California Code, Insurance Code - INS § 742.26

The multiple employer welfare arrangement shall issue to each covered employee a certificate evidencing coverage and a summary plan description of benefits and coverages provided.  This evidence of the benefits and coverage provided shall contain the following statement:  “The benefits and coverages described herein are provided through a trust fund established and funded by the __________ Plan, sponsored by the __________ Association.  The trust is a self-funded plan established under ERISA (29 U.S.C. 1001 et seq.).  This is not an insurance contract and the plan and trust is not acting as, or deemed to be an insurance company.”