-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Hk1s+OHXNQ093l3fOIQX4jYrobx+rsUUXIfgKCOuFosQNKcafXkrBY67+8tUfCrF 4TMW9M1QDRwgep1pyBMCZA== 0000703701-05-000039.txt : 20051014 0000703701-05-000039.hdr.sgml : 20051014 20051014163348 ACCESSION NUMBER: 0000703701-05-000039 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20051014 DATE AS OF CHANGE: 20051014 EFFECTIVENESS DATE: 20051014 FILER: COMPANY DATA: COMPANY CONFORMED NAME: USHEALTH Group, Inc. CENTRAL INDEX KEY: 0000703701 STANDARD INDUSTRIAL CLASSIFICATION: ACCIDENT & HEALTH INSURANCE [6321] IRS NUMBER: 731165000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-10873 FILM NUMBER: 051139240 BUSINESS ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY STREET, UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8178783300 MAIL ADDRESS: STREET 1: 3100 BURNETT PLAZA STREET 2: 801 CHERRY STREET, UNIT 33 CITY: FORT WORTH STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: ASCENT ASSURANCE INC DATE OF NAME CHANGE: 19990331 FORMER COMPANY: FORMER CONFORMED NAME: WESTBRIDGE CAPITAL CORP DATE OF NAME CHANGE: 19920703 15-12G 1 f151005.htm FORM 15 FORM 15

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 15

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

Commission File Number: 1-8538        

USHEALTH Group, Inc.

(Exact name of registrant as specified in its charter)
3100 Burnett Plaza, Unit 33, 801 Cherry Street, Fort Worth, Texas 76102, (817) 878-3300

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Common Stock, par value $.01 per share

(Title of each class of securities covered by this Form)

None

(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

Rule 12g-4(a) (1) (i) |X| Rule 12h-3(b) (1) (i) |X|
Rule 12g-4(a) (1) (ii) |   | Rule 12h-3(b) (1) (ii) |   |
Rule 12g-4(a) (2) (i) |   | Rule 12h-3(b) (2) (i) |   |
Rule 12g-4(a) (2) (ii) |   | Rule 12h-3(b) (2) (ii) |   |
   Rule 15d-6 |X|

Approximate number of holders of record as of the certification or notice date: one

Pursuant to the requirements of the Securities Exchange Act of 1934, USHEALTH Group, Inc. has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

Date: October 14, 2005

USHEALTH Group, Inc.

By : /Cynthia B. Koenig/                                                             
Name: Cynthia B. Koenig
Title: Senior Vice President and Chief Financial Officer

Instruction: This form is required by Rules 12g-4, 12h-3 and 15d-6 of the General Rules and Regulations under the Securities Exchange Act of 1934. The registrant shall file with the Commission three copies of Form 15, one of which shall be manually signed. It may be signed by an officer of the registrant, by counsel or by any other duly authorized person. The name and title of the person signing the form shall be typed or printed under the signature.

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