At the time a pet insurance policy is issued or delivered to a policyholder, the insurer shall include a written disclosure with all of the following information, printed in 12-point boldface type:

1. (a) The department’s mailing address, toll-free telephone number established pursuant to Section 12921.1, and internet website address.
2. (b) The address and customer service telephone number of the insurer or the agent or broker of record.
3. (c) A statement that the department should be contacted only after discussions with the insurer, or its agent or other representative, have failed to produce a satisfactory resolution of the problem.
4. (d) If the policy was issued or delivered by an agent or broker, a statement advising the policyholder to contact the broker or agent for assistance.