Express Underwriting

Save time with Humana’s Express Underwriting

Complete and submit Humana’s Express Underwriting Request and other forms to receive a firm risk rate within 48 hours* on new small business quotes.

Note: You can continue to call Easy Rate at 1-800-327-9728 for baseline quote requests before providing full medical information.

Required Forms

The documents you need to submit for Express Underwriting quote requests are:

Express Underwriting Request Form

211KB - Download PDF
English

Census information from your quote
(Specify census for each location for multi-location employers.)

Plus one of the following:

Humana Employee Applications (Enrollment Form)
Other Carrier Employee Applications
Humana Risk Assessment Form
As appropriate by state and case size. (Employee applications not required.)
6KB - Download PDF
English
Approved Agency Questionnaires — Comprehensive, employee-level health assessment. (Subject to Humana Underwriting approval.)

Submit the forms directly to Easy Rate at the fax or e-mail address in the Express Underwriting Request Form.

*Submissions requiring follow-up for additional information may take longer. Final rates subject to change if additional information is received.

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