General form used to submit pharmacy benefits claims.
Grievance and Appeals Request Forms
Individual & Family Plan Members
You also can get the Appointment of Representative form on CMS's website (link opens in new window) .
UMB Health Savings Account Forms
Humana Mail Order Pharmacy Forms
Process for continued coverage for full time students who are on medical leave of absence.
Financial Protection Products (FPP) Claim Forms
Workplace Voluntary Benefits and Financial Protection Products have moved to and is serviced by Manhattan Life. Please call 855-448-6982 for assistance
Financial Protection Products (FPP) Service Forms
Disable the secure member Website for yourself or a family member.
View Humana's privacy rights and download forms, including: