Upon offering coverage under a basic benefit coverage policy or subscription contract for an individual, spouse, family, or group member, the insurer shall provide such individual, spouse, family, or group member with a written disclosure statement containing at least the following:
1. An explanation of those mandated benefits and providers not covered by the policy or subscription contract.
2. An explanation of the managed care and cost control features of the policy or subscription contract, along with all appropriate mailing addresses and telephone numbers to be utilized by insureds in seeking information or authorization.
3. The written statement shall be provided to the prospective policyholder no later than at the time of policy delivery, and the original of the written statement shall be retained in the files of the insurer for the longer of the following:
a. The period of time that the policy or subscription contract remains in effect.
b. Five years.
4. Any material statement made by an applicant for coverage under a basic benefit coverage policy or subscription contract which falsely certifies as to the applicant's eligibility for coverage pursuant to section 513B.32 is a basis for termination of coverage under the policy or subscription contract.
5. All marketing communications intended to be utilized in the marketing of a basic benefit coverage policy or subscription contract in this state shall be submitted for review and their use is conditioned upon the prior approval of the commissioner. Marketing communications shall contain the disclosures required by this section.
91 Acts, ch 244, §13
CS91, § 514H.3
93 Acts, ch 80, § 20
CS93, § 513B.33
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