How to Appoint a Representative

An authorized representative is the person you choose to help with or handle affairs related to your health care services. This can be a Power of Attorney, a family member, friend, caregiver, or an advocate. Your authorized representative would help you with an exception, appeal, or grievance.

How to become an authorized representative for your friend or family member

 

To become an authorized representative, you'll need to download and print the Appointment of Representative Form. Both you and the person you wish to represent will need to sign the form.

How to choose someone to help manage your health plan

 

Choose someone you trust such as a spouse, family member, caregiver or friend to access or help you manage your health plan. You can use the Authorization to Share Personal Information Form (PDF) (89 KB) to give others access to your account.