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 This field does not match the required pattern. Last name This field does not match the required pattern.
Email This field does not match the required pattern. Phone number This field does not match the required pattern.
City Zip code This field does not match the required pattern. Zipcode service is down.
State Select {{ stateItem }} County Select {{ countyItem }}
Agency name
Number of agents 1 - 24 25 and more

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

Already an agent?

Sign into your account and get started.