Humana

Humana’s diverse lines of business work and serve all types of consumers. From families to seniors to military members to self-employed individuals, there is a plan to meet many unique needs. Our team uses innovation to deliver results to our consumers.

 Provider Finder Dental

Form Name Effective Date Download Form
ACH Authorization Form
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Employer Guide - Dental
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Employer Guide - Disability
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Employer Guide - Life
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Employer Guide - Vision
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Employer Guide - WVB
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Employer Group Application
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Employer 51+ Disability & Worksite Application
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Employer Guide Online Benefits
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List Enrollment
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New Group Enrollment Checklist – Employer Sponsored Coverage
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New Group Enrollment Checklist – Voluntary Coverage
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Form Name Effective Date Download Form
Employee Application
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Employee Application - Spanish
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Employee Change Form
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Employee Disability & Worksite Application 51+
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EOI Form
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HIPAA Form
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Life Claim Form
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LTD Claim Form
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Form Name Effective Date Download Form
Vision
$10 $15 45 WFA 110 CLA
Summary
$20 $20 45 WFA 110 CLA
Summary
Generic - Fillable Vision Benefit Summary
Summary
Dental
LS200 Plan Summary - Dental
Summary
LS300 Plan Summary - Dental
Summary
Form Name Effective Date Download Form
Agent Portal Commissions & Direct Deposit Instructions
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Humana Agent Portal Walkthrough
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Humana.com How to create Rate Grid Tutorial
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Humana.com How to Find Applications & Forms
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Humana.com How to view Late Pay Notices
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Humana Dental PPO Network
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Lifestyle Discount Program Value Adds for Members
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Ordering Employee Kits on the Humana Website
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Provider Search Instrcutions Dental & Vision
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Renewal Communication for Electronic Renewal Delivery
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Renewal Letter Access How To
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Vision How It Works
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VOL Benefits Brochure CA
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Vision VCP Network
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VCP How it Works
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Participation Requirements
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humanadental.com
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Dental Brochure 2014 (7/15)
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Dental Extended Annual Max
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Dental Service Scorecard
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Dentist Finder By Covg DHMO & PPO Network
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ECT Leave Behind Card - Humana
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How to Find Dental ID Card on MyHumana
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How to Member Registration
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California Dental With Liberty DHMO Brochure
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California Dental Brochure
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CA Provider Network Directories
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Bundling Discount Flyer
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Four Extended Max Flyer
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ACE Leave Behind Card - Humana
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Form Name Effective Date Download Form
Humana Welcome Letter Contact Sheet Dental
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Humana Welcome Letter Contact Sheet Vision
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