Prescreen Only
- Completed employee applications (Humana or other carrier applications)
- Please submit applications prior to attending so they can be reviewed for missing information
- Current Humana quote
| Case Submission
- ACH Form - Required for all new business cases
- Employer business information application
- Employer medical selection application
- Employee application
- Current Humana quote
- Most recent Quarterly Wage & Tax Document
- Prior carrier bill (if applicable)
|