Applications and enrollment forms
Get employer applications, employee applications, and other supplemental enrollment forms.
Please log in to the agent secure portal to order larger quantities or contact your Humana Market Office.
Launch My Group
For the easiest upload option for Humana’s new electronic small group enrollment tool, Launch My Group, use this
Helpful tips and tricks for success are located within the
Small business List Enrollment
Submit employee enrollment through our list enrollment spreadsheets. Using list enrollment allows for cases to be enrolled faster, reduces missing information, and provides employers and employees plan information sooner!
For existing small business and new groups submitted with downloaded employer applications:
Life authorization form
Small business plan summaries
Download medical plan summaries for products in your area.
Customized client applications
In many states, agents can use our online tool to create customized applications.