Easy Enrollment
New Mexico Human Services Department (HSD), beWellnm (New Mexico’s Official Health Insurance Marketplace), the New Mexico Office of the Superintendent of Insurance (OSI), and the New Mexico Taxation and Revenue Department (TRD), announced the launch of Easy Enrollment. This new program allows New Mexicans to check a box on their state income tax form to see if they qualify for low-cost or no-cost health care coverage through Medicaid or beWellnm.
The forms below are to help you establish an account once you are ready to enroll in the marketplace.
BeWellnm Letter of Explanation – Other Public Program (Non-ESI MEC)
BeWellnm Carta de Explicación - Cobertura de Otro Programa Público (Non-ESI MEC)
BeWellnm Paper Application (English)
BeWellnm Paper Application (English - Large Print)
BeWellnm Paper Application (Spanish)
BeWellnm Paper Application (Spanish - Large Print)
BeWellnm Confidentality Statement
BeWellnm Consent Fillable Form
BeWellnm Fillable Consent (Spanish)
NMHIX ACH Form for Premium Payments (PDF)
NMHIX-ACH-Form-for Premium Payment (Word)
YesNM Account Information
Employer Coverage Tool – Worksheet
Zero-Dollar-Income-Affidavit (English)