Form YY Authorized Representative Form - Mnsure - Minnesota

The Form YY Authorized Representative Form is used in Minnesota for individuals who want to authorize someone else to act on their behalf in matters related to their health insurance coverage through MNSure.

The authorized representative, who is appointed by the individual seeking coverage through MNsure, files the Form YY Authorized Representative Form.

FAQ

Q: What is the Form YY Authorized Representative Form?
A: The Form YY Authorized Representative Form is a document used by MNsure, the health insurance marketplace in Minnesota, to designate an authorized representative to act on behalf of an applicant or enrollee.

Q: Why would I need to use the Form YY Authorized Representative Form?
A: You would need to use the Form YY Authorized Representative Form if you want someone else to help you with your MNsure application or communicate with MNsure on your behalf.

Q: Who can be designated as an authorized representative?
A: An authorized representative can be a family member, friend, neighbor, or anyone else you trust to assist you with your MNsure application.

Q: What can an authorized representative do on my behalf?
A: An authorized representative can help you complete your MNsure application, provide information and documents to MNsure, and speak with MNsure staff on your behalf.

Q: How do I complete the Form YY Authorized Representative Form?
A: To complete the Form YY Authorized Representative Form, you will need to provide your personal information, as well as the name and contact information of your authorized representative.

Q: Is there a deadline for submitting the Form YY Authorized Representative Form?
A: There is no specific deadline for submitting the Form YY Authorized Representative Form, but it is recommended to submit it as soon as possible to ensure timely assistance with your MNsure application.

Q: Can I change or revoke my authorized representative?
A: Yes, you can change or revoke your authorized representative at any time by notifying MNsure in writing.

Q: Are there any fees associated with designating an authorized representative?
A: No, there are no fees associated with designating an authorized representative.

Q: Can my authorized representative access my sensitive personal information?
A: Yes, your authorized representative will have access to your sensitive personal information in order to assist you with your MNsure application.