Appeals & Disputed Claims Process

Under certain circumstances, you may be able to appeal to the U.S. Office of Personnel Management (OPM) immediately if we have failed to comply with particular aspects of the claims process. Section 8 of the OPM Brochure provides detail about the appeal process.

OPM has requested that we also provide the link to its Deemed Exhaustion and Immediate Claims Appeal document. The following is a quick outline of the information contained in that document:

• Procedures and time periods for claims
• The form of benefit determination or notification
• The appeal review process