19 Miss. Code. R. 1-24.03
No insurer may issue or deliver a life, health or annuity policy or contract to a policy or contract owner and no health maintenance organization (HMO) may issue or deliver a health maintenance organization subscriber contract or certificate in the State of Mississippi unless a summary document describing the general purposes and current limitations of the Mississippi Life and Health Insurance Guaranty Association Act is delivered to the policy or contract owner at the time of delivery of the policy or contract. The summary document shall also be available upon request by a policy or contract owner. Insurers and HMOs shall retain evidence of compliance with Miss. Code Ann. § 83-23-235(2) and this Regulation for so long as the policy or contract for which the notice is given remains in effect.
Such summary document shall be in the form attached hereto as Appendix A, which is hereby made a part of this Regulation. Insurers and HMOs may print the summary document on a separate sheet of paper but shall use the order, format and content of the summary document, as approved and prescribed by the Commissioner of Insurance. The summary document shall be printed or typed in easy-to-read type, size and style.
A form filing is not required for the summary document. The summary document shall not be made a part of the policy or contract with which it must be delivered.
19 Miss. Code. R. 1-24.03