Agent Self-Service Center
Log in today for everything you need to quote, sell, and enroll group, Humana Medicare, and HumanaOne® plans:
- Quote and enroll new and existing accounts
- Print enrollment, eligibility, risk assessment, new business transferral, and other forms
- Use the Benefit Utilization Director to offer utilization and plan selection guidance to clients with 5-99 employees
- Get rate details, census information, and other renewal items.
Additional small business quoting resources*
Express Underwriting
Complete and submit Humana’s Express Underwriting Request and other forms to receive a firm risk rate within 48 hours on new small business quotes.
State Continuation
State Continuation provides health coverage to employees and their dependents when they no longer are active with an employer, and the employer has fewer than 20 employees.
- Quote Request Form
Fax or e-mail this form to EZ Rate for a small business group quote.
- Fax to 1-800-344-3294
- E-mail to easyrate@humana.com
- (99KB) - Download PDF
- English
*Contact your sales office with your large business needs
HumanaOne – Individual Health Insurance
Find out more about Humana's individual health insurance plans and get a quote on our Website at HumanaOne.com
Printable Enrollment and Change Forms
Get enrollment forms, continuation forms, eligibility certification forms, and privacy documents. Contact your Humana Market Office for large quantities.
Plan Summaries
Download medical plan marketing materials and plan summaries for products available in your area.
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