New Mexico § 59A-54-14 Deductibles; coinsurance; maximum out-of-pocket

New Mexico Statutes

§ 59A-54-14 — Deductibles; coinsurance; maximum out-of-pocket

New Mexico § 59A-54-14

Ch. 59AInsurance Code

Art. 54Medical Insurance Pool

This text of New Mexico § 59A-54-14 (Deductibles; coinsurance; maximum out-of-pocket) is published on Counsel Stack Legal Research, covering New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

N.M. Stat. Ann. § 59A-54-14 (2026).

Text

payments.

A.Subject to the limitation provided in Subsection C of this section, a pool policy offered in accordance with the Medical Insurance Pool Act shall impose a deductible on a per-person calendar-year basis. Deductible plans of five hundred dollars ($500) and one thousand dollars ($1,000) shall initially be offered. The board may authorize deductibles in other amounts. The deductible shall be applied to the first five hundred dollars ($500) or one thousand dollars ($1,000) of eligible expenses incurred by the covered person.

B.Subject to the limitations provided in Subsection C of this section, a mandatory coinsurance requirement shall be imposed at the rate determined by the board.

C.The maximum aggregate out-of-pocket payments for eligible expenses by the insured shall be deter

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payments. A. Subject to the limitation provided in Subsection C of this section, a pool policy offered in accordance with the Medical Insurance Pool Act shall impose a deductible on a per-person calendar-year basis. Deductible plans of five hundred dollars ($500) and one thousand dollars ($1,000) shall initially be offered. The board may authorize deductibles in other amounts. The deductible shall be applied to the first five hundred dollars ($500) or one thousand dollars ($1,000) of eligible expenses incurred by the covered person. B. Subject to the limitations provided in Subsection C of this section, a mandatory coinsurance requirement shall be imposed at the rate determined by the board. C. The maximum aggregate out-of-pocket payments for eligible expenses by the insured shall be determined by the board.