Humana Group Health Documents

DocumentDownloadYear
Group Health Quoting Worksheet Download
Humana Small Group Health Plans CR 1-50 Download2021
Humana Level Funded Group Health Plans Download2019
Humana Group Health Plans NCR 51-100 Download2019
Group Health Coordinated Care Network Brochure Download2017
Group Health Coordinated Care Network FAQ Download2017
Group Health Coordinated Care Network Market Guide Download2017
Group Enrollment

Visit Group Enrollment Section

Includes documents for groups 2-50 and 51+ Group size.
Group Enrollment

DocumentDownload
Sample Waiver Of Coverage Download
Statement Of Grandfathered Status Download
Medicare Part D- What Employers Need to Consider Download
Patient Product Disclosure Notice Download
Uniform Glossary SBC Download
Employee Notice Of Exchange View Link
Employee Penalties and Related Reporting View Link
COBRA Model Election Notice Download
COBRA Model General Notice Download
Compliance Checklist for Small Employers Download
Sample Illinois State Continuation Notice Download
ERISA General Requirements View Link
Employer Health Care Arrangements View Link
HIPPA Special Enrollment Notice Download
WHCRA Enrollment Notice Download
WHCRA Annual Notice Download

Download

Download Compliance Document Packet

Includes all compliance documents listed above.
Download
Carrier

Group Resources

Humana Documents

  • Enrollment Checklist

  • Employer Application

  • Employee Application 2-50

  • Employee Application 51+

  • Employee Change Form

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