Section 59A-61-5 – Pharmacy benefits manager contracts; certain practices prohibited; certain disclosures required upon request.
A. A pharmacy benefits manager shall not require that a pharmacy participate in one contract in order to participate in another contract. B. A pharmacy benefits manager shall provide to a pharmacy by electronic mail, facsimile or certified mail, at least thirty calendar days prior to its execution, a contract written in plain English. C. […]
Section 59A-61-6 – Audit; pharmacy benefits manager.
A pharmacy benefits manager licensed pursuant to the Pharmacy Benefits Manager Regulation Act shall be subject to Section 61-11-18.2 NMSA 1978. A pharmacy benefits manager shall not reduce or eliminate payment on an adjudicated claim except as permitted by Section 61-11-18.2 NMSA 1978. History: Laws 2014, ch. 14, § 6; 2019, ch. 269, § 5. […]
Section 59A-59-2 – Intent of legislature.
It is the intent of the legislature to improve care for patients by enacting the Prescription Drug Uniform Information Card Act to minimize confusion, eliminate unnecessary paperwork, decrease administrative burdens and streamline dispensing of prescription products paid for by third party payors. History: Laws 2003, ch. 373, § 2. ANNOTATIONS Effective dates. — Laws 2003, […]
Section 59A-59-3 – Prescription drug information card required.
A. A health benefit plan that provides coverage for prescription drugs and that issues, uses or requires a card for prescription claims submission and adjudication, and third-party administrators for self-insured plans and state-administered plans, or the plan’s agents or contractors that issue such cards, shall issue for the plan’s insureds, enrollees or participants a uniform […]
Section 59A-59-4 – Applicability.
A. All health benefit plans issued or renewed on or after July 1, 2003 shall comply with the Prescription Drug Uniform Information Card Act no later than two years after July 1, 2003. For purposes of that act, renewal of a health benefit policy, contract or plan is presumed to occur on each anniversary of […]
Section 59A-58-8 – Transactions not subject to New Mexico Insurance Code; exceptions.
A. Except as otherwise provided in the Service Contract Regulation Act, the marketing, issuance, sale, offering for sale, making, proposing to make and administration of service contracts are not subject to the provisions of the New Mexico Insurance Code [Chapter 59A NMSA 1978], except, when applicable, the provisions of Chapter 59A, Article 16 NMSA 1978. […]
Section 59A-60-1 – Short title.
Sections 4 through 10 [59A-60-1 to 59A-60-7 NMSA 1978] of this act may be cited as the “Portable Electronics Insurance Act”. History: Laws 2013, ch. 140, § 4. ANNOTATIONS Effective dates. — Laws 2013, ch. 140, § 14 made Laws 2013, ch. 140, § 4 effective July 1, 2013.
Section 59A-58-9 – Right of holder to return service contract for refund.
A. A service contract is void and a provider shall refund to the holder the purchase price of the service contract if the holder has not made a claim under the service contract and the holder returns the service contract to the provider: (1) within twenty days after the date the provider mails a copy […]
Section 59A-60-2 – Definitions.
As used in the Portable Electronics Insurance Act: A. “customer” means a person who purchases portable electronics or services; B. “enrolled customer” means a customer who elects coverage under a portable electronics insurance policy issued to a vendor of portable electronics; C. “location” means any physical location in the state of New Mexico or any […]
Section 59A-58-10 – Information required in service contract.
A. A service contract shall: (1) be written in language that is understandable and printed in a typeface that is easy to read; (2) include the amount, if applicable, of any deductible that the holder is required to pay; (3) include the name, address and telephone number of the provider and, if applicable: (a) the […]