- (A) Disclosure of information by health plan issuers. In connection with the offering of any health insurance coverage to a small employer, a health insurance issuer:
- (1) shall make a reasonable disclosure to such employer, as part of its solicitation and sales materials, of the availability of information described in subsection (B), and
- (2) shall, upon request of such a small employer, provide such information.
- (B) Information described.
- (1) In general. Subject to paragraph (3), with respect to a health insurance issuer offering health insurance coverage to a small employer, information described in this subsection is information concerning:
- (a) the provisions of such coverage concerning issuer's right to change premium rates and the factors that may affect changes in premium rates;
- (b) the provisions of such coverage relating to renewability of coverage;
- (c) the provisions of such coverage relating to any pre-existing condition exclusion; and
- (d) the benefits and premiums available under all health insurance coverage for which the employer is qualified.
- (2) Form of information. Information under this subsection shall be provided to small employers in a manner determined to be understandable by the average small employer, and shall be sufficient to reasonably inform small employers of their rights and obligations under the health insurance coverage.
- (3) Exception. An issuer is not required under this Section to disclose any information that is proprietary and trade secret information under applicable law.
(Source: P.A. 90-30, eff. 7-1-97; 91-357, eff. 7-29-99.)