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Molina Marketplace Agent of Record Form This Molina Marketplace Agent of Record Form (AOR Form) shall be completed by a Molina Marketplace member or subscriber (You or Your) to designate an agent
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Molina MP agent is the representative or point of contact designated by an individual or organization for communication with Molina Healthcare.
Individuals or organizations that have policies with Molina Healthcare are required to file Molina MP agent information.
To fill out Molina MP agent information, one must provide the name, contact information, and authorization details of the designated agent.
The purpose of Molina MP agent designation is to ensure effective communication between Molina Healthcare and the policyholder or their representative.
The information reported on Molina MP agent form includes the agent's name, contact details, and authorization to represent the policyholder.
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