(A) A licensee shall disclose to the department, each client company, and its assigned employees information relating to any insurance or benefit plan provided for the benefit of its assigned employees. Benefit plan information must be provided to the assigned employees and the assigned employees shall sign a statement disclosing they have read and understand the benefit plan information prior to enrollment of assigned employees into the plan. The information must, at a minimum, include:

1. (1) the type of coverage;
2. (2) the identity of each insurer for each type of coverage;
3. (3) the amount of benefits provided for each type of coverage and to whom or on whose behalf benefits are to be paid;
4. (4) the policy limits on each insurance policy;
5. (5) whether the coverage is fully insured, partially insured, or fully self-funded; and
6. (6) other information, such as full disclosure of deductibles or co- payments.