Applications

Application for Coverage
Application for Coverage (Spanish)
Application for Newborn Coverage
Low Income Premium Program
Low Income Premium Program (Spanish)
Medicare Carve-Out

 

Forms

Automatic Payment Form
Automatic Payment Form (Spanish)
Authorization to Release PHI Form
W-9

Summary of Benefits

$500 Deductible Plan
$1,000 Deductible Plan
$2,000 Deductible Plan
$5,000 Deductible Plan

Documents

Policy Book
Plan of Operations
Open Meetings Policy

 

 

Board Agendas

March 24, 2017 [Regular]
March 24, 2017 [Annual]
January 20, 2017 [Regular]
December 2, 2016 [Regular]
October 21, 2016 [Regular]
September 23, 2016 [Special]
August 19, 2016 [Regular]
June 30, 2016 [Special]
June 23, 2016 [Special]
April 28, 2016 [Regular]
April 28, 2016 [Annual]

Correspondence

Renewal Letter for TPP
Rate Change Letter
Non-Tobacco User Affidavit
Non-Tobacco User Affidavit (Spanish)
Authorized Agreement for PreAuthorized Payments
Authorized Agreement for PreAuthorized Payments (Spanish) 

Statistics Packs

NMMIP Stats Pack 2016

Newsletters

NMMIP Newsletter 2016
NMMIP Newsletter 2014

Board Calendars

2017
2016

Financial Audits

2007 Financial Audit

2008 Financial Audit

2009 Financial Audit

2010 Financial Audit

2011 Financial Audit

2012 Financial Audit

2013 Financial Audit

2014 Financial Audit

2015 Financial Audit

2016 Financial Audit