Nebraska Revised Statutes Chapter 44. Insurance § 44-32,129. Group and individual contracts; required provisions

(1) Name and address of the health maintenance organization;

(2) Eligibility requirements;

(3) Benefits and services within the service area;

(4) Emergency care benefits and services;

(5) Out-of-area benefits and services, if any;

(6) Copayments, deductibles, or other out-of-pocket expenses;

(7) Limitations and exclusions;

(8) Enrollee termination;

(9) Enrollee reinstatement, if any;

(10) Claims procedures;

(11) Enrollee grievance procedures;

(12) Continuation of coverage;

(13) Conversion;

(14) Extension of benefits, if any;

(15) Coordination of benefits, if applicable;

(16) Subrogation, if any;

(17) Description of the service area;

(18) Entire contract provision;

(19) Term of coverage;

(20) Cancellation of group or individual contract holder;

(21) Renewal;

(22) Reinstatement of group or individual contract holder, if any;

(23) Grace period; and

(24) Conformity with state law.