N.M. Stat. § 59A-46-9
Annual report.
A. Every health maintenance organization shall annually, on or before the first day
of March, file a report, verified by at least two principal officers, with the superintendent
covering the preceding calendar year.
B. The report shall be on forms prescribed by the superintendent and shall include:
(1)
a financial statement of the organization prepared pursuant to forms
prescribed by the superintendent, including its balance sheet and receipts and
disbursements for the preceding year;
(2)
any material changes in the information submitted pursuant to Subsection
C of Section 59A-46-3 NMSA 1978;
(3)
the number of persons enrolled during the year and the number of
enrollees as of the end of the year; and
(4)
such other reasonable information materially relating to the performance
of the health maintenance organization as is necessary to enable the superintendent to
carry out the superintendent's duties under the Insurance Code.
C. In addition, the health maintenance organization shall file by the dates indicated:
(1)
on or before March 1, an annual statement in accordance with the
requirements of Section 59A-5-29 NMSA 1978 and a risk-based capital report in
accordance with the requirements of Section 59A-5A-3 NMSA 1978;
(2)
a list of the providers who have executed a contract that complies with
Subsection E of Section 59A-46-13 NMSA 1978 on or before March 1; and
(3)
a description of the grievance procedures and the total number of
grievances handled through such procedures, a compilation of the causes underlying
those grievances and a summary of the final disposition of those grievances, on or
before March 1.
D. The superintendent may require such additional reports as are deemed
necessary and appropriate to enable the superintendent to carry out the
superintendent's duties under the Health Maintenance Organization Law.