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Khbe Form
KCHIP.
An authorized representative is a friend, relative, or other person who has a concern for your
well-being. An authorized representative is a person you choose. We will not choose one for
you. The person you choose must agree to help you. An agency cannot act as an authorized
representative, but a person at an agency can.
An authorized representative may fill out an application and do other paperwork for you. They
may also report changes to your income and other life changes for you. They...
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