§1360.89. Direct agreement requirements; disclaimer
A.(1) A direct agreement shall include the following disclaimer:
"This agreement does not provide comprehensive health insurance coverage. It provides only the health care services specifically described."
(2) A direct agreement may not be sold to a group and may not be entered with a group of subscribers. A direct agreement shall be an agreement between a direct practice and an individual direct patient or a family of direct patients.
(3) Nothing shall prohibit the presentation of marketing materials to groups of potential subscribers or their representatives.
B. A comprehensive disclosure statement shall be distributed to all direct patients with their participation forms. The disclosure shall inform a direct patient of his financial rights and responsibilities to the direct practice as provided for in this Part, encourage a direct patient to obtain and maintain insurance for services not provided by the direct practice, and state that the direct practice will not bill a health insurance issuer for services covered under the direct agreement. The disclosure statement shall include contact information for the board.
Acts 2014, No. 867, §1.
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