Daniel Mejia is a sponsor for Association Heath Care Management, Inc., which operates the discount medical plan Family Care Choice Plan. The three page document is an application for the Family Care Choice Plan, which provides discounts on healthcare services such as physician visits, diagnostic services, and prescriptions. Applicants provide personal information and choose a payment method of monthly, quarterly, semi-annually or annually payments by bank draft, credit card, or invoice. By signing, applicants agree to the terms and conditions of the discount plan and understand it is not insurance.