ABG Business Associates, LTD.

ATLANTIS POS

Health Plan
For 1 Employee Groups     

 Available ONLY in the 5 Boroughs in New York City
(Manhattan, Bronx, Queens, Brooklyn, & Staten Island)
Rates effective from 10/01/02 through 9/30/03

ATLANTIS POS PLAN

In Network - $20 Office Visit Copay 
Out of Network - $1000 / $2,500 Cat/Yr Deductible.

70/30% Coinsurance, Max $3,000/$7,500 out of pocket 
$250/hospital copay

RX-50% Copay based on Retail Cost of the Prescription

"MULTIPLAN NETWORK"