OPM Form 1841 Multi-State Plan Program External Review Authorized Representative Form

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.

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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 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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