The notice in this section is for policies that provide benefits for expenses incurred for an accidental injury only, and shall follow the content and format of one of the two statements (but not both simultaneously) set out in this section, as follows:
  (1) Original disclosure statement:Attached Graphic
  (2) Alternative disclosure statement:Attached Graphic

Source Note: The provisions of this §3.3604 adopted to be effective April 25, 1996, 21 TexReg 3370; amended to be effective April 14, 1999, 24 TexReg 3353