The notice in this section is for other health insurance policies not specifically identified in §§3.3604-3.3609 of this title (relating to Required Disclosure Statements for Policies that Duplicate Medicare), 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 §3.3613 adopted to be effective April 25, 1996, 21 TexReg 3370; amended to be effective April 14, 1999, 24 TexReg 3353