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OPM Form 1841 Multi-State Plan Program External Review Authorized Representative Form
What Is OPM Form 1841?
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 1841?
A: OPM Form 1841 is the Multi-State Plan Program External Review Authorized Representative Form.
Q: What is the purpose of OPM Form 1841?
A: The purpose of OPM Form 1841 is to designate an authorized representative for the Multi-State Plan Program External Review process.
Q: Who can use OPM Form 1841?
A: Anyone participating in the Multi-State Plan Program can use OPM Form 1841 to designate an authorized representative.
Q: What is the Multi-State Plan Program?
A: The Multi-State Plan Program is a health insurance program that offers coverage in multiple states.
Q: What is an authorized representative?
A: An authorized representative is someone who has been designated by the participant to act on their behalf in matters related to the Multi-State Plan Program External Review process.
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 1841 by clicking the link below or browse more documents and templates provided by the U.S. Office of Personnel Management.
Download OPM Form 1841 Multi-State Plan Program External Review Authorized Representative Form
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