Get Humana Employee Enrollment Form - 26-99 Employees Tennessee

The Humana Employee Enrollment Form - 26-99 Employees for Tennessee is a crucial document for individuals looking to enroll in Humana's benefits programs. This guide provides comprehensive, step-by-step instructions on how to efficiently fill out the form online, ensuring that you provide all necessary information accurately.

Follow the steps to complete your enrollment form online.

1. Press the ‘Get Form’ button to access the enrollment form and open it in your preferred editor.
2. Begin by entering the proposed effective date in the provided field. Ensure that all details are clear and legible.
3. Next, input your company name and city, followed by the state. This information identifies your employment status.
4. Fill out the Enrollment Information section. Here, you need to complete the personal details for each individual being enrolled, including their relationship to the employee, height, weight, and date of birth.
5. In the Employee Information section, provide your Social Security Number, hours worked per week, street address, and contact information, including phone number and email address.
6. Indicate your preference for language (English or Spanish) and select the coverage type you are enrolling in, whether that be for medical, dental, life, or vision insurance.
7. If applicable, disclose any prior medical coverage and complete the related fields. Follow the same process for coverage under Medicare, ensuring that all details are filled in accurately.
8. Complete the Medical Health History section. Be truthful about past treatments or conditions that may influence insurance eligibility.
9. Review and sign the Waiver section if you choose to decline any coverage options presented within the form.
10. Finally, ensure all information is correct before signing and dating the authorization section to finalize your enrollment. You can save changes, download, print, or share the form as needed.

Start completing your Humana Employee Enrollment Form online today to ensure you receive the benefits you need.