New Mexico Statutes
Article 22 - Health Insurance Contracts
Section 59A-22-19 - Other insurance in this insurance company.

There may be a provision as follows:
If an accident or sickness or accident and sickness policy or policies previously issued by the insurance company to the insured be in force concurrently herewith, making the aggregate indemnity for . . . . . . . . . . . . . . . . . . (insert type of coverage or coverages) in excess of $. . . . . . . . . (insert maximum limit of indemnity or indemnities) the excess insurance shall be void and all premiums paid for such excess shall be returned to the insured or to his estate, or, in lieu thereof:
Insurance effective at any one time on the insured under a like policy or policies in this insurance company is limited to the one such policy elected by the insured, his beneficiary or his estate, as the case may be, and the insurance company will return all premiums paid for all other such policies.
History: Laws 1984, ch. 127, § 440.
"Other insurance" provision not against public policy. — Apart from statutory authority a provision such as that in the second paragraph of Subsection C of former 59-18-5 NMSA 1978 was not against public policy. Where plaintiff was covered by an individual policy and a family policy, both issued by the same insurer, the provisions of which were identical, the court properly held the "other insurance" provision valid. Bell v. Weinacker, 1975-NMCA-134, 88 N.M. 557, 543 P.2d 1185.
Am. Jur. 2d, A.L.R. and C.J.S. references. — 43 Am. Jur. 2d Insurance §§ 774 to 778.
Insured's receipt of or right to workmen's compensation benefits as affecting recovery under accident, hospital, or medical expense policy, 40 A.L.R.3d 1012.
Resolution of conflicts, in non-automobile liability insurance policies, between excess or pro-rata "other insurance" clauses, 12 A.L.R.4th 993.
Allocation of defense costs between primary and excess insurance carriers, 19 A.L.R.4th 107.
Priority and apportionment of liability between medical and hospital expense insurers, 25 A.L.R.4th 1022.
46 C.J.S. Insurance § 1367 et seq.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 59A - Insurance Code

Article 22 - Health Insurance Contracts

Section 59A-22-1 - Scope of article.

Section 59A-22-2 - Form and content of policy.

Section 59A-22-3 - Required provisions.

Section 59A-22-4 - Entire contract; changes.

Section 59A-22-5 - Time limit on certain defenses.

Section 59A-22-6 - Grace period.

Section 59A-22-7 - Reinstatement.

Section 59A-22-8 - Notice of claim.

Section 59A-22-9 - Claim forms.

Section 59A-22-10 - Proofs of loss.

Section 59A-22-11 - Time of payment of claims.

Section 59A-22-12 - Payment of claims.

Section 59A-22-13 - Physical examination and autopsy.

Section 59A-22-14 - Legal actions.

Section 59A-22-15 - Change of beneficiary.

Section 59A-22-16 - Optional provisions.

Section 59A-22-17 - Change of occupation.

Section 59A-22-18 - Misstatement of age.

Section 59A-22-19 - Other insurance in this insurance company.

Section 59A-22-20 - Insurance with other insurance companies.

Section 59A-22-21 - Insurance with other insurance companies [; alternative provision].

Section 59A-22-22 - Relation of earnings to insurance.

Section 59A-22-23 - Unpaid premium.

Section 59A-22-24 - Cancellation.

Section 59A-22-25 - Conformity with state statutes.

Section 59A-22-26 - Order of certain policy provisions.

Section 59A-22-27 - Third party ownership.

Section 59A-22-28 - Requirements of other jurisdictions.

Section 59A-22-29 - Conforming to statute.

Section 59A-22-30 - Age limit.

Section 59A-22-30.1 - Maximum age of dependent.

Section 59A-22-31 - Industrial health insurance.

Section 59A-22-32 - Freedom of choice of hospital and practitioner.

Section 59A-22-32.1 - Freedom of choice.

Section 59A-22-33 - Children with disabilities; coverage continued.

Section 59A-22-34 - Newly born children coverage.

Section 59A-22-34.1 - Coverage for adopted children.

Section 59A-22-34.2 - Coverage of children.

Section 59A-22-34.3 - Childhood immunization coverage required.

Section 59A-22-34.4 - Coverage of circumcision for newborn males.

Section 59A-22-34.5 - Hearing aid coverage for children required.

Section 59A-22-35 - Maternity transport required.

Section 59A-22-36 - Home health care service option required.

Section 59A-22-37 - Repealed.

Section 59A-22-38 - Individual health insurance; policy provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section 59A-22-39 - Coverage for mammograms.

Section 59A-22-39.1 - Mastectomies and lymph node dissection; minimum hospital stay coverage required.

Section 59A-22-39.2 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 59A-22-40 - Coverage for cytologic and human papillomavirus screening.

Section 59A-22-40.1 - Coverage for the human papillomavirus vaccine.

Section 59A-22-41 - Coverage for individuals with diabetes.

Section 59A-22-41.1 - Coverage for medical diets for genetic inborn errors of metabolism.

Section 59A-22-42 - Coverage for prescription contraceptive drugs or devices.

Section 59A-22-43 - Required coverage of patient costs incurred in cancer clinical trials.

Section 59A-22-44 - Coverage for smoking cessation treatment.

Section 59A-22-45 - Coverage of alpha-fetoprotein IV screening test.

Section 59A-22-46 - Coverage of part-time employees.

Section 59A-22-47 - Coverage of colorectal cancer screening.

Section 59A-22-48 - General anesthesia and hospitalization for dental surgery.

Section 59A-22-49 - Coverage for autism spectrum disorder diagnosis and treatment.

Section 59A-22-49.1 - Coverage for orally administered anticancer medications; limits on patient costs.

Section 59A-22-49.2 - Coverage of prescription eye drop refills.

Section 59A-22-49.3 - Coverage for telemedicine services.

Section 59A-22-49.4 - Prescription drugs; prohibited formulary changes; notice requirements.

Section 59A-22-50 - Health insurers; direct services.

Section 59A-22-51 - Dental insurance plan; dental fees not covered; severability.

Section 59A-22-52 - Prescription drug prior authorization protocols.

Section 59A-22-53 - Pharmacy benefits; prescription synchronization.

Section 59A-22-53.1 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 59A-22-53.2 - Pharmacist prescriptive authority services; reimbursement parity.

Section 59A-22-54 - Provider credentialing; requirements; deadline.

Section 59A-22-55 - Coverage exclusion. (Contingent repeal. See note.)

Section 59A-22-56 - Physical rehabilitation services; limits on cost sharing.

Section 59A-22-57 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)