Except as provided in this chapter, any statutory provision in this Title applicable to individual health insurance that mandates medical benefits or coverage for certain specific health services or diseases or certain providers of health care services does not apply to basic care medical plans issued pursuant to this chapter.

§2764.__Applicability of certain provisions relating to

individual health insurance

The provisions of section 2736-C, including, but not limited to, those provisions relating to community rating, guaranteed issuance and guaranteed renewal, apply to basic care medical plans issued pursuant to this chapter.

§2765.__Disclosure

1. Statement to insured. On the application for coverage, the carrier shall provide potential enrollees with a written statement containing at least the following:

A. An explanation of the terms and conditions for benefits under the plan, including information about covered services, deductibles, coinsurance and out-of-pocket maximum limits;

B. An explanation of those mandated benefits and providers that are not covered by the plan pursuant to section 2763; and

C. An explanation of the managed care and cost control features of the plan.

2. Statement from enrollee. Before issuing a plan to an eligible enrollee, a carrier shall obtain from the eligible enrollee a signed written statement in which the eligible enrollee:

A. Certifies that the enrollee and all dependents are eligible for coverage under the plan;

B. Acknowledges the limited nature of the coverage and an understanding of the managed care and cost control features of the plan; and

C. Acknowledges that, if misrepresentations are made regarding eligibility for coverage, the person making the