A. No person or entity shall sell or issue, or cause to be sold or issued, a health benefits plan that is unlicensed or unapproved for sale or delivery in the state.
B. No person or entity shall sell or issue, or cause to be sold or issued, health insurance coverage that is not permitted health insurance coverage.
C. As used in this section:
(1) "health benefits plan" means a policy or agreement entered into, offered or issued by a health insurance carrier to provide, deliver, arrange for, pay for or reimburse any of the costs of health care services; and
(2) "health insurance carrier" means an entity subject to the insurance laws and regulations of this state, including a health insurance company, a health maintenance organization, a hospital and health services corporation, a provider service network, a nonprofit health care plan or any other entity that contracts or offers to contract, or enters into agreements to provide, deliver, arrange for, pay for or reimburse any costs of health care services, or that provides, offers or administers health benefits plans or managed health care plans in this state.
History: Laws 2019, ch. 235, § 7.
Effective dates. — Laws 2019, ch. 235 contained no effective date provision, but, pursuant to N.M. Const., art. IV, § 23, was effective June 14, 2019, 90 days after the adjournment of the legislature.
Structure New Mexico Statutes
Article 16 - Trade Practices and Frauds
Section 59A-16-1 - Scope of article.
Section 59A-16-2 - Purpose of article.
Section 59A-16-3 - Practices and acts prohibited, in general.
Section 59A-16-4 - Misrepresentation, false advertising of policies.
Section 59A-16-5 - False information, advertising.
Section 59A-16-6 - "Twisting" prohibited.
Section 59A-16-7 - Replacement of life insurance.
Section 59A-16-7.1 - Unclaimed life insurance benefits.
Section 59A-16-8 - Falsification, omission of records; misleading financial statements.
Section 59A-16-9 - Publication of nonstatutory financial statements.
Section 59A-16-10 - Defamation.
Section 59A-16-11 - Unfair discrimination prohibited; life and health insurance.
Section 59A-16-11.1 - Medical Insurance Pool Act; unfair referral.
Section 59A-16-12 - Discrimination in insurance.
Section 59A-16-12.1 - Discrimination on the basis of deterioration in health.
Section 59A-16-13 - Prohibiting sex discrimination in insurance.
Section 59A-16-13.1 - Craniomandibular and temporomandibular joint disorders.
Section 59A-16-13.2 - Discrimination on the basis of blindness.
Section 59A-16-14 - Coercion of business prohibited; notice required; charges prohibited.
Section 59A-16-17 - Discrimination, rebates and certain inducements prohibited; other coverages.
Section 59A-16-18 - Receipt of rebates and inducements; penalty.
Section 59A-16-19 - Monopolistic practices prohibited.
Section 59A-16-20 - Unfair claims practices defined and prohibited.
Section 59A-16-21.1 - Health plan requirements.
Section 59A-16-21.3 - Health care providers; surprise billing prohibited.
Section 59A-16-22 - Record of complaints required.
Section 59A-16-23 - False applications, claims, proofs of loss.
Section 59A-16-24 - Illegal dealing in premiums; excess charges for coverage.
Section 59A-16-25 - Knowledge of insurer of prohibited acts.
Section 59A-16-26 - Insurer name; deceptive use prohibited.
Section 59A-16-27 - Desist orders for prohibited practices.
Section 59A-16-28 - Procedure as to undefined practices.