New Mexico Statutes
Article 47 - Nonprofit Health Care Plans
Section 59A-47-22 - Transfer of subscribership.

A. A health care plan may enter into agreements with another health care plan or mutual company similarly engaged in this state or another state or country for transfer of subscribers from one such plan to the other, subject to prior approval of any such agreement by the superintendent. The superintendent shall disapprove any such agreement if he finds on basis of such investigation as he deems advisable that the agreement in reasonable probability would result in loss to the health care plan authorized to do business in this state or is otherwise unfair or inequitable. The superintendent shall approve the agreement if he finds that the transfer of subscribership is to be accompanied by transfer of funds representing reserves in amount adequate to cover all liabilities to be incurred by the assuming health care plan through such transfer, that the transfer meets the applicable requirements of Chapter 59A, Article 34 NMSA 1978 and of the Nonprofit Corporation Act [Chapter 53, Article 8 NMSA 1978] for disposition or distribution of assets and that the agreement is otherwise fair and equitable to the insurers and subscribers involved.
B. The superintendent shall ensure, by imposition of conditions, if necessary, that New Mexico charitable assets are protected and preserved for the benefit of the people of New Mexico.
History: Laws 1984, ch. 127, § 879.20; 1999, ch. 133, § 6.
The 1999 amendment, effective June 18, 1999, in Subsection A, substituted "another health care plan or mutual company" for "a similar corporation" and inserted "this state or" preceding "another state" in the first sentence, and inserted "that the transfer meets the applicable requirements of Chapter 59A, Article 34 NMSA 1978 and of the Nonprofit Corporation Act for disposition or distribution of assets" and substituted "insurers" for "health care plans" in the last sentence, and added Subsection B.

Structure New Mexico Statutes

New Mexico Statutes

Chapter 59A - Insurance Code

Article 47 - Nonprofit Health Care Plans

Section 59A-47-1 - Short title.

Section 59A-47-2 - Purpose; exemptions.

Section 59A-47-3 - Definitions.

Section 59A-47-4 - Organization; profit corporations prohibited; merger and consolidation of health care plans.

Section 59A-47-5 - Qualifications for health care plan authority.

Section 59A-47-6 - Preliminary permit for solicitations.

Section 59A-47-7 - Escrow of preliminary premiums.

Section 59A-47-8 - Certificate of authority required; application and conditions; exceptions.

Section 59A-47-9 - Issuance and denial of initial certificate of authority.

Section 59A-47-10 - Trust deposit.

Section 59A-47-11 - Expiration, continuance of certificate of authority.

Section 59A-47-12 - Suspension, revocation or refusal to continue certificate of authority.

Section 59A-47-13 - Service of process; superintendent as attorney.

Section 59A-47-14 - Annual statement.

Section 59A-47-15 - Assets.

Section 59A-47-16 - Reserves.

Section 59A-47-17 - Examination.

Section 59A-47-18 - Investments.

Section 59A-47-19 - Limitation upon acquisition and administration expenses.

Section 59A-47-20 - Conflicts of interest as to certain transactions.

Section 59A-47-21 - Joint coverage, reinsurance.

Section 59A-47-22 - Transfer of subscribership.

Section 59A-47-23 - Subscriber contracts; coverage period.

Section 59A-47-24 - Subscriber contracts; requirements and provisions.

Section 59A-47-25 - Subscriber contracts; filing, approval.

Section 59A-47-26 - Premium rates; filing and approval.

Section 59A-47-27 - Coverage for newly born children, maternity transport, home health care.

Section 59A-47-27.1 - Coverage of circumcision for newborn males.

Section 59A-47-28 - Coverage for service of chiropractor.

Section 59A-47-28.1 - Coverage for service of certified nurse-midwives and registered lay midwives.

Section 59A-47-28.2 - Doctor of oriental medicine discrimination prohibited.

Section 59A-47-28.3 - Provider discrimination prohibited.

Section 59A-47-28.4 - Coverage for collaborative practice; dental therapists; dental hygienists.

Section 59A-47-29 - Settlement of disputes; appeal.

Section 59A-47-30 - Licensed insurance producers required; qualifications, licensing procedures and conditions.

Section 59A-47-31 - Rehabilitation, liquidation or dissolution.

Section 59A-47-32 - Unauthorized contract or adjustment transactions; penalty.

Section 59A-47-33 - Other provisions applicable.

Section 59A-47-34 - Continuation of coverage and conversion rights; health care plans.

Section 59A-47-35 - Alcohol dependency coverage.

Section 59A-47-36 - Nonprofit health care plans; contract or certificate provisions relating to individuals who are eligible for medical benefits under the medicaid program.

Section 59A-47-37 - Coverage of children. (Effective July 1, 2020.)

Section 59A-47-37.1 - Hearing aid coverage for children required.

Section 59A-47-38 - Coverage for medical diets for genetic inborn errors of metabolism.

Section 59A-47-39 - Employer utilization and loss experience availability.

Section 59A-47-40 - Maximum age of dependent.

Section 59A-47-41 - Coverage of alpha-fetoprotein IV screening test.

Section 59A-47-41.1 - Prior authorization for gynecological or obstetrical ultrasounds prohibited.

Section 59A-47-42 - Coverage of part-time employees.

Section 59A-47-43 - Coverage of colorectal cancer screening.

Section 59A-47-44 - General anesthesia and hospitalization for dental surgery.

Section 59A-47-45 - Coverage for autism spectrum disorder diagnosis and treatment.

Section 59A-47-45.1 - Coverage for orally administered anticancer medications; limits on patient costs.

Section 59A-47-45.2 - Coverage of prescription eye drop refills.

Section 59A-47-45.3 - Coverage for telemedicine services.

Section 59A-47-45.4 - Prescription drugs; prohibited formulary changes; notice requirements.

Section 59A-47-45.5 - Coverage for contraception.

Section 59A-47-45.6 - Coverage exclusion. (Contingent repeal. See note.)

Section 59A-47-45.7 - Heart artery calcium scan coverage.

Section 59A-47-46 - Repealed.

Section 59A-47-47 - Prescription drug prior authorization protocols.

Section 59A-47-47.1 - Prescription drug coverage; step therapy protocols; clinical review criteria; exceptions.

Section 59A-47-47.2 - Pharmacist prescriptive authority services; reimbursement parity.

Section 59A-47-48 - Pharmacy benefit; prescription synchronization.

Section 59A-47-49 - Provider credentialing; requirements; deadline.

Section 59A-47-50 - Physical rehabilitation services; limits on cost sharing.

Section 59A-47-51 - Behavioral health services; elimination of cost sharing. (Effective January 1, 2022.)