§ 59A-23-1 Scope of article
§ 59A-23-2 Blanket health insurance
§ 59A-23-3 Group health insurance
§ 59A-23-3.1 Group insurance reports required
§ 59A-23-4 Other provisions applicable
§ 59A-23-5 Extended disability benefit
§ 59A-23-6 Alcohol dependency coverage
§ 59A-23-6.1 Coverage of alpha-fetoprotein IV screening test
§ 59A-23-6.2 Prior authorization for gynecological or obstetrical ultrasounds prohibited
§ 59A-23-7 Blanket or group health policy or certificate; provisions relating to individuals who are eligible for medical benefits under the medicaid program
§ 59A-23-7.2 Coverage of children
§ 59A-23-7.3 Maximum age of dependent
§ 59A-23-7.4 Coverage of circumcision for newborn males
§ 59A-23-7.5 Coverage of part-time employees
§ 59A-23-7.6 Coverage of colorectal cancer screening
§ 59A-23-7.7 General anesthesia and hospitalization for dental surgery
§ 59A-23-7.8 Hearing aid coverage for children required
§ 59A-23-7.9 Coverage for autism spectrum disorder diagnosis and treatment
§ 59A-23-7.10 Coverage for orally administered anticancer medications; limits on patient costs
§ 59A-23-7.11 Coverage of prescription eye drop refills
§ 59A-23-7.12 Coverage for telemedicine services
§ 59A-23-7.13 Prescription drugs; prohibited formulary changes;
§ 59A-23-7.14 Coverage for contraception
§ 59A-23-7.15 Coverage exclusion. (Contingent repeal. See note.)
§ 59A-23-7.16 Heart artery calcium scan coverage
§ 59A-23-7.17 Coverage for individuals with diabetes
§ 59A-23-7.18 Biomarker testing coverage
§ 59A-23-8 Group formed to purchase health insurance; limitations
§ 59A-23-10 Employer utilization and loss data availability
§ 59A-23-11 Private health insurance cooperatives; incorporation
§ 59A-23-12 Prescription drug prior authorization protocols
§ 59A-23-12.1 Prescription drug coverage; step therapy protocols;
§ 59A-23-12.2 Pharmacist prescriptive authority services;
§ 59A-23-12.3 Calculating an insured’s cost-sharing obligation for prescription drug coverage
§ 59A-23-13 Pharmacy benefits; prescription synchronization
§ 59A-23-14 Provider credentialing; requirements; deadline
§ 59A-23-15 Physical rehabilitation services; limits on cost sharing
§ 59A-23-16 Behavioral health services; elimination of cost sharing
§ 59A-23-17 Anatomical gift nondiscrimination
§ 59A-23-18 Diagnostic and supplemental breast examinations
§ 59A-23-19 Chiropractic physician services; limits on cost sharing and coinsurance
§ 59A-23-20 Employee leasing contractor group health plan requirements
§ 59A-23-21 Sexually transmitted infection care; cost sharing eliminated
§ 59A-23-22 Definitions
§ 59A-23-23 Benefits required
§ 59A-23-24 Parity for coverage of mental health or substance use disorder services
§ 59A-23-25 Provider network adequacy
§ 59A-23-26 Utilization review of mental health or substance use disorder services
§ 59A-23-27 Prohibited exclusions of coverage for mental health or substance use disorder services
§ 59A-23-28 Level of care determinations for the provision of mental health or substance use disorder services
§ 59A-23-29 Coordination of care
§ 59A-23-30 Confidentiality provisions
§ 59A-23-31 Exceptions
§ 59A-23-32 Medical necessity and nondiscrimination standards for coverage of prosthetics and orthotics
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Terms Used In New Mexico Statutes > Chapter 59A > Article 23 - Group and Blanket Health Insurance Contracts

  • 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.
  • 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
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • 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.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • 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.