Section 14. Valid Certificate Of Compliance Required

A person is not a “health care insurer” as defined by Section 7-9-93 NMSA 1978 if the person does not have a valid certificate of compliance issued by the public regulation commission under the New Mexico insurance code to act as an insurer, health maintenance organization, nonprofit health care plan or prepaid dental plan. Receipts of health care practitioners from persons without such a valid certificate of compliance are not deductible under Section 7-9-93 NMSA 1978. [3.2.241.14 NMAC - N, 4/29/05; 3.2.241.14 NMAC - Rn, 3.2.241.11 NMAC, 5/31/06] 3.2.241.15 SELF-INSURERS MAY BE “MANAGED HEALTH CARE PROVIDERS”: If a person provides for the delivery of comprehensive basic health care services and medically necessary services to the person’s employees enrolled in a self-insurance plan through contracting with selected or participating health care practitioners, that person is a “managed health care provider”. Example: New Mexico state government’s self- insured plan under the Group Benefits Act.