Humana Agent Business Transferal Form (ABTF)
Section 1: Agent Information
This section will be the information for the agent who is writing the business. Keep in mind that the Humana Agent Number/SAN is the writing number that Humana provided. Complete this entire section with the information for the agent who is writing the business:
Section 2: Business Type for Assignment of Commission
This section will be where the writing agent selects which type of business will be assigned to the new Agent/Agency to be paid.
Please complete each type applicable and select whether or not it will be for Future Business Only or Existing & Future Business.
Section 3: Signature of Writing Agent
This section is where the writing Agent will sign and date for approval of the Assignment of Commissions.
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