In the event of not being able to conduct the complaint or appeal you may designate a representative to carry out these efforts. To appoint someone to stand for you, you and your representative must both complete the Appointment of Representative (AOR) form below. This document is valid for one year from the date it was submitted to the healthcare plan. Once you complete the AOR:

• send it by mail to:
  MMM Medicare and Much More
  P.O. Box 260430
  Miami, FL  33126
• or bring it in person to our offices located at:
  MMM Medicare and Much More
  5775 Blue Lagoon Drive
  Suite 450
  Miami, FL