1. (a) Every subscriber shall be issued an evidence of coverage, which shall contain a clear and complete statement of:

   1. (1) The health services to which each enrollee is entitled;
   2. (2) Eligibility requirements indicating the conditions which must be met to enroll in a Health Care Plan;
   3. (3) Any limitation of the services, kinds of services or benefits to be provided, and exclusions, including any reasonable deductibles, copayments, or other charges;
   4. (4) The terms or conditions upon which coverage may be cancelled or otherwise terminated;
   5. (5) Where and in what manner information is available as to where and how services may be obtained; and
   6. (6) The method for resolving complaints.
2. (b) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.

(from Ch. 111 1/2, par. 1409.7)

(Source: P.A. 97-1148, eff. 1-24-13.)