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up to date, sometimes carrier websites change without our knowledge, which may mean step by step instructions may be out of date.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 Shannon Herr:
Email: Shannon.Herr@hia-wi.com
Mail: Health Insurance Associates, Inc
Attn: Shannon Herr
19525 Janacek Ct STE 101
Brookfield, WI 53045
Type
Description
Form
Employee Enrollment Form - Fully Insured
Can be used by any existing fully insured Humana group to enroll new members
Employee Change/Term Form
Can be used by any existing Humana group to make changes to an employees information or terminate an employee or dependents.
MyHumana Registration & Printing Temp ID Cards
Instructions for how to register for MyHumana and print temporary ID cards
Dental ID Card Online
How to view a copy of a member dental identification (ID) card on MyHumana.com.
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.
Dental Provider Search Instructions
Instructions for how to lookup in network dentists, including screen shots.
Humana Employer Portal Guide
Your complete guide to Humana's online employer portal.