Learn who can execute an enrollment application on behalf of a Medicare beneficiary.
Who Can Execute an Enrollment Application?
Typically, a Medicare beneficiary is the only individual who may make a valid request for enrollment into (or disenroll from) a Medicare Advantage plan. However, another individual could be the legal representative or another person to execute an enrollment request. CMS will recognize State laws that authorize certain persons to make such requests on behalf of a Medicare beneficiary.
Under State law, a person with a court-appointed legal guardianship, or a person with durable power of attorney, or an individual authorized to make decisions under State surrogate consent laws, would have the authority to act for the Medicare beneficiary in this capacity.
How to Establish an Authorized Representative
To establish an authorized representative, your friend or family member (or the person you wish to represent you) will need to download and print the Appointment of Representation Form. Both you and the person you wish to represent you will need to sign the form and mail it to:
