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Notice: See if you qualify to enroll in health coverage now. The application is available daily from 6 a.m. to 11 p.m.

Authorized Representative

Authorized Representative

Authorized Representative

Authorized Representative

Authorized Representative

An authorized representative is someone who you choose to act on your behalf with the Maryland Health Connection, like a family member or other trusted person. Some authorized representatives may have legal authority to act on your behalf.

If you want to choose an authorized representative:

  • You can: log into your account and select Manage Account Settings, or
  • Download the Authorized Representative Form and mail it to: Maryland Health Connection, P.O. Box 857, Lanham, MD 20703.

Caseworkers, Navigators, Brokers, Certified Application Counselors or other Assisters are NOT authorized representatives.

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