Banner
  • Decrease font size
  • Default font size
  • Increase font size
  • default color
  • color1 color
  • color2 color
  • color3 color

Upcoming Dates

July 1, 2010

New rates apply to New Mexico HRP plans.

Federal High Risk Pool Plan becomes active in New Mexico.

 

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 Application/Forms PDF Print E-mail

(NEW) [Click Here] For a comparison of the New Mexico High Risk Pool and the Federal High Risk Pool plans offered by the New Mexico Medical Insurance Pool.

Application for Coverage [Click Here]

Purpose of form:  This form is to be used to submit information to NMMIP for an initial application of changes to current coverage.

Low Income Premium Program Application [Click Here]
Purpose of form:  This form is used to determine if an applicant would qualify for a reduced premium rate.

Automatic Payment Form [Click Here]
Purpose of form:  Provides a format for automatic payments on your policy.

2009 Insurer Direct Premium Request Form [Click Here]
Purpose of form:  A form for New Mexico licensed insurers to report the total direct premiums written in New Mexico for accident and health insurance for calendar year 2009.

New Mexico High Risk Pool (NMHRP) Employment Verification Form [Click Here]
Purpose of form: A form to establish employment verification.

New Mexico High Risk Pool (NMHRP) Self-Employment Verification Form [Click Here]
Purpose of form: A form to establish self-employment verification.

For immediate assistance regarding applying to the new Federal High Risk Pool in New Mexico  - Please contact the New Mexico Medical Insurance Pool Office at (505) 424-7105 or Toll Free at (866) 622-4711.

All forms on this page require Adobe Acrobat Reader.  Click the button for free software download to be able to view the forms linked to this page.  When you click the button below, you will be redirected to Adobe Systems Incorporated website and can follow the download instructions.