Below you will find a list of commonly used forms for groups with Humana available for download. While we do the best we can to keep everything up to date, sometimes carrier websites change without our knowledge, which may mean step by step instructions may be out of date. If you notice anything doesn't work as intended, please bring it to our attention and we will correct it.
Please submit all completed forms to Julie Palmer:
Mail: Health Insurance Associates, Inc
Attn: Julie Palmer
19525 Janacek Ct STE 101
Brookfield, WI 53045
Humana COBRA Coverage Rights
General notice of COBRA continuation coverage rights. For use by single-employer group health plans that fall under COBRA guidelines.
Continuation Coverage Election Notice
Model COBRA continuation coverage election notice. For use by single-employer group health plans that fall under COBRA guidelines.
Underwriting Census Form
In most cases, all we need to get final underwritten rates for Humana Level Funded plans is this census form filled out completely.
Dental Provider Search Instructions (No Graphics)
Instructions for how to look up in network dentists. This is the same document as above, but with no screen shots.
Pharmacy Search (Select Rx Network)
Locate which pharmacies are in network. Will most often include only CVS, Target, Walmart, Sam's Club, and Humana's mail order prescription program. Few groups are on this network, so please double check if you are unsure.
Doctor On Demand
Immediately talk with a doctor 24 hours a day, 7 days a week via your phone or computer. If you are on a copay plan, this is free of charge. If you are not on a copay plan, or have an HSA plan, the charge is only $49. It’s a fraction of the cost of an office visit, it’s immediate, and it’s incredibly more convenient.
Employee Assistance Program (EAP) #1
An Employee Assistance Program (EAP) offers short-term counseling over the telephone to help you and members of your household manage everyday life issues. Professional counselors are available to assist you with issues such as family, relationship, and workplace concerns, weight control, loss of a loved one, and will even help with event planning, college planning, travel needs, pet care, and many many more.