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We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.
Small Business Health Insurance Premium Relief
Small businesses are the backbone of New Mexico’s economy and need help getting lower health insurance costs for themselves and their employees. The New Mexico Legislature worked with Governor Michelle Lujan Grisham to pass legislation and establish the Health Care Affordability Fund.
The Small Business Health Insurance Premium Relief Initiative was the first initiative started on July 1, 2022, funded by the Health Care Affordability Fund, and administered by the New Mexico Office of Superintendent of Insurance (OSI). This initiative reduces health insurance premiums for small businesses purchasing coverage in the small-group market.
Since July 2024, the Health Care Affordability Fund and all its initiatives have transitioned administration to the Health Care Authority.
Small Business Health Insurance Premium Relief Initiative Regulations
What is the Small Business Premium Relief Initiative?
The Small Business Premium Relief Initiative is a cost-saving program for small businesses in New Mexico that provides financial assistance to help employers offer small-group medical plans to their employees.
Eligible small businesses may receive:
- 10% premium relief when enrolling in Bronze or Silver plans
- 15% premium relief when enrolling in Gold or Platinum plans
Participating health insurance carriers:
- Blue Cross Blue Shield of New Mexico
- Presbyterian Health Plan
- UnitedHealthcare
What is considered a small business?
In New Mexico, a small business is one that employs 50 or fewer full-time equivalent employees.
For Issuers: PY25 Small Business Reconciliation Training – held March 2026
Bulletins
Resources for Small Business Owners and Employees
Resources for Insurance Producers
- OSI held virtual information sessions for insurance producers throughout the month of May. Additional sessions can be scheduled upon request.
- Click here to view slides presented on May 3.
Resources for Health Insurance Issuers
- **NEW March 2026** PY25 Small Business Notice of Guidance_FINAL
- **NEW March 2026** PY25 Small Business Reconciliation Training Presentation Slides
- **NEW March 2026** PY25 Small Business Annual Reconciliation Reporting Template (Excel download)
- **NEW March 2026** PY25 Small Business Annual Reconciliation EXAMPLES (Excel download)
- **CORRECTED**Jan 2026 – June 2026 Small Business Program Guidance
- HCAF Bulletin 2025-002: Premium Reduction Percentage for Coverage Jul 1 – Dec 31, 2025
- PY25 Small Business Reporting Template – Monthly (Excel download)
- PY25 Small Business FAQs for Jul 1 – Dec 31, 2025
- PY24 Reconciliation Training Refresher – Small Business (video)
- FINAL PY24 Guidance – Small Business
- PY24 Annual Reconciliation Template – Small Business (Excel download)
- PY24 Annual Reconciliation Examples – Small Business (Excel download)
- PY24 Attestation Form – Small Business
- PY23 Attestation Form
- PY23 Annual Reporting Template (Excel file)
- PY23 Annual Reconciliation Examples (Excel file)
- PY22 Monthly Reporting Template (downloads Excel file)
- PY22 Updated Annual Reporting Template – Monthly Renewal Date (downloads Excel file)
- PY22 Updated Annual Reporting Template – Quarterly Renewal Date (downloads Excel file)
- PY22 Annual Data Reporting Instructions
- PY22 Attestation Form
- PY22 Data Form for Hearings (Optional) (downloads Excel File)

