New Mexico 2025 Regular Session

New Mexico Senate Bill SB80 Compare Versions

Only one version of the bill is available at this time.

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28	28	SENATE BILL 80
29	29	57
30	30	TH LEGISLATURE
31	31	-
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33	33	STATE
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35	35	OF
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37	37	NEW
38	38
39	39	MEXICO
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41	41	-
42	42	FIRST SESSION
43	43	,
44	44
45	45	2025
46	46	INTRODUCED BY
47	47	Elizabeth "Liz" Stefanics and Tara L. Lujan
48	48	AN ACT
49	49	RELATING TO HEALTH INSURANCE; REQUIRING ISSUERS OF MEDICARE
50	50	SUPPLEMENT POLICIES TO PROVIDE OPEN ENROLLMENT PERIODS.
51	51	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
52	52	SECTION 1. Section 59A-24A-3 NMSA 1978 (being Laws 1989,
53	53	Chapter 28, Section 3, as amended) is amended to read:
54	54	"59A-24A-3. DEFINITIONS.--As used in the Medicare
55	55	Supplement Act:
56	56	A. "applicant" means:
57	57	(1) in the case of an individual medicare
58	58	supplement policy, the person who seeks to contract for
59	59	insurance benefits; [and ] or
60	60	(2) in the case of a group medicare supplement
61	61	policy, the proposed certificate holder;
62	62	B. "certificate" means any certificate delivered or
63	63	.228512.3 underscored material = new
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90	90	issued for delivery in this state under a group medicare
91	91	supplement policy;
92	92	C. "certificate form" means the document on which a
93	93	certificate is delivered or issued for delivery;
94	94	D. "eligible policyholder" means a medicare
95	95	beneficiary who is sixty-five years or older and insured under
96	96	a medicare supplement policy;
97	97	[D.] E. "issuer" means insurance companies,
98	98	fraternal benefit societies, nonprofit health care plans,
99	99	health maintenance organizations and any other entities that
100	100	deliver or issue for delivery in this state medicare supplement
101	101	policies or certificates;
102	102	[E.] F. "medicare" means the federal Health
103	103	Insurance for the Aged Act, Title XVIII of the Social Security
104	104	Amendments of 1965, as then constituted or later amended;
105	105	[F.] G. "medicare supplement policy" means:
106	106	(1) a group policy as defined in Chapter 59A,
107	107	Article 23 NMSA 1978;
108	108	(2) an individual policy as defined in Chapter
109	109	59A, Article 22 NMSA 1978; or
110	110	(3) a group or individual certificate issued
111	111	pursuant to the Nonprofit Health Care Plan Law or the Health
112	112	Maintenance Organization [Act ] Law that is advertised, marketed
113	113	or designed as a supplement to reimbursements under medicare
114	114	for the hospital, medical or surgical expenses of persons
115	115	.228512.3
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143	143	eligible for medicare;
144	144	[G.] H. "policy form" means the document on which a
145	145	policy is delivered or issued for delivery by the issuer; and
146	146	[H.] I. "superintendent" means the superintendent
147	147	of insurance."
148	148	SECTION 2. A new section of the Medicare Supplement Act
149	149	is enacted to read:
150	150	"[NEW MATERIAL] ANNUAL OPEN ENROLLMENT.--
151	151	A. Every issuer participating in the market for
152	152	medicare supplement policies shall offer an annual open
153	153	enrollment period to all eligible policyholders. Each eligible
154	154	policyholder's open enrollment period shall commence with the
155	155	first day of the eligible policyholder's birthday month and
156	156	remain open for at least sixty days thereafter. During the
157	157	open enrollment period:
158	158	(1) each eligible policyholder may purchase
159	159	any medicare supplement policy offered in this state; and
160	160	(2) an issuer shall not deny, delay or
161	161	condition the issuance or effectiveness, or discriminate in the
162	162	price of coverage, of a medicare supplement policy based on the
163	163	health status, claims, experience, receipt of health care or
164	164	medical condition of an eligible policyholder.
165	165	B. At least thirty days before the beginning of an
166	166	eligible policyholder's open enrollment period, but not more
167	167	than sixty days before the beginning of the open enrollment
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196	196	period, the issuer of an eligible policyholder's medicare
197	197	supplement policy shall notify the eligible policyholder of:
198	198	(1) the dates on which the open enrollment
199	199	period begins and ends;
200	200	(2) the rights provided to the eligible
201	201	policyholder by this section; and
202	202	(3) any modifications to the medicare
203	203	supplement policy currently held by the eligible policyholder
204	204	or any adjustments to the premiums charged for that policy."
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206	206	.228512.3