Legal
UnitedHealthOne is the brand name used for products underwritten and administered by the
UnitedHealthcare family of companies offering personal health insurance, including Golden
Rule Insurance Company and American Medical Security Life Insurance Company. For costs,
benefits, exclusions, limitations, eligibility and renewal terms, call 888-276-8057 or visit
www.goldenrule.com/TV. When you call or visit, we will identify the particular underwriter
and/or administrator of products in your state. Product and network availability, and
benefits, vary by state. Medical service discounts vary by provider, geographic area and
service provided. Insurance is subject to health underwriting. Neither Golden Rule nor
American Medical Security is licensed in New York. Coverage may be provided through multiple
policies or certificates. Policy Forms: C-006.3 or -006.4; GRI-PA-20.1-06 or -21.1-06;
GRI-N21M-07 or -N21S-07; GRI-PA-22.1-10 or -23.1-10; GRI-N21M-15 or -N21S-15; GRI-N22M-16 or
-N22S-16; GRI-N21M-27, -N21M-27-HSA, -N22S-27, or -N22S-27-HSA; GRI-N21M-30 or -N21S-30;
GRI-N21M-40 or -N21S-40; GRI-N22M-49 or-N22S-49; GRI-H-5.7-06, -5.7-06, -5.7-07, -5.7-10,
-5.7-15, -5.7-28, -5.7-30, -5.7-39, -5.7-40, -5.7-49; MGR03928; MGR03927; TNI1000; TNI5000;
GRI-DEN1 or state variations.