You can use the forms below for different purposes, which are briefly summarized to the right of the form name. Find the form that you need and then click on the link for the form. It will open up in a separate browser. If applicable, print the form and fill it out. All forms should be mailed to us at:

Rimato & Associates
Attn.: Heather Rimato
103 Circle Way, Suite B
Lake Jackson, TX 77566

• UHC_ee app.pdf - Employee enrollment/change form used for adding new employee or changing a currently covered employees coverage.



• US-D.pdf - The United Health Care US-D Benefit Brochure.



• US-F.pdf - The United Health Care US-F Benefit Brochure.



• US-J.pdf - The United Health Care US-J Benefit Brochure.



• US-N.pdf - The United Health Care US-J Benefit Brochure.



• AN-A.pdf - The United Health Care AN-A Benefit Brochure.



• AN-C.pdf - The United Health Care AN-C Benefit Brochure.