OPM Form 1840 Multi-State Plan Program External Review Intake Form

OPM Form 1840 Multi-State Plan Program External Review Intake Form

What Is OPM Form 1840?

This is a legal form that was released by the U.S. Office of Personnel Management on January 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is OPM Form 1840?A: OPM Form 1840 is the Multi-State Plan Program External Review Intake Form.

Q: What is the Multi-State Plan Program?A: The Multi-State Plan Program is a program that offers health insurance plans across multiple states.

Q: What is the purpose of OPM Form 1840?A: OPM Form 1840 is used to initiate an external review for a health insurance plan under the Multi-State Plan Program.

Q: Who can use OPM Form 1840?A: Individuals who are enrolled in a Multi-State Plan Program health insurance plan can use OPM Form 1840 to request an external review.

Q: What is an external review?A: An external review is a process that allows individuals to appeal a denial of coverage or a claim decision made by their health insurance plan.

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Form Details:

  • Released on January 1, 2014;
  • The latest available edition released by the U.S. Office of Personnel Management;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of OPM Form 1840 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the U.S. Office of Personnel Management.

Download OPM Form 1840 Multi-State Plan Program External Review Intake Form

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