At the time of the initial purchase of coverage, a carrier who offers benefits additional to the benefits offered in the Comprehensive Standard Health Benefit Plan shall obtain a signed disclosure statement certifying that: The small employer was offered the Standard Comprehensive Health Benefit Plan; and Additional benefits were offered and priced separately. The disclosure statement required in §A of this regulation shall be in at least 12-point type and shall read as follows: The disclosure statement required by §A of this regulation may be included on the carrier's sales proposal sheet. The carrier or insurance producer shall maintain the signed disclosure statement for not less than 5 years.