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2018 New Mexico Statutes
Chapter 59A - Insurance Code
Article 47 - Nonprofit Health Care Plans
- Section 59A-47-1 - Short title.
- Section 59A-47-2 - Purpose; exemptions.
- Section 59A-47-3 - Definitions.
- Section 59A-47-3 - Definitions. (Effective January 1, 2020.)
- 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 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.
- 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-47-42 - 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-47-46 - Health insurers; direct services.
- Section 59A-47-46 - Health insurers; direct services. (Effective January 1, 2020.)
- 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-47-48 - Pharmacy benefit; prescription synchronization.
- Section 59A-47-49 - Provider credentialing; requirements; deadline.
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