Home
Forms Library
Humana risk assessment health

Humana health risk assessment form 2026

humana risk assessment health Preview on Page 1

See details

4 out of 5

40 votes

The document is a Humana Risk Assessment Form designed for non-community rated groups, collecting essential information about the group, including company details, medical carrier history, employee health status, and eligibility for insurance coverage. It includes a series of health-related questions to assess potential risks associated with employees' medical conditions and treatment histories. The form also requires disclosure of any prior medical coverage issues and outlines the necessary signatures for certification of accuracy.

Here's how it works

01. Edit your humana risk assessment health online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Humana Health Risk Assessment Form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Humana Health Risk Assessment Form in the editor.
Begin by filling out the Group Information section, including your Agency/Brokerage Name, Company Name, and Contact details. Ensure accuracy as this information is crucial for processing.
Proceed to the Health Questionnaire. Carefully check 'Yes' or 'No' for each question regarding employee health conditions. This section is vital for assessing risk and eligibility.
In the Eligibility/Enrollment section, input the total number of employees and those eligible for coverage. Be sure to include any additional classes such as seasonal or part-time employees.
Attach any required documents like Employee Census and Current Plan Designs electronically using our platform’s attachment feature.
Finally, complete the Disclosure and Signature section. Ensure that all signatures are obtained before submission to avoid delays in processing.

Start using our platform today to fill out your Humana Health Risk Assessment Form easily and efficiently!

See more humana health risk assessment form versions

We've got more versions of the humana health risk assessment form form. Select the right humana health risk assessment form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4 Satisfied (40 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who fills out the risk assessment form?

By law, every employer must conduct risk assessments on the work their employees do. If the company or organisation employs more than five employees, then the results should be recorded with details of any groups of employees particularly at risk such as older, younger, pregnant or disabled employees.

Why are people leaving Humana?

An even larger shedding of members was announced by the second-largest MA insurer Humana, which, according to Newsweek, is preparing to lose several hundred thousand members next year as Medicare Advantage benefits shrink under higher prices see article titledSecond-Largest Medicare Advantage Insurer Prepares to

What is a health risk assessment form?

An HRA will identify health behaviors and risk factors known only to the patient (e.g., smoking, physical activity and nutritional habits) for which the medical provider can provide tailored feedback in an approach to reduce the risk factors as well as the potential inevitability of the diseases to which they are

Is health risk assessment mandatory?

You can use a risk assessment template to help you keep a simple record of: who might be harmed and how. what youre already doing to control the risks. what further action you need to take to control the risks.

How to complete a health risk assessment?

Effective HRAs are comprised of three components to assess health: a questionnaire, risk calculations, and feedback. The questionnaire covers a broad range of health information, which is then used in risk calculations.