When a carrier offers the Limited Benefit Plan to a small employer qualified under Insurance Article, §15-1209, Annotated Code of Maryland, and the small employer chooses the Limited Benefit Plan, the carrier shall obtain a signed disclosure statement certifying that: The small employer was offered the Limited Benefit Plan; and The small employer received notice that more comprehensive coverage is available under the Comprehensive Standard Health Benefit Plan. The disclosure statement required in §A of this regulation shall be in at least 12-point type and shall read as follows: The carrier shall maintain the signed disclosure statement for not less than 5 years.