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What is the New Mexico Medical Insurance Pool (the Pool)?

The pool was created to provide access to health insurance coverage to all residents of New Mexicans who are denied adequate health insurance and are considered uninsurable.

When was the Pool started?

The New Mexico Medical Insurance Pool (NMMIP) was established by the 1987 New Mexico State Legislature.

Who is the Pool administrator?

The Pool is administered by BlueCross BlueShield of New Mexico who handles eligibility, enrollment, member services, and claims processing.

Who has the Executive Services contract for the Pool?

The Delta Consulting Group has the Executive Services contract to run the day-to-day operations of the Pool.

How does one apply for coverage?

Complete an application and submit it along with requested documentation and a check for the first month’s premium. Instructions for submission, as well as contact information for questions, are on the application form

New Mexico High Risk Pool Qualifying Rates PDF Print E-mail

Note to ALL individuals using the information on this page:

Qualifying Rates are NOT the same as Monthly Premiums and should NOT be used when making a payment to the Pool's administrator Blue Cross Blue Shield of New Mexico. 

The information below explains what the Qualifying Rates are and how they are determined by the Pool's actuary. 

Please refer to the Monthly Premiums tab [Click Here] to locate your monthly premium when making a payment to Blue Cross Blue Shield of New Mexico.

The Pool determines appropriate rates through a review of the average rates charged by major New Mexico health insurers for individual health coverage.

This average rate is called the "Qualifying Rate" and the Pool's actuary updates this rate twice a year in order to reflect changes in the market, often referred to as "trend." As a result, the Pool's rates will increase when market rates go up.

New Mexico law also stipulates that the Pool's rates must be set at a certain percentage level above this Qualifying rate. This difference is referred to as the "multiplier."

125% Qualifying Rates (Monthly):  Female 2013 [Click Here]

125% Qualifying Rates (Monthly):  Male 2013 [Click Here]
 

Board Meeting

Special Board Meeting

Date: May 21, 2013
Time: 8:00 AM - 9:00AM

Location:
Telephone Conference

Special Meeting Agenda
[Click Here]