As a reminder, by July 1, 2025, insurers and employer plan sponsors must comply with applicable reporting and payment obligations under the state’s Vaccine Purchasing Act (VPA). The reporting is required under the state’s VPA, which was enacted in 2015 and imposes surcharges on health insurers, group health plans, and third-party administrators (TPAs) to fund the state’s purchase of vaccines for children in the state. The reporting helps the state assess the quantity of vaccines to purchase, store, and distribute to insured children in the state.
Specifically, insurers and plan sponsors must report to the New Mexico Office of the Superintendent of Insurance the total number of children who are residents in the state, were enrolled in the plan during any part of the previous year, and were under the age of 19 as of the prior December 31. Children who are members of a Native American tribe or enrolled in Medicaid or another medical assistance program administered by the state are excluded from the reporting.
Employers should contact their carriers or TPAs to confirm if they will complete the required reporting for the plan. For further information, employers should refer to the VPA FAQs and May 2025, VPA Application User Guide, which are accessible via the links below.