Become a Contracted Agent with Humana

As an agent, if your intention is to contract with a specific agency, we recommend contacting that agency directly to ensure a smooth contracting process. If you are a licensed insurance agent looking to contract directly with Humana, complete the form below.

This form is for agents. If you are a consumer looking for answers, get help here.

Required fields

1. Tell us about yourself

First name
Last name
Email
Phone number
City
Zip code
State
County
Agency name
Number of agents
1 - 2425+
Languages spoken
English
Spanish
Cantonese
Mandarin
Korean
Tagalog
Vietnamese
Other
Do you currently have an active health/life license?
YesNo
Are you a Veteran?
YesNo

2. Tell us what you're interested in

I'd like to know more about:
Individual Dental and/or Vision
Medicare
Group
Other/Additional questions (please tell us more below)
Other comments

3. Tell us why you want to contract as an agent with Humana?

Enter response here
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