(c) An advertisement of a policy shall contain in a prominent place and style the appropriate statement for the coverage provided, as determined by the definitions in 11 NYCRR 52.5-52.11 (Insurance Regulation No. 62), as follows:

1. (1) This policy meets the minimum standards for basic hospital insurance as defined by the New York State Department of Financial Services. It does NOT provide basic medical or major medical insurance. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.
2. (2) This policy meets the minimum standards for basic medical insurance as defined by the New York State Department of Financial Services. It does NOT provide basic hospital or major medical insurance. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.
3. (3) This policy meets the minimum standards for major medical insurance as defined by the New York State Department of Financial Services. It does NOT provide basic hospital or basic medical insurance. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.
4. (4) This policy provides limited benefits health insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.
5. (5) This policy provides disability income insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.

6. (6) This policy provides ACCIDENT insurance only. It does NOT provide basic hospital, basic medical or major medical insurance as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.

   IMPORTANT NOTICE—THIS POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS.

7. (7) This policy provides DENTAL insurance only. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.

8. (8) This policy meets the minimum standards for MEDICARE SUPPLEMENT INSURANCE as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is _____ percent. This ratio is the portion of future premiums that the company expects to return as benefits, when averaged over all people with this policy.

   IMPORTANT NOTICE—A CONSUMER'S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER.

   Such statements may be made to conform to the actual insurance provided where such insurance complies with more than one of the definitions contained in such sections 52.5 through 52.11. The requirements for disclosure of the expected benefit ratios of policies as provided in this section shall not apply to group policies as defined in sections 221 and 253(6) of the Insurance Law.