Forms for Agents and Brokers
Visit this page to find all the forms you need to make your job a little easier.
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.
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 — Use for employer Medical and Specialty benefit plans (Dental, Vision, Life, Disability and Workplace Voluntary products).
List Enrollment User Guide — Provides an overview of when the List Enrollment can be used and the information that is needed when the list enrollment is used.
Life Authorization Form
Life Authorization Form (pdf opens in new window) — This form is required in conjunction with the Evidence of Health Status form when a member is requesting Life coverage over Guarantee Issue.