{"data":{"id":"us-nm/59a-54-14","jurisdiction":"us-nm","citation":"59A-54-14","heading":"Deductibles; coinsurance; maximum out-of-pocket payments.","body":"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.\nB. 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.\nC. The maximum aggregate out-of-pocket payments for eligible expenses by the insured shall be determined by the board.","path":["Chapter 59A - Insurance Code","ARTICLE 54 Medical Insurance Pool"],"source_url":"https://nmonesource.com/nmos/nmsa-unanno/en/item/18562/index.do","current_through":"2026-07-01","vintage":"","retrieved_at":"2026-09-03T15:02:20Z","sha256":"f515440dee6079d30e5978d5d0a59068385e86f56bde46aecbcecf9448563315","source_id":"us-nm","stale":false,"prev":"us-nm/59a-54-13","next":"us-nm/59a-54-15"},"notice":"GroundRules: Original legal text. Not legal advice."}