| | Humana Forms |
| | All forms and plan descriptions are in portable document format (PDF).
 |
| | Some forms are available for download in Spanish.
Click the language to download the form. |
| | Form Type: Medical |
| | Form Name | Form Description
|
| |
Colorado Uniform Employee Application
English
() | This form is designed for an employee’s initial application for coverage. |
| |
Continuation Form
English
Spanish
(132 kb) | Continuation Form |
| |
Eligibility Certification Form
English
() | Used by Humana to determine if your company and employees satisfy your plan’s participation and eligibility requirements. |
| |
Employee Change Form
English
Spanish
(88 kb) | Employee Change Form |
| |
Employee Enrollment Form - Dental, Life, Vision
English
() | Humana Application for enrolling in Dental, Life and Vision. |
| |
Employer Group Application
English
() | Used to enroll new groups with Humana. |
| |
