Before entering into a policy or contract of medical stop-loss insurance with a small employer, a carrier shall provide the small employer a completed medical stop-loss insurance disclosure form. When determining whether an employer satisfies the definition of a small employer, the carrier shall base the determination on the definition that applies on the proposed effective date of the medical stop-loss insurance policy or contract. The medical stop-loss insurance disclosure form shall be printed in at least 12-point type. The portion of the medical stop-loss insurance disclosure form that requires a listing of any limitations in the medical stop-loss insurance policy or contract is required to include any: Dollar limitations in the medical stop-loss insurance policy or contract, such as annual limitations; Day or visit limits on the services covered under the medical stop-loss insurance policy or contract; Limitations or exclusions that apply to benefits covered under the medical stop-loss insurance policy or contract, such as: Pre-existing condition exclusions; Exclusions or limitations for particular services, such as an exclusion or limitation for prescription drugs or mental health services; Exclusions or limitations for particular medical conditions, such as AIDS; Limitations or exclusions for non-medically necessary services; and Limitations or exclusions for experimental or investigational services; and Different attachment points for any particular service, such as organ transplants.