New Mexico insurance fraud training

The requirement

What New Mexico requires

NMSA 1978, Section 59A-16C-10, part of the Insurance Fraud Act, requires every insurer that reported $10,000,000 or more in New Mexico direct written premium in the previous year to prepare, implement and submit an anti-fraud plan to the Superintendent by July 1 each year.

Under Section 59A-16C-10(B)(2), the plan must outline guidelines, appropriate to the type of insurance written, to educate appropriate employees on fraud detection and on the insurer's anti-fraud plan. The plan must also cover fraud prevention, detection and investigation, fraud investigators, reporting to law enforcement and regulators, and restitution.

The statute sets no training hours, frequency or new-hire deadline. The Superintendent may review the plan, require changes and ask for a summary of anti-fraud activities. A separate duty to report suspected fraud to the Office of Superintendent of Insurance applies to all insurers.

• Applies to insurers with $10 million or more in NM direct written premium
• Educate appropriate employees on fraud detection and the plan
• File the anti-fraud plan by July 1 every year

Sources, checked October 2026

• 1998 HB 141, Insurance Fraud Act, Section 10 (New Mexico Legislature)
• NM OSI notice on mandatory fraud reporting (December 2025)
• NMSA 59A-16C-10, 2025 compilation (Justia copy) (unofficial copy)

How NATG helps

Meet the New Mexico mandate with one program

• Annual and new-hire anti-fraud courses in versions for each line of business and department
• Online, or instructor-led at your location
• Completion records, certificates and reports for your fraud plan and examiners
• One program for every state you write in, tracked in one place

NATG specializes in insurance fraud and investigations. Our compliance courses are built around the detection, referral and reporting duties in state fraud plans.