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YOUR
New Mexico PRC 
1 888 4ASK PRC
(1-888-427-5772)
   
 

go to Property and CasualtyGo to Property and Casualty

Recent News:

Updated UM Data Call

The Insurance Division has issued Bulletin 2007-003, which provides for an update of the data call it had originally issued in 2006 to private passenger automobile insurance carriers.  Results must be compiled on the New Mexico UM Data Call Excel spreadsheet and emailed to alan.seeley@state.nm.us by June 30, 2007. 

Revised Bulletin on Personal Lines Renewal Premium Disclosures

The Insurance Division has issued Bulletin 2007-004, which describes in greater detail the requirements originally noted in Bulletin 2003-002 that insurers provide their personal lines policyholders, upon request, with a detailed explanation of the causes of renewal premium changes. 

New Product Filing Rules

As described in Bulletin 2006-001, the Division revised its property & casualty product filing rules on March 1, 2006. Companies must now file rates and rules separately from forms and must use appropriate NAIC transmittal documents instead of New Mexico’s now-obsolete Form A. Furthermore, most commercial lines products can now be submitted on a file-and-use basis.

For more information, view the new Rate/Rule Filing Rules and Form Filing Rules.

go to Comparison GuideCompare Insurance Premium Guides

The Division of Insurance has created 6 new guides to provide our consumers the opportunity to compare insurance premiums being offered in New Mexico. The Premium Comparison Guides available to consumers include Renters, Condominiums, Homeowners, Automobile Single Driver, Automobile Household policy and Workers Compensation Insurance. Please visit the above link to start using one of our Guides.

go to Company LicensingGo to Company Licensing

This area is under construction, please check back for updated information

under construction

NAIC InsureU for Small Business

The National Association of Insurance Commissioners (NAIC) presents
go to InsureUSmallBusinessInsure U for Small Business to provide helpful information, tips and considerations about insurance for owners of small companies and home-based businesses.

Starting a Business in New Mexico?  Click here for a Guide

 

Please check back as this area is still under construction and more Small business information will be added.

Managed Health Care Information (Please click here to open/close)

go to MHCManaged Health Care Home Page

Question:

Who do New Mexicans contact when they have a Health Care Insurance Question or Concern? 

A
N
S
W
E
R

PRC MHCB
Have Questions about your health care insurance plan?
Concerns about health care insurance services?
  • Billing issues
  • Coverage
  • Terminations
  • Denials of medically necessary services
  • Referrals
  • Prior authorizations
  • Balance Billing
  • Prescription coverage
  • Quality of Care
  • Access of Services
  • Grievance Process
  • Language Requirements
  • Cultural Requirements
  • Insurer's Consumer Assistance
 

Now who are you going to call? YOUR New Mexico Insurance Regulator!

US Postal Service Delivery:
PO Box 1269
Santa Fe, NM 87504
UPS/FedEx Delivery:
1120 Paseo De Peralta
4th Floor, PERA Building
Santa Fe, NM 87501

(505) 827-3928 or
Toll Free 1-888-4ASK-PRC
(888-427-5772)

Get more consumer infoConsumer Guide to Managed Care     
Get more consumer infoInsure New Mexico Solutions
Get more consumer infoInsure New Mexico Home

Life and Health Information (Please click here to open/close)

go to Life and HealthGo to Life and Health Rate and Form Filing

Informative Material
  Long Term Care Shoppers Guide
1020 Medicare Supplement Guide 

Lists of Companies Selling Specific Types of Insurance

  Health Maintenance Organizations, HMO
Long Term Care
Medical Savings Account
Medicare Plans to individuals under age 65 disabled and on Medicare
Medicare Supplement List
Medicare Supplement Rates
Life and Health Related Links
  A Federal law known as COBRA, Consolidated Omnibus Budget Reconciliation Act of 1985, guarantees the right to buy group health insurance for up to 18 months. www.dol.gov/dol/topic/health-plans/cobra.htm
  www.nmmip.com, New Mexico Medical Insurance Pool, provides coverage for individuals unable to obtain coverage in the marketplace.
  NM Aging and Long-Term Services Department, New Mexico State Agency on Aging, for assistance and counseling to assure seniors are receiving all the benefits they’ve earned, i.e., Medigap or Long term care insurance policies and other Medicare issues. 
  www.nmhia.com, New Mexico Health Insurance Alliance, provides coverage for small group and individual insurance. Link available January 03.
  www.nmlifega.org/contactus.cfm, The Guaranty Association is composed of all insurers licensed to sell life insurance, accident and health insurance, and individual annuities in the state of New Mexico. In the event that a member insurer is found to be insolvent and is ordered to be liquidated by a court, the Guaranty Association law enables the guaranty association to provide protection (up to the limits spelled out in the law) to New Mexico residents who are holders of life and health insurance policies and individual annuities with the insolvent insurer.
  Centers for Medicare and Medicaid Services
  The Official U.S. Government site for people with Medicare

For more information about insurance fraud and how it affects you the consumer,
or to report a suspected incident you can go to

Insurance Fraud Bureau

 

go to stopfraud.orgwww.stopfraud.org

Fraud Bureau Contact Info

P. O. Box 1269
Santa Fe, NM 87504-1269
(505) 476-0560 Main Number
(505) 476-0479 Fax Number
(877) 807-4010 Toll-free Number

You may email the Bureau at: stopfraud@state.nm.us

Insurance fraud is one of the most costly white collar crimes in America, second only to tax evasion. Some experts estimate the annual cost to be 120 billion dollars nationally. It is estimated that the cost of insurance fraud in New Mexico alone is 280 million dollars per year. The financial impact of insurance fraud affects every citizen of our state in an immediate and substantial way.

Insurance fraud occurs when someone uses deceit to profit from insurance transactions. Insurance fraud is a criminal offense in New Mexico.

 

go to TitleGo to Title Insurance

The Title Insurance Bureau enforces the Insurance Code provisions relating to all aspects of title insurance regulation. This includes the annual setting of uniform premium rates and the promulgation of all policy forms, including endorsement forms. This Bureau also fields title insurance-related complaints from both consumers and the insurance industry.

Request for Title Claim Information
Pursuant to House Memorial 80 and the direction of the Mexico Public Regulation Commission pursuant to that Memorial, the Insurance Division has issued an Expanded Request for Title Insurance Claim Information.  Under this request, all insurers that are licensed to write title insurance in New Mexico are directed to provide the Commission with a detailed report of all title insurance claims submitted to them during 2003, 2004 and 2005 under title insurance policies issued in the state of New Mexico.  Results shall be compiled on the attached Title Insurance Claim Information spreadsheet and emailed to Kenny.Ortiz@state.nm.us by August 1, 2007.  Note that information submitted pursuant to this data call may be made available to the public. 

Title Insurance Contact Info

Kenny Ortiz
(505) 827-4528
Kenny.Ortiz@state.nm.us
P.O. Box 1269
Santa Fe, NM 87504-1269
Fax: (505) 827-4734

go to Statistical ReportsClick here for more reporting information for Underwriters and Agents

go to Title RatesClick here for Title Insurance Premium Rates

go to CRDGo to Consumer Relations Division

    The Consumer Relations Division is dedicated to establishing and maintaining quality consumer services among those industries overseen by the Public Regulation Commission. The Consumer Relations Division investigates consumer inquiries and acts as the outreach office for the Commission by developing and implementing public awareness programs.
    The Insurance Bureau of the Consumer Relations Division is staffed by trained professional employees committed to consumer assistance and satisfaction. Bureau staff members accomplish this by serving as liaisons between the consumer and the Insurance companies selling policies in New Mexico.

The CRD Insurance Complaint Form is offered for online complaint submission on the Consumer Home Page.

You may also download a CRD Insurance Complaint Form in pdf format and mail to address below.

Understanding Insurance Coverage Brochure

Consumer Relations Contact Information:

General Information & Electronic mail:
Telephone: 505-827-6940
Fax: 505-827-4463

Postal address:
P.O. Box 1269
Santa Fe, NM 87504-1269
Consumer Complaint Telephone Hours are:
Monday - Friday
8:00 a.m. - 12:00 p.m.
1:00 p.m. - 5:00 p.m.

Local Complaint Line: 505-827-6940
Toll Free Complaint Line: 1-888-427-5772

CRD Insurance Complaints
Email: crd.complaints@state.nm.us


You can access ourGo to Complaints Go to Main Complaints page for more information about filing a complaint

or you can go to:

Go to MHCGo to MANAGED HEALTH CARE -TO FILE A COMPLAINT AGAINST A GROUP HEALTH INSURANCE COMPANY

Managed Health Care’s key focus is to assist managed health care consumers and enrollees in understanding their rights to appeal coverage denials of requested health care services under a managed health care plan or PPO product. Such appeals and complaints are rights afforded to every commercial managed health care enrollee under the New Mexico Patient Protection Act. Complaint Forms are available, to download or access online.

or

go to CRDGo to CONSUMER RELATIONS DIVISION - TO FILE A COMPLAINT ON AN INSURANCE COMPANY

The Consumer Relations Insurance Bureau offers assistance to consumers seeking to resolve disputes and complaints with licensed New Mexico Insurance Companies. We strongly suggest that consumers first discuss problems with company representatives; if the situation cannot be resolved, the Insurance Bureau will provide assistance. Complaint Forms are available, to download or access online.

 

Or if you suspect insurance fraud go to go to www.stopfraud.orgwww.stopfraud.org

 

Click here to read the 2008 Annual Grievance Assessment Report

 

Consumer Alerts
Current Alerts are also available on the NAIC website
and archived alerts on the NAIC Consumer home page

2010 Consumer Alerts
File Date
Alert#
March 10, 2010 2010-001 - Unauthorized sale of health insurance products
2009 Consumer Alerts
File Date
Alert#
April 22, 2009 2009-001 - HOMEOWNERS INSURANCE -GOING GREEN FOR HOMEOWNERS: WHAT INSURANCE QUESTIONS SHOULD YOU ASK?
2008 Consumer Alerts
File Date
Alert#
April 23, 2008 2008-002 - What You Should Know about Applying for Individual Health Care Insurance
January 24, 2008 2008-001 - Storm Preparedness - A Four Step Process