Forms for Agents and Brokers

Visit this page to find all the forms you need to make your job a little easier.

Small Business and Large Group Forms

Application & Enrollment Forms

Get employer applications, employee applications, and other supplemental enrollment forms.

Please log in to the agent secure section to order larger quantities or contact your Humana Market Office.

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!

List Enrollment – Medical – Use for employer medical health plans – all community rated groups with an average payroll count of 50 or less employees. List Enrollment User Guide List Enrollment User Guide provides an overview of what is needed when list enrollment is used. For employers with a greater average payroll count, please contact your Humana Sales Associate.

List Enrollment – Specialty – Use for employer specialty benefits plans – dental, vision, life and disability products. List Enrollment User Guide provides an overview of what is needed when list enrollment is used.

Marketing

For state-specific marketing materials visit your Group products state page

Individual & Family Forms

Resources for your Clients

Forms for current agents

Agent Workbench Information
    Marketing Agent Product and Process Guides
    Agent Eligibility and Underwriting Guide
    Application Preparation Checklists