Approval of Health Insurance Forms

# STATE OF NEW MEXICO # OFFICE OF SUPERINTENDENT OF INSURANCE Mailing Address: P.O. Box 1689, Santa Fe, NM 87504-1689 Physical Address: 1120 Paseo de Peralta, Room 428, Santa Fe, NM 87501 Main Phone: 505-827-4601; Main Fax 505-827-4734; Toll Free: 1-855-4-ASK-OSI 1-855-427-5674 www.osi.state.nm.us SUPERINTENDENT OF INSURANCE John G. Franchini - 505-827-4299  ACTING DEPUTY SUPERINTENDENT Alan Seeley - 505-827-4300 2014 DEC 10 OF INSURANCE SUPERINTENDENT NM OFFICE OF 9 36 Insurance Bulletin 2014 - 18 December 9, 2014 TO: ALL INSURANCE COMPANIES AUTHORIZED TO TRANSACT BUSINESS IN NEW MEXICO RE: APPROVAL OF HEALTH INSURANCE FORMS THE FOLLOWING BULLETIN is issued pursuant to Insurance Bulletin Rules, 13 NMAC 1.2.1 to 1.2.10. The purpose of this Bulletin is to advise health insurers that all forms that will be distributed to a policyholder or prospective policyholder must be submitted to the New Mexico Office of Superintendent of Insurance, Life and Health Rate and Form Filing Bureau for review, unless specifically excluded by NMSA, in accordance with Section 59A-18-13.A, NMSA 1978 Pursuant to 59A-18-13.B, NMSA 1978; forms should be filed electronically through the system for Electronic Rate and Form Filing (SERFF). 59A-18-13. Approval or disapproval of health insurance forms (2011) A. With policy, endorsement, rider and application forms and classification of risks filed by the insurer with the superintendent under Section 59A-18-12 NMSA 1978 as to health insurance and health care plans, the insurer shall also file with the superintendent its rates applicable to such health insurance forms. An insurer shall not use any form that has not been approved by the superintendent or that is not in effect in accordance with Section 59A-18-14 NMSA 1978. B. All filings submitted pursuant to this section shall be filed electronically. The superintendent may designate an entity to receive the electronic filings submitted pursuant to this section. If you have additional questions regarding this Bulletin, please contact the Life and Health Rate & Form Filing Bureau at 1-505-827-4561. DONE AND ORDERED this 9th day of December, 2014. John G. Franchini JOHN G. FRANCHINI SUPERINTENDENT OF INSURANCE