. Ch. 367, Art. 17, 59A-18-12
2007-005 September 28, 2007 Flood Insurance Training Requirements Pub.L. 108-264
2007-004 May 9, 2007 Required Rate Disclosures upon Policy Holder Inquiry - Revokes & replaces 2003-002 59A-4-3
2007-003 May 9, 2007 Uninsure Motorist Coverage Data Call - Updates 2006-003 59A-4-3
2007-002 March 8, 2007 Revised Rates and Rules for the Patients Compensation Fund 59A-4-3
2007-001 March 1, 2007 Clarification of Creditable Coverage in the Individual Health Insurance Market 59A-23E-20

2006 Bulletins

2006-004 April 13, 2006 Personal Auto Premium Guide Data Call 13.1.2
2006-003 April 13, 2006 Uninsured Motorist Coverage Data Call - Updated by 2007-003 13.1.2
2006-002 March 24, 2006 National Insurance Producer Registry 13.1.2
2006-001 January 31, 2006 Revision of Property/Casualty Product Filing Rules 13.1.2

2005 Bulletins

2005-005 December 23, 2005 Medicare Part D License Requirements 13.1.2
2005-004 September 13, 2005 Personal Insurance Credit Information Act Art. 17A
2005-003 September 7, 2005 NM State Alternative Mechanism 59A-54-8, 59A-56-7, 45CFR 148.128
2005-002 September 7, 2005 Presumptively Acceptable Premiums Credit Insurance 13.18.2
2005-001 May 10, 2005 Catastrophe Declaration Cross-reference to Bulletins 2000-005 & 2000-006 59A-16-20, 13.7.4

2004 Bulletins
2004-005 October 19, 2004 Rental Car Insurance Limited Producer License Act Art 32A
2004-004 October 19, 2004 Catastrophe Declaration 59A-16-20, 13.7.4
2004-003 September 3, 2004 Health Insurance Coverage Requirements and Premium Surtax 59A-6-2
2004-002 June 9, 2004 Reinstatement of Automobile Insurance for Returning Armed Forces 59A-4-3
2004-001 DCC Faqs February 18, 2004 Debt Cancellation and Debt Suspension Contracts 907 F2d 775, 498 US 972

2003 Bulletins
2003-010 December 19, 2003 Revised Rates And Rules For The Patients Compensation Fund 13.1.2
2003-009 October 6, 2003 Adjustment Of Presumptively Acceptable Credit Life Insurance Premiums And Presumptively Acceptable Credit Accident And Health Insurance Premiums 13.18.2
2003-008 July 29, 2003 Mandatory Medical Support Act Amendments 59A-22-34.2, 59A-46-38.1, 59A-47-37
2003-007 July 29, 2003 Waivers Of Subrogation And Additional Insured Endorsements In Construction 56-7-1,  56-7-2
2003-006 July 27, 2003 Enactment Of The External Grievance Appeals Appointment Compensation Act And Its Requirements 59A-57-4.1
2003-005 June 10, 2003 Filing Procedures To Adopt Workers Compensation Advisory Law Filings - Cross Reference Bulletin 2003-004 13.1.2
2003-004 March 28, 2003 Exemption Of Workers Compensation Rate Filings From 90 Day Waiting Period Requirement Article 17
2003-003 March 19, 2003 NM Privacy Rule Clarification 13.1.3
2003-002 February 14, 2003 Required Rate Disclosures Upon Policyholder Inquiry - Revoked & Replaced by 2007-004 13.1.2
2003-001 January 14, 2003 Expedited Rate and Form Filing Procedures for Terrorism Coverage's Pursuant to the Terrorism Risk Insurance Act of 2002 - Expired December 31, 2003 13.1.2

2002 Bulletins

2002-005 August 6, 2002 Clarification of Applicable Interest and Time Periods for Unpaid Clean Claims 59A-2-9.2, Article 16
2002-004 May 1, 2002 USA Patriot Act of 2001 31 USC 326, 67 CFR 8565
2002-003 April 26, 2002 Unlicensed Adjusters 59A-13-3
2002-002 March 18, 2002 Privacy Rule - Expired 30 days after March 18, 2002 13.1.2
2002-001 March 18, 2002 Credit Scoring - Submittal required within 60 days of March 18, 2002 13.1.2

2001 Bulletins
2001-003 September 27, 2001 Adjustment of Presumptively Acceptable Credit Life Insurance Premiums and Presumptively Acceptable Credit Accident and Health Insurance Premiums  13.18.2
2001-002 September 13, 2001 Revocation of Bulletin 1997-008 13.1.2
2001-001 August 10, 2001 Discrimination in Insurance  59A-16-12

2000 Bulletins
2000-011 December 12, 2000 Resident Adjusters for Workers’ Compensation Claims 59A-13-9, 59A13-11, 59A-16-20
2000-010 October 23, 2000 Gramm-Leach Bliley Act Privacy Requirements 15 USC 6801, 15 USC 6827
2000-009 October 5, 2000 Informing Health Insurers and Health Maintenance Organizations on Grievance Procedures Rule 13 NMAC 10.17 13.10.17
2000-008 September 26, 2000 Division about the federal requirements of the Women’s Health and Cancer Rights Act of 1998 that was enacted on October 21, 1998. - Replaces Bulletin 1997-007 13.10.13.9.7.2
2000-007 August 21, 2000 New Mexico Patient’s Compensation Fund Rates  41-5-25
2000-006 July 5, 2000 Catastrophic Claims, The Cerro Grande-Los Alamos Fires Replacement Cost Coverage and 90-Day Settlement Rule for Catastrophes  59A-16-20 
2000-005 May 22, 2000 Catastrophic Claims, the Cerro Grande-Los Alamos Fires Settlement Practices, 90 Day Rule 59A-16-20 
2000-004 February 11, 2000 Comprehensive Health Insurance Pool Assessments 59A-54-10
2000-003 January 13, 2000 Schedule of Charges & Rating Plan for Property Bail Bondsmen 13 NMAC 1.2  59A-6-1, Article 51
2000-002 January 13, 2000 Principal Place of Business for Bail Bondsmen & Solicitors Article 51, 13.20.2
2000-001 January 13, 2000 The Bail Bondsmen & Solicitors Rule 13 NMAC 20.2 Article 51 

1999 Bulletins
1999-007 December 13, 1999 Informs all managed health care plans and health care insurers subject to regulation by the New Mexico Insurance Division about the federal requirements of the Women’s Health and Cancer Rights Act of 1998 that was enacted on October 21, 1998. Replaced with Bulletin 2000-008  13.10.13.9.7.2
1999-006 June 18, 1999 House Bill 861 expands and clarifies the prohibition against indemnity in NMSA 1978 § 56-7-2 (1971) and voids provisions in insurance contracts or indemnity agreements. 56-7-2
1999-005 May 7, 1999 Mandatory Financial Responsibility Act, NMSA 1978 § 66-5-205 (1989), by prescribing notification requirements of motor vehicle insurance cancellations and terminations. 66-5-205
1999-004 May 6, 1999 Clarify the issue of payment of the New Mexico Gross Receipts Tax (GRT) by health insurers. 13 NMAC 1.2 13.1.2
1999-003 January 27, 1999 Complaints from towing and salvage yard operators concerning vehicle storage fees. 13 NMAC 1.2 (1998) 13.1.2
1999-002 January 27, 1999 Establishes the interest rate to be applied when a managed health care plan fails to pay a provider or enrollee for out-of-pocket covered expenses within 45 days after a clean claim has been received by the managed health care plan 13 NMAC 10.13.25.15 (1998) - Replaces Bulletin 1998-003 13.10.13.25.15
1999-001 January 27, 1999 Clarify 13 NMAC 19.2.17.4 for surplus lines insurers. 13.19.2.17.4

1998 Bulletins
1998-005 October 5, 1998 Certain auto insurers are encouraging their insured's to have windshield repairs,, as apposed to windshield replacements, by waiving the deductible.
1998-004 September 2, 1998 Health insurers writing maternity coverage in New Mexico and thereby subject to the filing requirements of the Mothers and Newly Born Children Health Security Rule, 13 NMAC 10.2.1 to 10.2.17 (1997). 13.10.2
1998-003 August 12, 1998 To set the rate to be utilized when a managed health care plan is required to play interest on a clean claim that is not paid within 45 days after the claim has been submitted to the plan by a provider. 13 NMAC 10.13.25.13 Replaced with 1999-002 issue 01-27-99 13.10.13.25.13
1998-002 April 13, 1998 Clarify for health maintenance organizations the meaning of NMSA 1978, Section 59A-46-38.1 (Repl. Pamp. 1995). 59A-46-38.1
1998-001 January 5, 1998 It has become necessary for the Superintendent to construe the meaning and applicability, as applied to bail-bondsmen, of the following provisions of the Insurance Code: NMSA 1978 §59A-12-2, NMSA 1978 §59A-12-20, NMSA 1978 § 59A-51-2 and NMSA 1978 § 59A-51-13. 59A-12-2, 59A-12-20, 59A-51-2, 59A-51-13

1997 Bulletins
1997-011 December 18, 1997 Bulletin 1997-003 issued on July 16, 1997 is hereby revoked. 13.1.2
1997-010 November 20, 1997 Inform health care insurers subject to regulation by the New Mexico Department of Insurance about the waiver of 13 NMAC 10.13, the Managed Health Care Rule, for certain health care insurers offering a Preferred Provider Organization product. - Revoked by Bulletin 2009-010  13.10.13
1997-009 October 24, 1997 Audit Division of the New Mexico Department of Insurance is implementing a new system to improve and expedite the processing of all life and health rate, rule or form filing. 13 NMAC 1.2 13.1.2
1997-008 October 26, 1997 Audit Division of the New Mexico Department of Insurance is implementing a new system to improve and expedite the processing of all property and casualty rate, rule or form filing. 13 NMAC 1.2 REVOKED by 2001-002 issue 09-13-01 13.1.2
1997-007 August 26, 1997 Unfair discrimination, rebates prohibited; other coverage's, NMSA 1978 §59A-16-17 - Replaced by Bullletin 2000-008 59A-16-17
1997-006 August 26, 1997 Exclusion riders amend the terms of a health insurance contract to exclude a specified medical condition from coverage under the contract. 13.1.2
1997-005 August 26, 1997 Marketing health insurance contracts using out-of-state associations or trusts. Article 18, 59A-23C-5.1
1997-004 August 26, 1997 Requests from third parties (not insured's) to furnish payment histories and claim status from property and casualty companies writing worker’s compensation. 52-5-20
1997-003 July 9, 1997 New Mexico automobile dealerships may not be complying with 13 NMAC 7.2. REVOKED by Bulletin 1997-001 59A-16-14
1997-002 July 8, 1997 Inform health care insurers, subject to regulation by the Department about certain rating restrictions contained in New Mexico law. REVOKED by Bulletin 1997-001 59A-23C-5.1
1997-001 July 16, 1997 All Bulletins prior to this bulletin are hereby revoked. 13.1.2


 
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