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Get Fehb Sub-code - Opm

Will conduct the CAHPS 4.0H Adult Commercial Survey Health Plan will conduct the CAHPS 3.0H Child Commercial Survey Health Plan will conduct the CAHPS 3.0H Child Commercial Survey (with Children with Chronic Conditions Measurements) Health Plan has fewer than 500 FEHB Subscribers/Contracts and will not conduct CAHPS Surveys in 2007 for any reasons Name of NCQA Certified Survey Vendor that will be conducting the survey (s) Survey Vendor Contact Information.

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How to fill out the FEHB Sub-Code - Opm online

Completing the FEHB Sub-Code - Opm form online can seem challenging, but with a clear guide, you can confidently fill out the necessary information. This guide will walk you through each part of the form to ensure accuracy and completeness.

Follow the steps to fill out the FEHB Sub-Code - Opm online effectively.

  1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
  2. In the 'Plan Name' section, clearly indicate the name of the health plan you are addressing.
  3. Fill in the 'FEHB Sub-Code' field with the appropriate sub-code related to your health plan.
  4. Check all relevant boxes regarding the surveys to be conducted by the health plan. Ensure you select exactly those that apply.
  5. If applicable, write the name of the NCQA certified survey vendor conducting the survey in the designated field.
  6. Enter the survey vendor's contact information, including their name, address, email, and telephone number.
  7. Provide the health plan contact's details, including their name, address, email, and telephone number.
  8. If there is a different contact and address for invoices, fill out that section with the required information.
  9. Review all entered information for accuracy to prevent any issues with processing.
  10. Finalize your submission by downloading, saving, or sharing the completed form. You can then send it to Angela M. Calarco via email or fax as instructed.

Complete your FEHB Sub-Code - Opm form online today to ensure timely processing.

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The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133. Basic Option members must use preferred providers for all medical care (with some exceptions, such as emergency care).

With FEP Blue Basic, you can enjoy no deductible with care from in-network providers. FEP Blue Standard gives you the flexibility to receive care both in and out-of-network.

Enrollment codes are found on the front cover of each plan's brochure.

Federal Employees Health Benefits (FEHB) Program FEP Blue Focus®FEP Blue Basic™ Self 131 111 Self + 1 133 113 Self & Family 132 112

For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program—or simply FEP—has provided health insurance to the federal employee workforce. We are proud to have been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.

FEDERAL EMPLOYEES' GROUP LIFE INSURANCE CodeExplanation F4 BASIC PLUS STANDARD OPTION AND FAMILY OPTION WITH 4 TIMES MULTIPLE F5 BASIC PLUS STANDARD OPTION AND FAMILY OPTION WITH 5 TIMES MULTIPLE G0 BASIC PLUS ADDITIONAL OPTION WITH 1 TIMES PAY H0 BASIC PLUS ADDITIONAL OPTION WITH 1 TIMES PAY AND STANDARD OPTION46 more rows

A 3-digit code, reflecting the combination of the 2-character Plan Code and the 1-digit enrollment code. Enrollment codes reflect: Self Only (1,4), Self Plus One (3, 6), and/or Self and Family (2, 5).

Enrollment codes are found on the front cover of each plan's brochure.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232