Please return documents to MNsure SHOP using secure email. If you need a secure email to return confidential documents, please request one from MNsure_SHOP@state.mn.us.
NOTE: If you have completed one of these forms electronically and some of your answers are missing when you print the form, it could be because you are using a PDF viewer other than Acrobat Reader to complete the form (Preview on a Macintosh, for example). You can download the free Acrobat Reader here.
SHOP Agent of Record (AOR) Designation Form
Important privacy notice: to protect your privacy, remember to delete any copies of these downloaded forms if you are using a public or shared computer.