N.M. Stat. § 59A-23F-5
Plan of operation.
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 and marketing.
B. The board shall provide for public notice and hearing prior to approving
amendments to the plan of operation.
C. The plan of operation shall contain:
(1)
procedures to implement the provisions of the New Mexico Health
Insurance Exchange Act, consistent with state and federal law;
(2)
procedures for handling and accounting for the exchange's assets and
money;
(3)
regular times and meeting places for meetings of the board;
(4)
a statewide consumer assistance program, including a navigator program;
(5)
procedures for consumer complaints and grievances for issues relating to
the exchange;
(6)
procedures for alternative dispute resolution between the exchange and
contractors or health insurance issuers;
(7)
policies that:
(a) promote effective communication and collaboration between the exchange
and Indian nations, tribes and pueblos, including communicating and collaborating on
those nations', tribes' and pueblos' plans for creating or participating in health insurance
exchanges; and
(b) promote cultural competency in providing effective services to Native
Americans;
(8)
conflict-of-interest policies and procedures;
(9)
details on the contents of the reports required pursuant to the New Mexico
Health Insurance Exchange Act; and
(10)
provisions necessary and proper for the execution of the powers and
duties of the board and exchange.