Nebraska Revised Statutes Chapter 44. Insurance § 44-4709. Evidence of coverage

(a) The services to which each enrollee is entitled;

(b) Any limitation of the services, kind of services, or benefits to be provided and exclusions, including any deductible, copayment, or other charges;

(c) Where and in what manner information is available as to where and how services may be obtained; and

(d) The method for resolving complaints.