§ 59A-22-1 Scope of article
§ 59A-22-2 Form and content of policy
§ 59A-22-3 Required provisions
§ 59A-22-4 Entire contract; changes
§ 59A-22-5 Time limit on certain defenses
§ 59A-22-6 Grace period
§ 59A-22-7 Reinstatement
§ 59A-22-8 Notice of claim
§ 59A-22-9 Claim forms
§ 59A-22-10 Proofs of loss
§ 59A-22-11 Time of payment of claims
§ 59A-22-12 Payment of claims
§ 59A-22-13 Physical examination and autopsy
§ 59A-22-14 Legal actions
§ 59A-22-15 Change of beneficiary
§ 59A-22-16 Optional provisions
§ 59A-22-17 Change of occupation
§ 59A-22-18 Misstatement of age
§ 59A-22-19 Other insurance in this insurance company
§ 59A-22-20 Insurance with other insurance companies
§ 59A-22-21 Insurance with other insurance companies [; alternative provision]
§ 59A-22-22 Relation of earnings to insurance
§ 59A-22-23 Unpaid premium
§ 59A-22-24 Cancellation
§ 59A-22-25 Conformity with state statutes
§ 59A-22-26 Order of certain policy provisions
§ 59A-22-27 Third party ownership
§ 59A-22-28 Requirements of other jurisdictions
§ 59A-22-29 Conforming to statute
§ 59A-22-30 Age limit
§ 59A-22-30.1 Maximum age of dependent
§ 59A-22-31 Industrial health insurance
§ 59A-22-32 Freedom of choice of hospital and practitioner
§ 59A-22-32.1 Freedom of choice
§ 59A-22-33 Children with disabilities; coverage continued
§ 59A-22-34 Newly born children coverage
§ 59A-22-34.1 Coverage for adopted children
§ 59A-22-34.2 Coverage of children
§ 59A-22-34.3 Childhood immunization coverage required
§ 59A-22-34.4 Coverage of circumcision for newborn males
§ 59A-22-34.5 Hearing aid coverage for children required
§ 59A-22-35 Maternity transport required
§ 59A-22-36 Home health care service option required
§ 59A-22-38 Individual health insurance; policy provisions relating to individuals who are eligible for medical benefits under the medicaid program
§ 59A-22-39 Coverage for mammograms
§ 59A-22-39.1 Mastectomies and lymph node dissection; minimum hospital stay coverage required
§ 59A-22-39.2 Prior authorization for gynecological or obstetrical ultrasounds prohibited
§ 59A-22-39.3 Diagnostic and supplemental breast examinations
§ 59A-22-40 Coverage for cytologic and human papillomavirus screening
§ 59A-22-40.1 Coverage for the human papillomavirus vaccine
§ 59A-22-41 Coverage for individuals with diabetes
§ 59A-22-41.1 Coverage for medical diets for genetic inborn errors of metabolism
§ 59A-22-42 Coverage for prescription contraceptive drugs or devices
§ 59A-22-43 Required coverage of patient costs incurred in cancer clinical trials
§ 59A-22-44 Coverage for smoking cessation treatment
§ 59A-22-45 Coverage of alpha-fetoprotein IV screening test
§ 59A-22-46 Coverage of part-time employees
§ 59A-22-47 Coverage of colorectal cancer screening
§ 59A-22-48 General anesthesia and hospitalization for dental surgery
§ 59A-22-49 Coverage for autism spectrum disorder diagnosis and treatment
§ 59A-22-49.1 Coverage for orally administered anticancer medications; limits on patient costs
§ 59A-22-49.2 Coverage of prescription eye drop refills
§ 59A-22-49.3 Coverage for telemedicine services
§ 59A-22-49.4 Prescription drugs; prohibited formulary changes;
§ 59A-22-50 Health insurers; direct services
§ 59A-22-51 Dental insurance plan; dental fees not covered;
§ 59A-22-52 Prescription drug prior authorization protocols
§ 59A-22-53 Pharmacy benefits; prescription synchronization
§ 59A-22-53.1 Prescription drug coverage; step therapy protocols;
§ 59A-22-53.2 Pharmacist prescriptive authority services;
§ 59A-22-53.3 Calculating an insured’s cost-sharing obligation for prescription drug coverage
§ 59A-22-54 Provider credentialing; requirements; deadline
§ 59A-22-55 Coverage exclusion. (Contingent repeal. See note.)
§ 59A-22-56 Physical rehabilitation services; limits on cost sharing
§ 59A-22-57 Behavioral health services; elimination of cost sharing
§ 59A-22-58 Anatomical gift nondiscrimination
§ 59A-22-59 Chiropractic physician services; limits on cost sharing and coinsurance. (Effective January 1, 2024.)
§ 59A-22-60 Sexually transmitted infection care; cost sharing eliminated
§ 59A-22-61 Biomarker testing coverage
§ 59A-22-62 Medical necessity and nondiscrimination standards for coverage of prosthetics or orthotics. (Effective January 1, 2024.)

Terms Used In New Mexico Statutes > Chapter 59A > Article 22 - Health Insurance Contracts

  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Continuance: Putting off of a hearing ot trial until a later time.
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Dependent: A person dependent for support upon another.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • insured: as used in this article shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein. See New Mexico Statutes 59A-22-27
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Statute: A law passed by a legislature.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.