New Mexico Public Schools Insurance Authority

Carrier Contacts

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Benefits
New Mexico Public Schools Insurance Authority
Customer Service for Administrative issues Issues \| Claim Issues \| Appeals		1.800.548.3724	nmpsia.com
NMPSIA Eligibility Administrative Office
Erisa Administrative Services, Inc. Eligibility \| Enrollment \| Premium Billing \| COBRA Administrator		1.800.233.3164	nmpsiaonline.nmpsia.com
MEDICAL
Carrier	Group #	Customer Service	Website Address
	N05501 – High N05502 – Low 213895 – EPO	1.888.966.7742	www.bcbsnm.com/nmpsia
Video Visits: mdlive.com!NMPSIA (or visit bcbsnm.com; log in as a member to locate the link)
	3343552	1.800.244.6224	connections.cigna.com/newmexico/ Service ended 6/30/2024
Video Visits: visit myCigna.com for appointment via MDLIVE
	A0000035	1.888.275.7737	www.phs.org/health-plans/employer-plans/Pages/new-mexico-public-schools-insurance-authority.aspx
Video Visits: visit phs.org and click on "Login to MyPres" to locate link
	n/a	1.888.726.1350	surgeryplus.com
PRESCRIPTION DRUGS
	RxBIN 004336 RxPCN ADV RxGRP RX22AS	1.877.787.0652	www.caremark.com
DENTAL
	8564 – Low 8565 – High	1.877.395.9420	www.deltadentalnm.com/
	812022 (refer to ID card or subgroup #)	1.888.898.0370	www.unitedconcordia.com/benefits/clients-corner/New-Mexico-Public-School-Client-Corner-Dental-Benefits
VISION
	3066	1.800.999.5431	www.davisvision.com/member
LIFE AND DISABILITY
	645549	1.888.609.9763 Ext. 0957	nmpsia.com/TheStandard.html

Applying for Life and LTD Coverage

Applying for Life & LTD Coverage - Late Enrollment

For Additional Life or Long Term Disability that is declined or if the employee chooses to enroll after the 31-day enrollment deadline, to add these coverages the employee needs to:

Complete an Employee Enrollment/Change Form or Request via Employee Login Online System
Respond to Evidence of Insurability Email
Wait for Decision by The Standard

This applies to requests for LTD coverage or Additional Life for the employee and Dependent Life coverage for spouse.

Step 1
Complete a paper Employee Enrollment/Change Form and submit to your employer’s Benefits office or apply via Employee Login online system.

Step 2
Respond to Evidence of Insurability email from The Standard to complete the Evidence of Insurability application

Note: The late enrollment process is available anytime of the year. A tutorial can be found here.

What is evidence of insurability?
EOI is a statement or proof of a person's physical condition that is required to obtain certain types of insurance.