This article explains the general process for sending enrollment information to Humana. We recommend discussing these requirements with your contact at Humana to ensure a complete submission.
IN THIS ARTICLE
Sold Group submission basic requirements
- The Employer’s Proposal must have a Completed Employee status
- If required by the Humana, have the HR Manager fill out information in the Employer Group Medical Questionnaire (This will be on the HR Manager's Dashboard. Click here for more information)
- Activate DALs for the Employer in order to submit to Humana (This will only be a requirement if you didn’t send a Prescreen submission for this Employer)
Once those requirements are met, you'll then be able to submit the completed applications to Humana.
Submitting forms
You can send forms from the Employer Hub. To access the hub:
- Go to the Employer Listing.
- Locate the Employer and select the ‘Edit’ button to access the Employer Hub.
- In the Employer Hub, select the ‘Send Forms’ option to access the Send Forms page.
On the Send Forms page, you can set up the Sold Group submission for your Employer.
For any submission, you’ll select the following:
- The Submission Type – in this case, it will be Sold Group
- The Carrier – in this case, select Humana
- The Form for the current submission
Remember, forms with a prepended "~" will NOT map any medical conditions!
NOTE: Make sure you've selected the form needed in the Form dropdown menu. If the Form dropdown menu says [Select], you'll be prevented from sending your submission to Humana.
Turn on or off the coverage lines needed for this specific submission in the Coverage Lines to include area.
If you need to add any notes regarding your submission to Humana, you can do so here in Notes for Carrier. This will be added to the email that Humana receives.
You'll see the Effective Date for the Employer under Carrier Requirements.
If you need to add any additional required documents (Ex. Employer wage and tax documents) for your Sold Group submission, select the ‘Upload Additional File’ button. You can also attach files in the Document Center and they'll automatically populate here.
NOTE: We will automatically attach a census for your submission in the Attach Files section. This will attach once you've selected Human for the Carrier and form.
Make sure to select the File Type from the dropdown menu.
In the Recipient section, you'll see that the contact information has been pre-filled for you. The First Name, Last Name, and Email address fields should be left as-is to ensure delivery to Humana. But you'll need to create a password.
NOTE: Any changes to the Recipient information could result in delayed or failed delivery of your forms.
The Carbon Copy section is optional and is reserved for only one additional address. The Carbon Copy uses the same password that you create for Humana.
NOTE: Passwords need to be at least 8 characters long and shared with Humana and/or Carbon Copy (via email or another method).
At this point, select 'Send Forms' on the screen.
A 'Confirm Send Forms' pop-up menu will appear. Review the attachments you're submitting in addition to the Employees' forms.
- If you need to add or remove any of the attachments, select 'Cancel'.
- If the attachments are correct, select 'Send Forms'.
What Humana receives
Humana receives an email with a link to access the Employer’s forms as well as any attachments you sent to them.
After the link is selected, the contact is directed to a page where the password is needed to download the Employer’s forms as well as the attachments.
NOTE: The link must be accessed within 10 business days or it will expire. The link may only be accessed for 5 clicks, after which the user cannot access the Employer’s forms and attachments due to security protocol.
Humana will then review all the information sent and contact you to inform you that the Employer has been successfully enrolled or if they have any additional questions.