Section 44-4709 - Evidence of coverage(1) Every subscriber shall be issued an evidence of coverage which shall contain a clear and complete statement of:(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.(2) Any amendment to the evidence of coverage may be provided to the subscriber in a separate document.Neb. Rev. Stat. §§ 44-4709