NM State Updates - 2015 May 19 No.01

On March 25, 2015, Superintendent of Insurance Franchini issued Bulletin No. 2015-012. This bulletin is in reference to the CMS bulletin issued on March 5, 2014 outlining transitional policies and their options. Under PPACA, states must change the definition of small group from 2-50 employees to 2-100 employees. The March 5, 2014, CMS guidance indicates that states can elect whether to implement the change on Jan. 1, 2016, or to renew groups of 51-100 into their existing large group policies through Oct. 1, 2016 (with coverage extending to Dec. 31, 2016). Under either option, all groups with 51-100 employees must be included in the small group market as of Jan. 1, 2017. According to the new bulletin, New Mexico will proceed with the second option, meaning large groups of 51-100 employees will be able to re-enroll into their existing policies through Oct. 1, 2016 and coverage for such will extend until Dec. 31, 2016. New Mexico employers that fall into 51-100 group should work with their insurer in determining whether re-enrollment is appropriate.

Bulletin No. 2015-012 »