Appointing a Representative
Learn how to name a representative to help you with coordinating tasks with your plan.
If for some reason you cannot file the grievance or appeal, you can appoint a representative to perform these processes. The document Appointment of a Representative (AOR), which is below, is valid for a period of one year of processing from the date of being submitted to the plan. It must be completed in its entirety by you and the representative of your choosing.
After filling out the document, you can send it by mail, fax or bring it in person at any of our regional offices:
Medicare y Mucho Más
Appeals and Grievances
PO BOX 71114
SAN JUAN PR 00936-8014
Fax: 787-625-3375