New Mexico Administrative Code
Title 13 - INSURANCE
Chapter 10 - HEALTH INSURANCE
Part 21 - HEALTH CARE SERVICES AND PROVIDER CREDENTIALING REQUIRED FOR HMOs
Section 13.10.21.2 - SCOPE
Universal Citation: 13 NM Admin Code 13.10.21.2
Current through Register Vol. 35, No. 6, March 26, 2024
A. Applicability. This rule applies to all health care insurers that provide, offer, or administer health care coverage pursuant to the health maintenance organization (HMO) laws of the state of New Mexico:
B. Exemptions. This rule does not apply to policies or certificates that provide coverage for:
(1) only short-term travel, accident-only,
student health, specified disease, or other limited benefits; or
(2) credit, disability income, hospital
indemnity, long-term care insurance, vision care or any other limited
supplemental benefit, including a stand-alone dental benefit plan, whether
indemnity, PPO, or non-profit plan.
C. Conflicts. For purposes of this rule, if any provision in this rule conflicts with any provision in 13.10.13 NMAC, Managed Health Care, 13.10.16 NMAC, Provider Grievances, or 13.10.17 NMAC Grievance Procedures Rule, the provisions in this rule shall apply.
Disclaimer: These regulations may not be the most recent version. New Mexico may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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