1. (a) The evidence of coverage must be printed on paper of quality suitable for file-marking (not slick-faced) and filing for permanent record.
2. (b) For the conversion, individual, and group agreements and group certificates and all amendments, type must be light-faced, uniform sized, common-style not less than 10 points in height and with a lowercase unspaced alphabet length not less than 120 points. For other forms, type must be legible.

3. (c) The style, arrangement and overall appearance shall give no undue prominence to any portion of the text. The text of the group, individual and conversion agreements, the certificate, and all amendments include all printed matter except:

   1. (1) the name, address, and phone number of the HMO;
   2. (2) the name or title of the form;
   3. (3) the captions and subcaptions; and
   4. (4) any brief introduction to or description of the evidence of coverage.
4. (d) Each evidence of coverage must indicate by example information which will appear in any blanks, with the exception of single-case forms which must be filed complete and ready for use.
5. (e) An HMO must identify each form by a printed unique form number in accordance with §11.301(2) of this title (relating to Filing Requirements). Any change in form number is considered a change in the form and requires approval as a new form.
6. (f) Certain language shall not be varied or changed without resubmitting a form for the commissioner's approval. Changeable language must be enclosed in brackets and shall include the range of variable information or amounts.
7. (g) Each evidence of coverage must meet the readability standards of §3.601 and §3.602 of this title (relating to Purpose, Scope, Applicability and Definitions Used in This Subchapter, and Plain Language Requirements).

8. (h) Matrix Filings. A matrix filing must comply with the filing requirements in this section and §11.301 of this chapter (relating to Filing Requirements). In addition, an HMO submitting a matrix filing:

   1. (1) shall identify each provision with a unique form number that is sufficient to distinguish it as a matrix filing; and
   2. (2) may use the same provision filed under one form number for all HMO products, provided the language is applicable to each HMO product; however, any changes in the language to comply with the requirements for each HMO product will require a unique form number.

Source Note:The provisions of this §11.505 adopted to be effective January 1, 1980, 4 TexReg 4622; amended to be effective December 6, 1984, 9 TexReg 6011; amended to be effective December 4, 1987, 12 TexReg 4363; amended to be effective November 2, 1998, 23 TexReg 11347; amended to be effective February 24, 2005, 30 TexReg 854; amended to be effective November 15, 2006, 31 TexReg 9298.