Affordable Health Insurance
for Individuals and Small Business Owners

PROGRAM HIGHLIGHTS

Affordable health insurance
Designed especially for self-employed individuals and small business owners
Medical insurance is available wherever you live
Comprehensive medical and prescription drug coverage with United Healthcare (UHC). UHC is the carrier that many “Fortune 500” companies use to provide medical coverage for their employees
Coverage is guarantee issue - no medical questions
Your premium doesn’t depend on your age sex or health status

Complete the Following Form to receive
Addtional Plan Details and Monthly Premium Estimate.

There is no obligation.
Personal Information	Current medical coverage
Name	Single Family	Parent & Child Husband & Wife
E-mail	Current Monthly Premium
Your Profession (Type of Work)	Date you want coverage to begin
State Zip Telephone	Are you currently on COBRA? Yes No Date Cobra coverage ends:
One Person Group Administered by: Benefit & Compensation Consultants 70 Linden Oaks, 3rd Floor Rochester NY 14625 Tel: 1-888-962-5353 Fax: 866-896-865 E-mail: info@opgus.com Your Insurance Broker Jim Rakvica	Current Carrier Name & Address Type of Coverage HMO/EPO PPO/POS HSA

OR

Download the PDF document below
which contains a More Complete Description
of One Person Group's Benefits, available Plans and their Program.

Requires Adobe Acrobat Reader