Group benefits forms

Human call center agent smiling at her desk.

Applications and enrollment forms

Find employer applications, employee applications and other supplemental enrollment forms quickly and easily with our Application and enrollment forms search tool opens in new window . In many states, agents can use this online tool to create customized applications.

To order larger quantities or contact your Humana Market Office, please sign in to the secure agent portal opens in new window .

Launch My Group (LMG)

LMG Adobe Sign Guide

Wonder what to do after you submit your group through LMG? This LMG Adobe Sign Guide walks you through how to electronically sign the required documents. Access the link below to get started:

LMG Adobe Sign Guide pdf opens in new window

LMG Quick Reference Guide

Utilize this quick reference guide to simplify your new or existing small group business enrollment process. Access the link below to get started:

LMG Quick Reference Guide pdf opens in new window

LMG Enrollment Guide

Our enrollment guide walks you through the 3 options to input and submit your member enrollment list, so you can choose the one that’s right for you. Access the link below to get started:

LMG Member Enrollment Guide pdf opens in new window

Small business list enrollment

You can submit the 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:

Simplified Member Enrollment (Excel spreadsheet) opens in new window — Easiest upload option for Humana’s new electronic small group enrollment tool – Launch My Group.

List Enrollment (Excel spreadsheet) opens in new window — Use for employer Medical and Specialty Benefit plans (Dental, Vision, Life, Disability and Workplace Voluntary products).

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.

Small business plan summaries

Download medical plan summaries for products in your area.

Create a plan summary opens in new window

Manage your business with Agent Self-Service Center

Get easy access to tools, resources and forms in one place, so you can spend more time with clients and less time organizing.