Leonard Abramson, a one-time cab driver, walked away yesterday with the biggest tip in his life—some $492 million in cash.

The 63-year-old Mr Abramson, the founder and chairman of U.S. Healthcare, stands to be the biggest winner under the terms of the $8.9 billion offer by Aetna Life and Casualty Company to acquire U.S. Healthcare. If the takeover is completed, Mr Abramson will not only gain the most cash from the deal but will also become the largest single holder of Aetna stock and a director of the company, which is based in Hartford.

Mr Abramson, appearing trim and deeply tanned at a news conference yesterday at the Waldorf-Astoria Hotel in midtown Manhattan, is one of the pioneers of managed health care. Born and raised in West Philadelphia, he is a self-made millionaire many times over....

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