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Please note
that all applications will be submitted in the name of Stephen
Adams Jr, the vice president of ColoHealth.
If you have already been working directly with one of our advisors,
then that person will be noted in our system as your personal
contact.
Before you
apply, please view the brochure of the plan you are applying for
to see detailed information including Plan Provisions, Limits
& Exclusions, and State Variations:
The fastest
and easiest way to apply for any Humana plan is through their
secure SSL Online
Application. Please note that you must
used Internet Explorer when you use Humana’s online application.
Gather the
following information before you start the application in order
to speed the process:
- Your
doctors’ names, addresses, and phone numbers
- Medications
you currently take or recently took, including dosage and
frequency
- Dates
of hospitalization
- The
name of the plan for which you are applying
- Your
requested effective date
- Your
credit card information to cover the initial premium
If you are
not interested in applying online, you have two other options
to apply with Humana:
- You can
download the Humana
Application
 ,
fill it out, and return it to us via email, fax, or mail.
You can also fill out our Application
Request Form and I will send you an application right
away.
- Another
way to apply with Humana is to call 1-800-211-4561, and
you will be connected with an underwriter on the spot.
Please note that you must let the underwriter
know that Wiley Long is your agent. This will enable
us to track your application through underwriting, and to assist
you with any questions. The phone call generally takes
from 15 to 30 minutes. However, the call can go longer
based on the number of people applying for coverage and medical
history, and there is the chance that you may be on hold for
up to 30 minutes before someone can speak with you.
If your spouse
is also applying for coverage, you both need to be available
to authorize any requests for medical information from the Medical
Information Bureau, if necessary.
For details
on all of the information you should have available before
calling Humana, please view the Humana One Application Preparation
Sheet below.
Please fill
out the application Completely. Any unanswered
questions will delay the processing. If you have any questions
about filling out the application, you can try to reach one of
us by calling at letting the receptionist know that the call is
URGENT. You can also email us at info@ColoHealth.com,
leave your name and phone number, and someone from our office
will call you back and answer any application questions you have.
Note:
All policies come with a money-back guarantee.
After receiving your policy, you have 10 days to review it.
If for any reason you decide not to keep the policy, you will
receive a full refund of your initial premium. Remember
that you also have access to the guaranteed lowest
life insurance rates available, with easy online quotes and
applications.
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Humana
One Application Preparation Sheet
***
Printer Friendly Version ***
In order
to better assure the application process goes smoothly, we strongly
encourage you to prepare for the call by having the following
information available prior to placing the call.
-
Name
of Agent Writing the Policy/Agent of Record:
Wiley
Long
-
Agent's
Business Telephone Number: 866-749-
2045
-
Requested
Effective Date:
-
Requested
Medical Deductible:
-
Requested
Prescription Deductible
($500 -
or $0 for an extra premium):
-
Are
you requesting Maternity Coverage? YES
or NO
-
Are
you requesting an office visit co-pay? YES
or NO
Please
make sure the following information is available for each
person applying for coverage:
-
-
-
-
Current/past
prescription medications and their dosage
-
Medical
history including diagnosis, treatment, dates of service
and current status
-
Date
of last Doctor office visit
-
Doctor's
names, addresses and phone numbers
-
Information
on current and past insurance coverage including: policy
number,
effective dates, termination dates, and phone number
PAYMENT
OPTIONS:
For your convenience, the following payment options are accepted:
-
For
the initial payment, Humana accepts Visa, MasterCard or
Automatic Check Draft.
-
After
the initial payment, all payments need to be made either
monthly through an
Automatic Check Draft or can be paid quarterly or semi-annually
by direct bill to you
($10 administrative charge per direct bill).
Additional
helpful hints:
-
Application
calls can generally take from 15 to 30 minutes. However,
the call can go longer based on the number of people applying
for coverage and medical history.
-
If
applying for spousal coverage, it is necessary to have the
primary applicant and their spouse available to authorize
any requests for medical information from the Medical Information
Bureau (when applicable).
To
complete the application process, contact
Humana's Application Specialists at:
1-800-211-4561
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