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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 Application/Forms PDF Print E-mail

The following documents are designated for the New Mexico High Risk Pool (NMHRP):


 

Notice to Applicants

Only "original" application forms will be accepted.

Applications that are faxed or received by Email will no longer be accepted.


 

Applications

[Click Here] Application for Coverage

[Click Here] Application for Coverage (Spanish/en Espanol)

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


[Click Here]
Low Income Premium Program Application

[Click Here] Low Income Premium Program Application (Spanish/en Espanol)

Purpose of form: This form is used to determine if an applicant would qualify for a reduced premium rate.


[Click Here
] Application for Newborn Coverage

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



Additional Forms

[Click Here] Automatic Payment Form

Purpose of form: Provides a format for automatic payments on your policy.


[Click Here] 2010 Insurer Direct Premium Request Form
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 2010.


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


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

For immediate assistance regarding the Pool - Please contact the New Mexico Medical Insurance Pool Office at (505) 424-7105 or Toll Free at (866) 622-4711.


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