New Mexico Public Schools Insurance Authority

NMPSIA Open/Switch Enrollment

It’s That Time of Year: The start of the NMPSIA 2025 Open/Switch Enrollment! Now is the time to review your current benefits and prepare to make changes, if needed. This year’s enrollment period runs from October 1, 2024 through November 1, 2024 and any changes are effective on January 1, 2025.

Please refer to the information panel on the left for more resources coming soon. If you have questions, please contact your employer’s benefits department HERE.

NMPSIA Open/Switch Enrollment Presentations

Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs)

The NMPSIA Open/Switch Enrollment is October 1, 2024, through November 1, 2024. Benefit elections during this time will be effective January 1, 2025.

Open/Switch Enrollment is the period each fall during which eligible employees may elect for the employee and/or eligible dependents to:

Enroll in one of the medical, dental, and or/vision plans offered by NMPSIA
Add eligible dependents on the medical, dental or vision coverage (2-year lock-in rule applies to vision coverage)
Change medical and/or dental carrier and/or medical and/or dental plan options

Benefits you elect during Open/Switch Enrollment will begin January 1, 2025.

Employees must enroll and/or make changes online. You can learn how to do so by visiting the NMPSIA online enrollment tutorials available HERE at the employee online enrollment tutorial page.
If you are adding an eligible dependent to your medical, dental or vision plan during Open/Switch Enrollment, you will need to submit supporting documentation: marriage certificate to add spouse and birth certificate(s) to add child(ren). If your employer offers domestic partner coverage, a completed Domestic Partner Affidavit is required to add a qualified domestic partner or domestic partner’s children.

The primary plan design remains unchanged. There are slight premium increases for Medical, Dental and Vision plans. A new dental carrier option, Blue Cross Blue Shield (BCBS) Dental, is a new offering along with Delta Dental and United Concordia Dental. Our Vision plan year is now July 1st through June 30th and now offers frames on an annual basis. The in-network allowance has increased to $150 and $200 at Visionworks.

Please carefully consider your options before you submit your Open/Switch enrollment changes. Once the Open/Switch Enrollment period ends your elections are locked in. You will not be able to make a change to your benefits unless a Qualifying Event is reported timely.

If you do not wish to change plans or carriers, you do not need to enroll again.

To assist employees in making this decision, we strongly suggest employees visit the NMPSIA Website nmpsia.com/OpenSwitchEnrollment.html to view the carrier recorded or slide presentations. The presentations include an overview of the plans of Blue Cross Blue Shield of New Mexico (BCBSNM), Presbyterian Health Plan, Delta Dental, United Concordia, Blue Cross Blue Shield (BCBS) Dental and Davis Vision.

Reminder: When you elect a medical plan, you automatically receive prescription drug coverage through CVS Caremark and Musuloskeletal surgical services through Surgery Plus (Lantern).

Open/Switch Enrollment Instructions

Voice Recorded Tutorials

Carrier Contacts

Download PDF

Click on logos to navigate to carrier site.

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