Agent Self-Service Center
Log in today for everything you need to quote, sell, and enroll group, Humana Medicare, and Humana One® plans:
- Quote and enroll new and existing accounts
- Print enrollment, eligibility, risk assessment, new business transferral, and other forms
- Use the Benefit Utilization Director to offer utilization and plan selection guidance to clients with 5-99 employees
- Get rate details, census information, and other renewal items.
Register or Login.
Additional small business quoting resources*
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Complete and submit Humana’s Express Underwriting Request and other forms to receive a firm risk rate within 48 hours on new small business quotes.
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State Continuation provides health coverage to employees and their dependents when they no longer are active with an employer, and the employer has fewer than 20 employees. |
Quote Request Form
Fax or e-mail this form to EZ Rate for a small business group quote.
 (99KB) - Download PDF
English
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*Contact your sales office with your large business needs
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HumanaOne – Individual Health Insurance
Find out more about Humana's individual health insurance plans and get a quote on our Website at HumanaOne.com |
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Get enrollment forms, continuation forms, eligibility certification forms, and privacy documents. Contact your Humana Market Office for large quantities. |
Plan Summaries
Download medical plan marketing materials and plan summaries for products available in your area.
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