COVERAGE FOR CHILDHOOD IMMUNIZATIONS

STATE OF NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE SUPERINTENDENT OF INSURANCE DEPUTY SUPERINTENDENT Alice T. Kane Timothy Vigil SANTA FE LOCATION (MAIN OFFICE) (OVERNIGHT/SECOND DAY MAIL ONLY) 1120 Paseo De Peralta, 4th Floor Santa Fe, New Mexico 87501 (USPS MAIL ONLY) P O Box 1689 Santa Fe, New Mexico 87504 Main Phone: (505) 827-4601 | Toll Free: (855) 4 - ASK - OSI www.osi.state.nm.us BULLETIN 2025-008 August 26, 2025 TO: ALL HEALTH INSURERS AND HEALTH MAINTENANCE ORGANIZATIONS PROVIDING MAJOR MEDICAL OR COMPREHENSIVE COVERAGE IN NEW MEXICO RE: COVERAGE FOR CHILDHOOD IMMUNIZATIONS The Office of Superintendent of Insurance (OSI) is issuing this bulletin to remind insurers that pursuant to Sections 59A-22-34.3 and 59A-46-38.2 NMSA 1978 each individual and group health maintenance contract delivered or issued for delivery in this state shall provide coverage for childhood immunizations in accordance with the current schedule of immunizations recommended by the American Academy of Pediatrics. The coverage should include all medically necessary booster doses of all immunizing agents used in childhood immunizations. Additionally, coverage for childhood immunizations and necessary booster doses may be subject to deductibles and coinsurance consistent with those imposed on other benefits under the same contract. The Superintendent also recommends that each health insurer and Health Maintenance Organization providing major medical or comprehensive coverage in New Mexico apply the above criteria related to childhood immunizations to all lines of business. Questions concerning these directives should be directed to the Life and Health Bureau at life.health@osi.nm.gov. ISSUED this 26th day of August 2025. __________________________________ ALICE T. KANE Superintendent of Insurance