R590-249-4. General Instructions

An insurer shall provide a clear written statement that discloses any policy limitation or exclusion, including a related secondary medical condition, that is set forth in the policy: (1) upon application; (2) when requested by the insured; and (3) in any materials a carrier is required to provide to an insured, including the Summary of Benefits and Coverage as defined in 45 CFR 147.200.