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Section 59A-22-1 - Scope of article. - Chapter 59A, Article 22 NMSA 1978 applies generally to policies...
Section 59A-22-2 - Form and content of policy. - No policy of individual health insurance shall be delivered or...
Section 59A-22-3 - Required provisions. - A. Except as provided in Subsection B of this section,...
Section 59A-22-4 - Entire contract; changes. - There shall be a provision as follows: This policy, including...
Section 59A-22-5 - Time limit on certain defenses. - A. There shall be a provision for comprehensive major medical...
Section 59A-22-6 - Grace period. - There shall be a provision as follows: A grace period...
Section 59A-22-7 - Reinstatement. - There shall be a provision as follows: If any renewal...
Section 59A-22-8 - Notice of claim. - There shall be a provision as follows: Written notice of...
Section 59A-22-9 - Claim forms. - There shall be a provision as follows: The insurance company,...
Section 59A-22-10 - Proofs of loss. - There shall be a provision as follows: Written proof of...
Section 59A-22-11 - Time of payment of claims. - There shall be a provision as follows: Indemnities payable under...
Section 59A-22-12 - Payment of claims. - There shall be a provision as follows: Indemnity for loss...
Section 59A-22-13 - Physical examination and autopsy. - There shall be a provision as follows: The insurance company...
Section 59A-22-14 - Legal actions. - There shall be a provision as follows: No action at...
Section 59A-22-15 - Change of beneficiary. - There shall be a provision as follows: Unless the insured...
Section 59A-22-16 - Optional provisions. - Except as provided in Section 424 [59A-22-3 NMSA 1978] of...
Section 59A-22-17 - Change of occupation. - There may be a provision as follows: If the insured...
Section 59A-22-18 - Misstatement of age. - There may be a provision as follows: If the age...
Section 59A-22-19 - Other insurance in this insurance company. - There may be a provision as follows: If an accident...
Section 59A-22-20 - Insurance with other insurance companies. - There may be a provision as follows: If there be...
Section 59A-22-21 - Insurance with other insurance companies [; alternative provision]. - As an alternative to the provision set out in Section...
Section 59A-22-22 - Relation of earnings to insurance. - There may be a provision as follows: If the total...
Section 59A-22-23 - Unpaid premium. - There may be a provision as follows: Upon the payment...
Section 59A-22-24 - Cancellation. - There may be a provision as follows: The insurance company...
Section 59A-22-25 - Conformity with state statutes. - There may be a provision as follows: Any provision of...
Section 59A-22-26 - Order of certain policy provisions. - The provisions which are the subject of Sections 424 through...
Section 59A-22-27 - Third party ownership. - The word "insured" as used in this article shall not...
Section 59A-22-28 - Requirements of other jurisdictions. - A. Any policy of a foreign or alien insurer, when...
Section 59A-22-29 - Conforming to statute. - A. Other policy provisions. No policy provision which is not...
Section 59A-22-30 - Age limit. - If any such policy contains a provision establishing, as an...
Section 59A-22-30.1 - Maximum age of dependent. - An individual or group health policy or certificate of insurance...
Section 59A-22-31 - Industrial health insurance. - A. The term "industrial health insurance" as used herein means...
Section 59A-22-32 - Freedom of choice of hospital and practitioner. - A. Within the area and limits of coverage offered an...
Section 59A-22-32.1 - Freedom of choice. - A. Within the area and limits of coverage offered an...
Section 59A-22-33 - Children with disabilities; coverage continued. - An individual or group hospital or medical expense insurance policy...
Section 59A-22-34 - Newly born children coverage. - A. All individual and group health insurance policies delivered or...
Section 59A-22-34.1 - Coverage for adopted children. - A. No individual or group health insurance policy or contract...
Section 59A-22-34.2 - Coverage of children. - A. An insurer shall not deny enrollment of a child...
Section 59A-22-34.3 - Childhood immunization coverage required. - A. Each individual and group health insurance policy, health care...
Section 59A-22-34.4 - Coverage of circumcision for newborn males. - An individual or group health insurance policy, health care plan...
Section 59A-22-34.5 - Hearing aid coverage for children required. - A. An individual or group health insurance policy, health care...
Section 59A-22-35 - Maternity transport required. - All individual and group health insurance policies delivered or issued...
Section 59A-22-36 - Home health care service option required. - A. Each insurer which delivers or issues for delivery in...
Section 59A-22-37 - Repealed. - History: Laws 1984, ch. 127, ยง 459; 1987, ch. 259,...
Section 59A-22-38 - Individual health insurance; policy provisions relating to individuals who are eligible for medical benefits under the medicaid program. - A. Each individual health insurance policy that is delivered, issued...
Section 59A-22-39 - Coverage for mammograms. - A. Each individual and group health insurance policy, health care...
Section 59A-22-39.1 - Mastectomies and lymph node dissection; minimum hospital stay coverage required. - A. Each individual and group health insurance policy, health care...
Section 59A-22-39.2 - Prior authorization for gynecological or obstetrical ultrasounds prohibited. - A. An individual or group health insurance policy, health care...
Section 59A-22-40 - Coverage for cytologic and human papillomavirus screening. - A. Each individual and group health insurance policy, health care...
Section 59A-22-40.1 - Coverage for the human papillomavirus vaccine. - A. An individual or group health insurance policy, health care...
Section 59A-22-41 - Coverage for individuals with diabetes. - A. Each individual and group health insurance policy, health care...
Section 59A-22-41.1 - Coverage for medical diets for genetic inborn errors of metabolism. - A. As of July 1, 2003, each individual and group...
Section 59A-22-42 - Coverage for prescription contraceptive drugs or devices. - A. Each individual and group health insurance policy, health care...
Section 59A-22-43 - Required coverage of patient costs incurred in cancer clinical trials. - A. A health plan shall provide coverage for routine patient...
Section 59A-22-44 - Coverage for smoking cessation treatment. - A. An individual or group health insurance policy, health care...
Section 59A-22-45 - Coverage of alpha-fetoprotein IV screening test. - An individual or group health insurance policy, health care plan...
Section 59A-22-46 - Coverage of part-time employees. - An insurer that provides group health insurance pursuant to Chapter...
Section 59A-22-47 - Coverage of colorectal cancer screening. - A. An individual or group health insurance policy, health care...
Section 59A-22-48 - General anesthesia and hospitalization for dental surgery. - A. An individual or group health insurance policy, health care...
Section 59A-22-49 - Coverage for autism spectrum disorder diagnosis and treatment. - A. An individual or group health insurance policy, health care...
Section 59A-22-49.1 - Coverage for orally administered anticancer medications; limits on patient costs. - A. An individual or group health insurance policy, health care...
Section 59A-22-49.2 - Coverage of prescription eye drop refills. - A. An individual or group health insurance policy, health care...
Section 59A-22-49.3 - Coverage for telemedicine services. - A. An individual or group health insurance policy, health care...
Section 59A-22-49.4 - Prescription drugs; prohibited formulary changes; notice requirements. - A. As of January 1, 2014, an individual or group...
Section 59A-22-50 - Health insurers; direct services. - A. A health insurer shall reimburse direct services as follows:...
Section 59A-22-51 - Dental insurance plan; dental fees not covered; severability. - A. As used in this section: (1) "covered services" means...
Section 59A-22-52 - Prescription drug prior authorization protocols. - A. After January 1, 2014, a health insurer shall accept...
Section 59A-22-53 - Pharmacy benefits; prescription synchronization. - A. An individual health insurance policy, health care plan or...
Section 59A-22-53.1 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions. - A. Each individual health insurance policy, health care plan and...
Section 59A-22-53.2 - Pharmacist prescriptive authority services; reimbursement parity. - An insurer shall reimburse a participating provider that is a...
Section 59A-22-54 - Provider credentialing; requirements; deadline. - A. The superintendent shall adopt and promulgate rules to provide...
Section 59A-22-55 - Coverage exclusion. (Contingent repeal. See note.) - Coverage of vasectomy and male condoms pursuant to Section 3...
Section 59A-22-56 - Physical rehabilitation services; limits on cost sharing. - A. An individual or group health insurance policy, health care...
Section 59A-22-57 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.) - A. Until January 1, 2027, an individual or group health...