69O-203.202. Standards for Discount Plans

(1) Contracts for all Plans shall include all elements contained in this section: (a) Name and address of the DPO; (b) Telephone number for member assistance and Plan information; (c) Contracts shall include the name of the group, if applicable, and the name of the member; (d) Effective date and term of contract; (e) Space for charges and any one-time processing fee; (f) Mode of payment (monthly, quarterly, etc. with provision for change of mode if applicable); (g) Renewal, termination and cancellation conditions; (h) Benefits to be provided; (i) All limitations, exclusions and exceptions; (j) Provisions for adding new family members; and (k) Member complaint procedure. (2) The contract shall contain the entire agreement with the member. If a group arrangement is involved, contract terms may be included in a member handbook if incorporated by reference.