The 2026 and 2027 enrollment forms and other plan documents are available in Chinese, Creole, Korean, Spanish and Vietnamese for certain plans.
Translated forms and documents
Available materials
Chinese documents
Enrollment forms – 2027
Full application – Chinese – 2027
D-SNP application – Chinese – 2027
Enrollment forms – 2026
Full application – Chinese – 2026
D-SNP application – Chinese – 2026
Transition policy – 2027
2027 Medicare Transition Policy – Chinese
Transition policy – 2026
2026 Medicare Transition Policy – Chinese
Annual notice of change – 2026
Annual Notice of Change – H3533-033 – Chinese – Brooklyn & Queens, NY - 2026
Evidence of Coverage – 2026
Evidence of coverage – H3533-033 – Chinese – Brooklyn & Queens, NY – 2026
Summary of Benefits – 2026
Summary of benefits – Chinese Brooklyn and Queens, NY - 2026
Prescription Drug Guide – Chinese – 2026
Prescription Drug Guide – Chinese – H3533-033 – 2026
Prescription Drug Guide – Chinese – H5525-08 – 2026
Star Ratings – 2027
CMS 3533 Plan Star Ratings – 2027
CMS 5525 Plan Star Ratings – 2027
Star Ratings – 2026
Creole documents
Enrollment forms – 2027
Full application – Creole – 2027
D-SNP application – Creole – 2027
Transition policy – 2027
2027 Medicare Transition Policy – Creole
Korean documents
Enrollment forms – 2027
Full application – Korean – 2027
D-SNP application – Korean – 2027
Enrollment forms – 2026
Full/Korean Application Form – 2026
D-SNP/Korean Application Form – 2026
Transition policy – 2027
2027 Medicare Transition Policy – Korean
Transition policy – 2026
2026 Medicare Transition Policy – Korean
Annual notice of change – 2026
Evidence of Coverage – 2026
Summary of Benefits – Korean – 2026
Summary of Benefits - Humana Dual Select H5619-165 (HMO D-SNP)
Summary of Benefits - Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)
Summary of Benefits - Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)
Prescription Drug Guide – Korean – 2026
H5619, H1036 – Korean
Star Ratings – 2027
CMS 5619 Plan Star Ratings – 2027
CMS 1036 Plan Star Ratings – 2027