Chapter 59A, Article 23F NMSA 1978 may be cited as the “New Mexico Health Insurance Exchange Act”. History: Laws 2013, ch. 54, § 1; 2020, ch. 35, § 1. ANNOTATIONS The 2020 amendment, effective May 20, 2020, changed “Sections 1 through 8 of this act” to “Chapter 59A, Article 23F NMSA 1978”. Severability. — Laws […]
The board shall make reports publicly available as follows: A. during all exchange open enrollment periods beginning on or after October 1, 2021, the board shall produce weekly reports that include information on: (1) applications; (2) plan selections; (3) new enrollees; (4) enrollees renewing coverage; (5) call center volume; and (6) website traffic; B. within […]
A. The “health care affordability fund” is created in the state treasury. The fund consists of distributions, appropriations, gifts, grants and donations. Money in the fund at the end of a fiscal year shall not revert to any other fund. The office of superintendent of insurance shall administer the fund, and money in the fund […]
A. The superintendent, in consultation with the secretary of human services, the secretary of taxation and revenue and the chief executive officer of the New Mexico health insurance exchange, shall promulgate rules to: (1) provide enhanced premium and cost-sharing assistance to individuals and families for the purchase of qualified health plans on the New Mexico […]
As used in the New Mexico Health Insurance Exchange Act: A. “board” means the board of directors of the exchange; B. “bronze plan” means a level of coverage that is designed to provide benefits that are actuarially equivalent to sixty percent of the full actuarial value of the benefits provided under a health benefit plan […]
A. The “New Mexico health insurance exchange” is created as a nonprofit public corporation to provide qualified individuals and qualified employers with increased access to health insurance in the state and shall be governed by a board of directors constituted pursuant to the provisions of the New Mexico Health Insurance Exchange Act. The exchange is […]
The board may: A. seek and receive grant funding from federal, state or local governments or private philanthropic organizations to defray the costs of operating the exchange; B. generate funding, including charging assessments or fees, to support its operations in accordance with provisions of the New Mexico Health Insurance Exchange Act solely for the reasonable […]
A. No later than September 1, 2020, the board, in coordination with insurance producers appointed and compensated by the insurance industry, shall review its plan of operation and approve amendments to it as appropriate to ensure that the exchange is operated using best practices for state-based exchanges in business administration, consumer engagement and public outreach […]
The board shall: A. between July 1, 2013 and January 1, 2015, provide quarterly reports to the legislature, the governor and the superintendent on the implementation of the exchange and report annually and upon request thereafter; B. keep an accurate accounting of all of the activities, receipts and expenditures of the exchange and submit this […]
In addition to other duties and powers in the New Mexico Health Insurance Exchange Act, the board shall: A. in consultation with the superintendent: (1) establish policies and procedures for the review and recommendation of health benefits plans to be offered on the exchange; (2) determine additional minimum requirements for a health insurance issuer to […]
The superintendent shall coordinate with the board to promulgate rules necessary to implement and carry out the provisions of the New Mexico Health Insurance Exchange Act, including rules to establish the criteria for certification of qualified health plans. History: Laws 2013, ch. 54, § 7; 2020, ch. 35, § 5. ANNOTATIONS The 2020 amendment, effective […]
A. To fund the planning, implementation and operation of the exchange, the board shall contract with the human services department or any other state agency that receives federal funds allocated, appropriated or granted to the state for purposes of funding the planning, implementation or operation of a health insurance exchange. B. The human services department […]
A. The board may establish no more than three standardized health plans for each of three levels of coverage with increasing benefits, designated bronze, silver and gold plans. B. In establishing standardized health plans, the board may design those plans to: (1) limit increases in health plan premium rates; (2) reduce the deductible portion of […]
