HumanaOne Colorado Health Insurance Forms
Brochures
Humana Individual Brochure
HSA Qualified Brochure
Individual Colorado Plan Description Form
HSA Colorado Plan Description Form
Applications
Phone Applications
Phone Application - All Plans
HSA Qualified Phone Application
Rx $0, Maternity Option NO, Copay Option NO
Rx $0, Maternity Option YES, Copay Option NO
Rx $0, Maternity Option YES, Copay Option YES
Rx $500, Maternity Option NO, Copay Option NO
Rx $500, Maternity Option NO, Copay Option YES
Rx $500, Maternity Option YES, Copay Option NO
Rx $500, Maternity Option YES, Copay Option YES
$1000 Deductible, Rx $0, Maternity Option NO, Copay Option YES
$2500 Deductible, Rx $500, Maternity Option NO, Copay Option YES
$2500 Deductible, Rx $0, Maternity Option NO, Copay Option YES
$1000 Deductible, Rx $0, Maternity Option NO, Copay Option YES
$5000 Deductible, Rx $500, Maternity Option NO, Copay Option NO
$500 Deductible, Rx $0, Maternity Option NO, Copay Option YES


