1. A. An insurer that is required to file a health insurance advertisement with the Department as specified in A.R.S. §§ 20-826(T), 20-1018, 20-1057(X), 20-1110(E), or 20-1662 shall file the advertisement with a transmittal form prescribed by the Department.

2. B. The transmittal form shall include the following information:

   1. 1. Identifying information of the insurer, including name, address, National Association of Insurance Commissioners’ identification number, and type of insurer;
   2. 2. A contact person at the insurer with whom the Department can communicate about the advertisement;
   3. 3. Description of the type of advertisement being filed;
   4. 4. Planned use and dissemination of the advertisement, including date of first use, or a statement that the advertisement will not be used any earlier than a specified date;
   5. 5. Description of product being advertised;
   6. 6. Form number and name for the advertised product;
   7. 7. A certification from an officer of the insurer that the advertisement complies with applicable laws; and
   8. 8. The dated signature of the insurer’s officer.

Form

Historical Note

New Section made by final rulemaking at 13 A.A.R 2061, effective August 4, 2007 (Supp. 07-2).