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.

ADVERTISEMENT

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 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

4.5 of 5 (57 votes)
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form

    1

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 2

    2

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 3

    3

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 4

    4

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 5

    5

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 6

    6

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 7

    7

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 8

    8

  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 1
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 2
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 3
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 4
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 5
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 6
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 7
  • OPM Form 1840 Multi-State Plan Program External Review Intake Form, Page 8
Prev 1 2 3 4 5 ... 8 Next
ADVERTISEMENT