New Mexico Statutes
Article 18 - The Insurance Contract
Section 59A-18-13.5 - Review of health insurance or plan rates; appeal to court of appeals from superintendent.

A. In a matter arising from an order of the superintendent on appeal pursuant to Section 59A-18-13.3 NMSA 1978, an aggrieved party may appeal to the court of appeals.
B. The court of appeals shall consider the superintendent's order on appeal and reverse the order only if the court determines:
(1) after evaluation of the record of evidence as a whole, that the superintendent's decision was not based on substantial evidence as to whether the proposed rates are reasonable, actuarially sound and based on reasonable administrative expenses;
(2) that the superintendent's decision was arbitrary, capricious or an abuse of discretion; or
(3) that the superintendent's decision on appeal is otherwise not in accordance with law.
History: Laws 2011, ch. 144, § 8; 2013, ch. 74, § 24.
The 2013 amendment, effective March 29, 2013, provided for appeals from the decisions of the superintendent of insurance to the court of appeals; in the title, after "appeal to", changed "supreme court", to "court of appeals", and deleted "commission" and added "superintendent"; in Subsection A, after "order of the", deleted "commission" and added "superintendent", after "Section", deleted "7 of this 2011 act" and added "59A-18-13.3 NMSA 1978", after "appeal to", deleted "supreme", and after "court", added "of appeals"; in Subsection B, in the introductory sentence, deleted "supreme", after "court", added "of appeals", after "consider the", deleted "commission's" and added "superintendent's", after "reverse the", deleted "commission's" and after "reverse the order", deleted "on appeal", and after "only if the", deleted "supreme"; and in Paragraphs (2) and (3) of Subsection B, deleted "commission's" and added "superintendent's".

Structure New Mexico Statutes

New Mexico Statutes

Chapter 59A - Insurance Code

Article 18 - The Insurance Contract

Section 59A-18-1 - Scope of article.

Section 59A-18-2 - "Policy" defined.

Section 59A-18-3 - "Premium" defined.

Section 59A-18-3.1 - Closed block of business.

Section 59A-18-3.2 - "Block of business" defined.

Section 59A-18-4 - Insurable interest; personal insurance.

Section 59A-18-5 - Insurable interest, life insurance; exception when certain institutions designated beneficiary.

Section 59A-18-6 - Insurable interest, property.

Section 59A-18-7 - Power to contract for insurance; purchase of insurance or annuity by minor.

Section 59A-18-8 - Consent of insured; life, health insurance.

Section 59A-18-9 - Alteration of application; life, health insurance.

Section 59A-18-10 - Application as evidence.

Section 59A-18-11 - Representation in application.

Section 59A-18-12 - Filing of forms and classifications; review of effect upon insured.

Section 59A-18-13 - Approval or disapproval of health insurance forms.

Section 59A-18-13.1 - Adjusted community rating.

Section 59A-18-13.2 - Health insurance; health care plan rates filing requirements.

Section 59A-18-13.3 - Health insurance filings; grounds and procedure for approval or disapproval.

Section 59A-18-13.4 - Repealed.

Section 59A-18-13.5 - Review of health insurance or plan rates; appeal to court of appeals from superintendent.

Section 59A-18-13.6 - Pooling of closed blocks of business.

Section 59A-18-14 - Grounds, procedure for disapproval.

Section 59A-18-15 - Repealed.

Section 59A-18-16 - Continuation of coverage and conversion rights; accident and health insurance policies; notice.

Section 59A-18-16.1 - Group coverage discontinuance and replacement.

Section 59A-18-16.2 - Health insurance or health plan form and rate filings; superintendent; rulemaking; compliance with federal law.

Section 59A-18-17 - Standard provisions, in general.

Section 59A-18-18 - Charter, bylaw provisions.

Section 59A-18-19 - Execution of policies.

Section 59A-18-20 - Underwriters' and combination policies.

Section 59A-18-21 - Validity, construction of noncomplying forms.

Section 59A-18-22 - Binders.

Section 59A-18-23 - Delivery of policy, motor vehicle vendors, mortgagees, pledgees.

Section 59A-18-24 - Insurance producers; whom they represent.

Section 59A-18-25 - Allowance for inflation.

Section 59A-18-26 - Payment discharges insurer.

Section 59A-18-27 - Forms of proof of loss to be furnished.

Section 59A-18-27.1 - Universal claim forms.

Section 59A-18-28 - Notice; waiver.

Section 59A-18-29 - Cancellation of certain policies.

Section 59A-18-30 - Disclosure of premium and claim data.

Section 59A-18-31 - Accident and health policy or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section 59A-18-32 - Certificates of property or casualty insurance.

Section 59A-18-33 - Notice.