11.   More important for the company will be increasing competition among providers of so-called managed healthcare plans including health maintenance organizations, Zuckerman said.

12.   Nevertheless, major employers and managed health care plans have turned to specialized pharmacy benefit companies to create preferred drug lists and new co-pay systems.

13.   President Clinton vowed Monday to veto Republican legislation that would provide some protections for patients in managed health care plans, saying it fails to offer key safeguards.

14.   She urged Congress to pass a bill allowing the elderly in managed plans to turn directly to specialists when they become ill.

15.   She tried unsuccessfully to make an appointment with the doctor at her managed health care plan.

16.   Some economists fear that employment costs could take off once the savings from the enrollment of workers in managed health care plans runs its course.

17.   The coalition also offers an array of health maintenance organizations and other managed plans.

18.   The loosely managed plans, called preferred provider organizations, are not new, but their popularity is surging.

19.   The legislation, which would give consumers more clout in dealing with their managed health care plans, has been opposed for years by Senate Republican leaders.

20.   The Norwalk-based company offers managed health care plans.