New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 16 - PROVIDER GRIEVANCES
Section 13.10.16.2 - SCOPE
Universal Citation: 13 NM Admin Code 13.10.16.2
Current through Register Vol. 35, No. 18, September 24, 2024
A. This rule applies to every:
(1) health insurance
carrier, as defined in Paragraph (2) of Subsection C of Section
59A-16-21.2
NMSA 1978;
(2) vision and dental
plans that use a provider network; and
(3) multiple employer welfare arrangement
(individually a "carrier" and collectively "carriers").
B. A carrier is not subject to this rule with respect to any "health benefits plan" or "plan" as defined in Paragraph (1) of Subsection C of Section 59A-16-21.2 NMSA 1978, which only provides "excepted benefits," as this term is defined in Subsection B of Section 59A-23G-2 NMSA 1978.
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