1. Every subscriber must be issued an evidence of coverage, which must contain a clear and complete statement of:
a. The limited health services to which each enrollee is entitled.
b. Any limitation of the services, kinds of services or benefits to be provided, and exclusions, including any deductible, copayment, or other charges.
c. Where and in what manner information is available as to where and how services may be obtained.
d. The method for resolving complaints.
2. Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.