(a) the identifying form number of each form submitted;

(b) if the form is a policy, the kind of accident and health by reference to the statutory and regulatory authority therefor; and the kind of policy as defined in section 52.5, 52.6, 52.7, 52.8, 52.9, 52.10 or 52.11 of this Part;

(c) a statement whether the form is new or supersedes an approved or filed form or forms;

(d) if the form supersedes an approved or filed form, the form number and date of approval or filing of the superseded form and any material differences from the superseded form. If approval of the superseded form is still pending, the form number, control number assigned by the department and the submission date;

(e) if the form had previously been submitted for preliminary review, a reference to the previous submission and a statement setting out either:

(f) if the form is submitted in accordance with subdivision (c) of section 52.32 of this Part, identification of the prefiled group coverage;

(g) if the form is other than a policy, give the form number and approval date of the policy or policies with which it will be used; however, if the form is for general use, the department may accept a description of the type of policy with which it may be used in lieu of the form number and approval date;

(h) if the form is a policy, the form numbers and dates of approval of any applications previously approved to be used with the policy unless the application is required to be attached to the policy upon submission;

(i) if the policy is designed to be used with insert page forms, a statement of the insert page forms which must always be included in the policy and a list of all optional pages, together with an explanation of their use;

(j) if the form of a domestic insurer is intended for delivery exclusively outside New York: