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How to Appoint a Representative

Nurse helping two elderly patients with physical therapy

To appoint a representative to act on your behalf, please go the link and download the form.  For assistance doing this, please call Mercy LIFE of Alabama enrollment staff at 251-287-8420 or toll-free 855-367-6562.

Information Last Updated: Tuesday July 2nd, 2019 14:24:07

H4074_MLOA_Website_CMSAPPROVED_06/12/2019

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