Get help from a Navigator

This is someone who may be able to help you file an appeal, answer questions about the appeals process and provide unbiased help. Find a Navigator in your area.

Appoint an authorized representative for your appeal

You can choose to have someone you trust (like a family member, friend, advocate, or attorney) act on your behalf for your appeal by giving them permission to be your authorized representative.

If you appoint an authorized representative, this person will be:

• The primary contact during your appeal
• Responsible for providing information and documents
• Responsible for returning phone calls, attending conferences, and any other actions for your appeal

Note: If you choose to have an authorized representative for your appeal, you’ll need to send a form or letter to the Marketplace Appeals Center— even if you already appointed an authorized representative for your Marketplace application.

If you decide you no longer want your authorized representative to help with your appeal, you should contact the Marketplace Appeals Center.

How to appoint a representative

You can appoint an authorized representative as part of your appeal on the Appeal Request Form.

If you already filed your appeal, you can appoint a representative by completing and mailing the Appoint an Authorized Representative Form:

• Electronically
• By hand (PDF, 320 KB)

You can also call the Marketplace Appeals Center to ask for this form.

Mail the completed form to:
Authorized Representative Request
Marketplace Appeals Center
P.O. Box 311
Pittston, PA 18640

Or secure fax line: 1-877-369-0129

Submitting a request for a representative

You can also submit a letter to appoint an authorized representative. Your letter must include:

• Your name, address and phone number
• Your (case/record/request/file) number
• A statement appointing someone as your representative
• The name, address, and phone number of your representative
• The professional status of your representative or their relationship to you
• A statement authorizing the release of your personal and identifiable information to your representative
• Your representative’s signature and the date they signed the request

Getting help in a language other than English

You have the right to get help and information about appeals and other Marketplace issues in your language at no cost. To talk to an interpreter, call 1-800-318-2596.