State of West Virginia Public Employee Insurance Agency Change-in-Status Form ... your benefit coordinator; retired employees mail this form to PEIA, 601 57th St, SE, Suite 2, Charleston, WV 25304-2345 or fax to 1-877-233-4295. This is a 2-page form. You must complete and submit both pages to change your coverage.1. Go to peia.wv.gov, 2. Click on the green Manage My Benefits button, 3. Log in using the username and password you selected (if you forgot your password, just click Forgot Password). You will land on a page the shows your current coverage. 4. In the blue menu bar at the top, click on My Account. 5. Scroll down to E-Delivery, check the …PEIA is giving you an opportunity to lose weight – at no cost to you – with Wondr Health, formerly Naturally Slim. The program is delivered online to your smartphone or computer and doesn't include starving, counting calories or spending hours prepping 'approved' foods. Instead, it will teach you how to eat your favorite foods while losing ... Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. State of West Virginia Public Employee Insurance Agency Change-in-Status Form ... your benefit coordinator; retired employees mail this form to PEIA, 601 57th St, SE, Suite 2, Charleston, WV 25304-2345 or fax to 1-877-233-4295. This is a 2-page form. You must complete and submit both pages to change your coverage.West Virginia PEIA Drug List Medication Name Copay Tier Quantity Limit Prior Authorization Required Step Therapy Specialty Medication ACTIQ 200 MCG LOZENGE 3 QL PA ACTIQ 400 MCG LOZENGE 3 QL PA ACTIQ 600 MCG LOZENGE 3 QL PA ACTIQ 800 MCG LOZENGE 3 QL PA ACTIVELLA 0.5-0.1 … FAQ. Frequently Asked Questions. To enroll for PEIA insurance, you can go online to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA. Full instructions can be found here . PEIA provides $10,000 term life insurance to active members at no cost through MetLife. Members may purchase optional insurance with pre-tax earnings…. Learn more. PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Forms & Downloads > Summary Plan Descriptions. Summary Plan Descriptions. Summary Plan Description - Plans A, B an d D (Plan Year 2024) Summary Plan Description - …West Virginia PEIA Specialty Injectables Updated as of January 1, 2024 Here is a listing of specialty injectables, including the generic and brand names along with the J codes. Please note: This list is subject to periodic change. J7200 Factor ix, (antihemophilic factor) RixubisJul 1, 2022 · 3. Check page 12 to be sure you’re eligible to enroll in the plan you want. The PEIA PPB Plans A, B and C are available in all areas. PEIA PPB Plan D is open to WV residents only and covers only services provided in WV. The Health Plan is available in all West Virginia counties. If you live Our deductibles and out of pocket limits vary by salary, employer type, and tier. Some plans may not be available outside the state of West Virginia. Please contact PEIA at 1-888-680-7342 for more information. **If you are an employee of a State agency, college, university or county board of education (including teachers and service …Medicare Retirees. Medicare Advantage Plan (Humana) Special Medicare Plan (PEIA) Medicare Adva ntage Plan (Humana) Special Medicare Plan (Express Scripts) . PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI).West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; Medicare Retiree; Open Enrollment Information - Plan Year 2025; ... Call: 1-888-680-7342 Email: [email protected]. Members ...Traveling on I-64 East. Take exit 98, cross the 35th St. Bridge, and turn left onto MacCorkle Ave. Drive 1.9 miles, then turn right on 57th St., drive one block and turn right into the parking lot for the DEP building. Enter the main entrance of the building and sign in. PEIA is on the first floor. Take exit 95, go west off the exit ramp onto ...The Public Employees Insurance Agency (PEIA) is considering another premium increase for local and non-state employees in West Virginia, after a 16% hike …Humana Inc. (NYSE: HUM) has been awarded a new, four-year contract with the West Virginia Public Employee’s Insurance Agency (PEIA). As part of the contract, effective Jan. 1, 2022, Humana will continue to provide health insurance coverage for the state’s 54,000 Medicare-eligible retirees and their Medicare-eligible dependents. “We value the …Online PEIA 101 for Colleges and Universities. Instructions to enroll in the PEIA 101 online course, which provides an introduction to PEIA resources, policies and procedures for benefit coordinators. These instructions apply to colleges and universities ONLY. Online Web Contributions Courses Available.The West Virginia Legislature gavels in: PEIA gets a patch-up and Justice speaks tonight. The 86th Legislature met for the first time on Wednesday. A flurry of bills …In West Virginia, public employees and their families typically receive health insurance through the WV Public Employees Insurance Agency, commonly known as PEIA. For …View Larger Map PEIA Staff Finance Board HealthSmart 1-888-440-7342 (toll-free) Express Scripts 1-877-256-4680 (toll-free) Subrogation and Recovery Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. Statehouse Spotlight. PEIA bill proposed by West Virginia lawmakers would remove some spouses, likely raise premiums. In Tuesday’s edition of Statehouse …Health Plans. Popular Resources. Enrollment Forms. Forms & Downloads. Wellness Tools. Prescription Drug Lists. Questions? Call: Email: PEIA > Health Plans. Health Plans. …The Public Employees Insurance Agency (PEIA) is considering another premium increase for local and non-state employees in West Virginia, after a 16% hike … Charleston, WV 25304. Click Here for Map. Phone: (304) 558-7850. Toll Free: (888) 680-7342. Fax: (304) 558-2470. Website: https://peia.wv.gov. Contact This Agency. WV.gov is the official Web site for the State of West Virginia and is the result of an innovative public-private partnership between the state and West Virginia Interactive. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. Plan Year 2025 Changes Passed by the PEIA/RHBT Finance Board. On December 7, 2023, the PEIA/RHBT Finance Board passed a 10.5% premium increase for the State Fund (state agencies, colleges, universities and county boards of education) and a 14% premium increase for the Non-State (local) Fund with no changes to benefits. These …The West Virginia Legislature passed a bill during the recently concluded 2023 regular session that will see PEIA premiums raised for the first time in more than a decade, and the agency is seeking public input … Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. ... About PEIA Public Employees Insurance Agency. 601 57th St., SE, Suite 2 Charleston, WV 25304 ... form to your benefits coordinator by May 15, 2021, to. Your Open Enrollment dates are: enroll for or make changes to your benefits. April 2, 2021 - May 15, 2021. For more …3/8/2024. The West Virginia Public Employees Insurance Agency (PEIA) is pleased to announce that Memorial Health System, with its main campus in Marietta, Ohio, is returning to the PEIA network effective immediately. The new contract includes hospitals and provider practices owned by Memorial Health System, and as always, services provided in ...Are you looking for information on the PEIA health insurance plans for public employees in West Virginia? Download the Shopper's Guide for Plan Year 2022 and learn about the benefits, costs, and options available to you and your family. This guide will help you compare and choose the best plan for your needs.Contact Information. Call Customer Service at 1-844-559-8248. Website: mountaineer.fbmcbenefits.com. Email: [email protected] . PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. The West Virginia Legislature gavels in: PEIA gets a patch-up and Justice speaks tonight. The 86th Legislature met for the first time on Wednesday. A flurry of bills were introduced and the Senate moved quickly on a series of bills. Notable ones included a short-term change for the state’s health insurance agency and restrictions on the ...Beneficiary form found at PEIA.wv.gov. How to Enroll on Manage My Benefits 17 How to Enroll on Manage My Benefits 8/2022 The next screen will confirm your demographic information. You will need to click the appropriate drop-down box to …PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 … Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. State Retirement Program. The State of West Virginia offers an outstanding defined benefit pension plan – the Public Employees Retirement System (PERS) under the Consolidated Public Retirement Board. Specific information regarding retirement benefits is available on the West Virginia Consolidated Public Retirement Board's site.West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; Medicare Retiree; Open Enrollment Information - Plan Year 2024; ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > News Center.Brian Cunningham, Director Jason Haught, Chief Financial Officer Charlotte Stover, Director of Operations Jessica Wallace, Administrative Servi ces Manager I Kathy Lester, HR Generalist I Erika Smith, Administrative Secretary Contact Us Phone: 1-304-558-7850, 1-888-680-7342 Fax: 1-304-558-2470, 1-877-233-4295 Email: [email protected] ...Humana Inc. (NYSE: HUM) has been awarded a new, four-year contract with the West Virginia Public Employee’s Insurance Agency (PEIA). As part of the contract, effective Jan. 1, 2022, Humana will continue to provide health insurance coverage for the state’s 54,000 Medicare-eligible retirees and their Medicare-eligible dependents. “We value the …PEIA provides health insurance and other benefits to active and retired public employees in West Virginia. Find information about plans, providers, enrollment, wellness, forms, and …PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI).PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Understand My Benefits > Find a Health Care Provider. Find a Health Care Provider In-State Health Care Providers and Specialists. All West Virginia providers of health care services or supplies are included in the agency's network.Home » House Passes PEIA Reform Legislation To Prevent Program Collapse. Randy Yohe Published March 4, 2023 - 2:28 pm House Passes PEIA Reform Legislation To Prevent Program Collapse Deputy Speaker Del. Matthew Rohrbach, R-Cabell, explains SB 268. Perry Bennett/WV Legislative PhotographyCHARLESTON, W.Va. — A bill proposing multiple changes to the program that provides health care coverage for West Virginia’s public employees is on its way to the full state Senate for consideration, but one union leader accused lawmakers of operating behind closed doors.PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI).Plan Year 2025 Changes Passed by the PEIA/RHBT Finance Board. On December 7, 2023, the PEIA/RHBT Finance Board passed a 10.5% premium increase for the State Fund (state agencies, colleges, universities and county boards of education) and a 14% premium increase for the Non-State (local) Fund with no changes to benefits. These …Medical Advisors log in here. Use Self Service to: View your account details. Update your contact information.Are you looking for information on the PEIA health insurance plans for public employees in West Virginia? Download the Shopper's Guide for Plan Year 2022 and learn about the benefits, costs, and options available to you and your family. This guide will help you compare and choose the best plan for your needs.Find out the updated salary tiers for Plan Year 2023 for public employees in West Virginia. This PDF document provides the monthly premium rates for each tier and plan option, as well as the income ranges and eligibility criteria. Compare the different plans and benefits with the Shopper's Guide and make an informed choice.According to information prepared by PEIA , the average West Virginian with small group rate single coverage has an average annual deductible of $4,000, while the small group rate for family coverage is an average of $8,000. The average annual deductible for single coverage on the Affordable Care Act exchange is $4,750, with an average family ... Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. The West Virginia Legislature gavels in: PEIA gets a patch-up and Justice speaks tonight. The 86th Legislature met for the first time on Wednesday. A flurry of bills …Please contact PEIA at 1-888-680-7342 for more information. **If you are an employee of a State agency, college, university or county board of education (including teachers and service personnel), the salaries here reflect the $2,300 salary increase for next fiscal year. Please be sure to add $2,300 to your current salary when choosing a salary ...With inflation and salaries still an issue, tax cuts and a $2,300 pay raise aren’t reducing concerns about PEIA’s increased cost. Public employees watch from the gallery on March 4, 2023, as delegates debated and passed PEIA legislation. Photo by Perry Bennett/WV Legislature. Even when she was in college, Katie Surface knew that … PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Forms & Downloads > Summary Plan Descriptions. Summary Plan Descriptions. Summary Plan Description - Plans A, B an d D (Plan Year 2024) Summary Plan Description - …For West Virginia teachers, PEIA’s financial crisis has real costs. More than 200,000 West Virginia state employees rely on PEIA for health insurance. As the state agency faces a looming budget cliff, those on the insurance say change is urgently needed. by P.R. Lockhart February 3rd, 2023. Teachers watch in the gallery of the West Virginia ...West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > News Center > Finance Board Public Hearings Set for March 27-29, 2023. Finance Board Public …1. Go to peia.wv.gov, 2. Click on the green Manage My Benefits button, 3. Log in using the username and password you selected (if you forgot your password, just click Forgot Password). You will land on a page the shows your current coverage. 4. In the blue menu bar at the top, click on My Account. 5. Scroll down to E-Delivery, check the … Contact Information. Call Customer Service at 1-844-559-8248. Website: mountaineer.fbmcbenefits.com. Email: [email protected] . PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Our deductibles and out of pocket limits vary by salary, employer type, and tier. Some plans may not be available outside the state of West Virginia. Please contact PEIA at 1-888-680-7342 for more information.ANY coverage through PEIA. PEIA also offers PPB Plan C, which is an IRS-qualified High-Deductible Health Plan (HDHP). For information about Plan C, download the Summary Plan Description (Plan C) at peia.wv.gov or call 1-888-680-7342. Managed Care Members For those who are enrolled in managed care plans, this booklet provides all the eligibility andCall: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Understand My Benefits > Find a Health Care Provider. Find a Health Care Provider In-State Health Care Providers and Specialists. All West Virginia providers of health care services or supplies are included in the agency's network. your PEIA coverage uses tobacco, you will receive the discount on your health and life insurance premiums. I acknowledge by signing the acceptance box below that PEIA or its agents have access to my medical records to check my tobacco use status. Who uses tobacco: Policyholder Dependent (spouse and/or children) PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …UMR. 1-888-440-7342. UMR. P.O. Box 30541. Salt Lake City, UT 84130-0541. If your medical claim or service has been denied, or if you disagree with the determination made by one of the Third Party Administrators, the second step is to appeal in writing within 120 days of the denial to the Third Party Administrator at the address listed …Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Understand My Benefits > Preferred Provider Benefit (PPB) Plans A, B & D. ... PPB Plan B has lower premiums but higher deductibles. PPB Plan D is the West Virginia-only plan; all services are provided in West Virginia, ...How to File a Medical Claim. Medical claims are processed by UMR and should be submitted to: UMR, P.O. Box 30541, Salt Lake City, UT, 84130-0541. This post office box should be used only for PEIA claims. Please do not submit PEIA claims to other UMR post office boxes.form to your benefits coordinator by May 15, 2021, to. Your Open Enrollment dates are: enroll for or make changes to your benefits. April 2, 2021 - May 15, 2021. For more …Eligible employees: All elected and permanent full-time employees of the state of West Virginia, county boards of education, counties, cities or towns, and other individuals of government bodies so specified in the West Virginia State Code, Chapter 5, Article 16 are eligible for enrollment in PEIA insurance plans.601 57th Street SE, Suite 5 Charleston, WV 25304 Telephone (304) 558-3570 or (800) 654-4406 (Nationwide) Fax (304) 957-7522 Email: [email protected] You will need to fill out a Retiree Basic Life and Health Enrollment Form , a Retiree Optional and/or Dependent Life Enrollment Form and a Termination Form. You can visit customer service at PEIA to pick up a retirement packet or you can contact PEIA customer service at 1-888-680-7342 to request that a retirement packet be mailed to you. You ... 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Plan Year 2025 Changes Passed by the PEIA/RHBT Finance Board. On December 7, 2023, the PEIA/RHBT Finance Board passed a 10.5% premium increase for the State Fund (state agencies, colleges, universities and county boards of education) and a 14% premium increase for the Non-State (local) Fund with no changes to benefits. These …. Planta restaurant
tonto starMedicare Retirees. Medicare retirees receive prescription drug benefits through one of two plans: . Medicare Advantage Plan (Humana ) Special Medicare Plan (PEIA) . . Members. PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). If you suspect a doctor, insurance company or individual is committing insurance fraud, call PEIA at 304-558-7850 or 877-233-4295. You also may e-mail the Suspected Insurance Fraud Citizen Reporting Form to [email protected]. PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health ...PEIA offers a healthcare program that allows you to receive primary care services while paying less. This program, called the Comprehensive Care Partnership (CCP) program, is designed to promote quality of care, preventive services and appropriate use of health services to identify health problems early and maintain …Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > News Center > UMR Portal Access Change. UMR Portal Access Change. 8/19/2022. UMR is transitioning its portal secure login process to HealthSafe ID to stay up-to-date with the latest security protocols and user experience.Each entity that provides benefits under the PEIA plan has a national toll-free customer service telephone number. If you have benefit questions, please start with the numbers listed below: PEIA: Answers to questions about eligibility and life insurance. WV Public Employees Insurance Agency at 1-304-558-7850 or 1-888-680-7342 or on the web at ...Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > News Center > UMR Portal Access Change. UMR Portal Access Change. 8/19/2022. UMR is transitioning its portal secure login process to HealthSafe ID to stay up-to-date with the latest security protocols and user experience. UMR. PHONE: 888-440-7342 (Toll-Free) UMR is PEIA's third-party administrator that handles medical claim processing, case management, utilization management, precertification, prior approval and customer service for the PEIA PPB Plans. Contact UMR for answers to questions about eligibility, benefits and networks. PEIA will use this policy with the following exceptions: 1. Members must be 18 years of age or older to qualify. 2. Laparoscopic adjustable banding will only be approved upon appeal. ... West Virginia by a center of excellence in bariatric surgery. The centers of … your PEIA coverage uses tobacco, you will receive the discount on your health and life insurance premiums. I acknowledge by signing the acceptance box below that PEIA or its agents have access to my medical records to check my tobacco use status. Who uses tobacco: Policyholder Dependent (spouse and/or children) How to request an ID card. How to Change Your Email Address. How to Upload Documents. How to Name or Change your Beneficiary . How to Update your Name. PEIA is required …The Shopper’s Guide is an invaluable tool for all employees and provides information about the plans offered as well as rate tables for premiums for the current plan year. Summary Plan Description . The Summary Plan Description (SPD) provides PEIA PPB Plan participants with an easy-to-read description of benefits available …Call: 1-888-680-7342. Email: [email protected]. PEIA > Members. Members. Check out the health insurance, life insurance and other benefits PEIA provides for Active Members, …If you suspect a doctor, insurance company or individual is committing insurance fraud, call PEIA at 304-558-7850 or 877-233-4295. You also may e-mail the Suspected Insurance Fraud Citizen Reporting Form to [email protected]. PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health ...Jul 1, 2023 · PEIA Answers to questions about the PEIA PPB Plans and eligibility for all plans 877-676-5573 (toll-free) peia.wv.gov or www.wvpeia.com The Health Plan Answers to questions about The Health Plan’s Benefits 800-624-6961 (toll-free) or 888-847-7902 www.healthplan.org MetLife Answers to questions about adding, changing or removing life insurance PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …Benefit Fair Locations and Dates . Benefit Fair Locations and Dates will be announced in early March 2024. PEIA is required by law to maintain the confidentiality, privacy, and …How to File a Medical Claim. Medical claims are processed by UMR and should be submitted to: UMR, P.O. Box 30541, Salt Lake City, UT, 84130-0541. This post office box should be used only for PEIA claims. Please do not submit PEIA claims to other UMR post office boxes.The Public Employees Retirement System (PERS) was established on July 1, 1961 for the purpose of providing retirement benefits for employees of the State and other political subdivisions. PERS has more than 20,000 active members and 34,000 retirees receiving annuity benefits. PERS is funded by employee and employer contributions.Home » House Passes PEIA Reform Legislation To Prevent Program Collapse. Randy Yohe Published March 4, 2023 - 2:28 pm House Passes PEIA Reform Legislation To Prevent Program Collapse Deputy Speaker Del. Matthew Rohrbach, R-Cabell, explains SB 268. Perry Bennett/WV Legislative Photography Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Members. Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Active Members > Life Insurance. Life Insurance. Active members receive basic term life insurance ($10,000) at no cost and may purchase optional life insurance coverage with pre-tax earnings through MetLife.Jan 22, 2007 · West Virginia Public Employees Insurance Agency (PEIA) Effective Date: July 1, 2022 . The Certificate is changed as shown below: The Certificate is revised to add the following: “How We Will Pay Benefits . Unless the Beneficiary requests payment by check, when the Certificate states that We will pay benefits West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members. Non-Medicare Retiree. …PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI).is PEIA’s IRS-qualified High Deductible Health Plan, and the details of Plan C are covered in the Summary Plan Description – Plan C, which is available at www.wvpeia.com or peia.wv.gov or by calling 1-888-680-7342. Plan D is the West Virginia ONLY plan whose benefits mirror those of Plan A, but with no out-of-state benefits except Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. 2. Healthcare provider-administered drugs are covered under the medical benefit, and the prior authorization process is handled by UMR call 1-888-440-7342. Face-to-Face Diabetes Program - Providers and Pharmacists. PEIA’s Face-to-Face (F2F) Diabetes Program is always looking for new providers. If you are a pharmacist who wishes to participate ... West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; Medicare Retiree; Open Enrollment Information - Plan Year 2025; ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits.is PEIA’s IRS-qualified High Deductible Health Plan, and the details of Plan C are covered in the Summary Plan Description – Plan C, which is available at www.wvpeia.com or peia.wv.gov or by calling 1-888-680-7342. Plan D is the West Virginia ONLY plan whose benefits mirror those of Plan A, but with no out-of-state benefits exceptThe West Virginia Legislature gavels in: PEIA gets a patch-up and Justice speaks tonight. The 86th Legislature met for the first time on Wednesday. A flurry of bills were introduced and the Senate moved quickly on a series of bills. Notable ones included a short-term change for the state’s health insurance agency and restrictions on the ... Public Employees Insurance Agency. Benefitting People Who Serve. Members. Active Members. Non-Medicare Retiree. Medicare Retiree. Open Enrollment Information - Plan Year 2025. Spousal Coverage Information. Health Plans. West Virginia is a comprehensive document that lists the prescription drugs covered by the Public Employees Insurance Agency (PEIA) for its members. It includes information on drug categories, prior authorization, copayments, and exclusions. The document is updated periodically and can help you find the most cost-effective …PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …PEIA 101 is a required course for all designated Benefit Coordinators. It is designed to provide new benefit coordinators with the information necessary to carry out this vital role. It is also a great refresher course, so coordinators should plan on taking PEIA 101 every two or three years to keep abreast of changes to policies, forms, etc. You will need to fill out a Retiree Basic Life and Health Enrollment Form , a Retiree Optional and/or Dependent Life Enrollment Form and a Termination Form. You can visit customer service at PEIA to pick up a retirement packet or you can contact PEIA customer service at 1-888-680-7342 to request that a retirement packet be mailed to you. You ... Brian Cunningham, Director Jason Haught, Chief Financial Officer Charlotte Stover, Director of Operations Jessica Wallace, Administrative Servi ces Manager I Kathy Lester, HR Generalist I Erika Smith, Administrative Secretary Contact Us Phone: 1-304-558-7850, 1-888-680-7342 Fax: 1-304-558-2470, 1-877-233-4295 Email: [email protected] ...Manage My Benefits. Please select all that apply: I am applying for PEIA coverage for the first time. I currently have PEIA coverage as a policyholder or dependent - either active or retired. I have previously had PEIA coverage as a policyholder or dependent - either active or retired. I am the Benefit Coordinator and/or Web Contributions ...The Shopper’s Guide is an invaluable tool for all employees and provides information about the plans offered as well as rate tables for premiums for the current plan year. Summary Plan Description . The Summary Plan Description (SPD) provides PEIA PPB Plan participants with an easy-to-read description of benefits available …CHARLESTON, W.Va. (WV News) — Some of the planned premium increases for the West Virginia Public Employees Insurance Agency could potentially be avoided, said PEIA Director Brian Cunningham. Cunningham, testifying Monday before the Legislature’s Joint Committee on Insurance and PEIA, said the agency may not need to …You will need to fill out a Retiree Basic Life and Health Enrollment Form , a Retiree Optional and/or Dependent Life Enrollment Form and a Termination Form. You can visit customer service at PEIA to pick up a retirement packet or you can contact PEIA customer service at 1-888-680-7342 to request that a retirement packet be mailed to you. You ...PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Email: [email protected] Fax: 1-304-558-2470, ...ANY coverage through PEIA. PEIA also offers PPB Plan C, which is an IRS-qualified High-Deductible Health Plan (HDHP). For information about Plan C, download the Summary Plan Description (Plan C) at peia.wv.gov or call 1-888-680-7342. Managed Care Members For those who are enrolled in managed care plans, this booklet provides all the eligibility andPEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI).West Virginia PEIA Drug List Medication Name Copay Tier Quantity Limit Prior Authorization Required Step Therapy Specialty Medication ACTIQ 200 MCG LOZENGE 3 QL PA ACTIQ 400 MCG LOZENGE 3 QL PA ACTIQ 600 MCG LOZENGE 3 QL PA ACTIQ 800 MCG LOZENGE 3 QL PA ACTIVELLA 0.5-0.1 …Brian Cunningham, Director Jason Haught, Chief Financial Officer Charlotte Stover, Director of Operations Jessica Wallace, Administrative Servi ces Manager I Kathy Lester, HR Generalist I Erika Smith, Administrative Secretary Contact Us Phone: 1-304-558-7850, 1-888-680-7342 Fax: 1-304-558-2470, 1-877-233-4295 Email: [email protected] ...Manage My Benefits. Please select all that apply: I am applying for PEIA coverage for the first time. I currently have PEIA coverage as a policyholder or dependent - either active or retired. I have previously had PEIA coverage as a policyholder or dependent - either active or retired. I am the Benefit Coordinator and/or Web Contributions ...Open Enrollment Changes. To make Open Enrollment changes, members can: Go to PEIA’s website at www.wvpeia.com or peia.wv.gov, click the green Manage My Benefits …Marriage is a qualifying event that allows a member to add or drop coverage. A member may add coverage for a spouse during the month they are married and the 2 calendar months following. To do so, fill out a Change in Status form, check the box for marriage and turn it in to your Human Resources Department. Coverage …Brian Cunningham, Director Jason Haught, Chief Financial Officer Charlotte Stover, Director of Operations Jessica Wallace, Administrative Servi ces Manager I Kathy Lester, HR Generalist I Erika Smith, Administrative Secretary Contact Us Phone: 1-304-558-7850, 1-888-680-7342 Fax: 1-304-558-2470, 1-877-233-4295 Email: [email protected] ...Online PEIA 101 for Colleges and Universities. Instructions to enroll in the PEIA 101 online course, which provides an introduction to PEIA resources, policies and procedures for benefit coordinators. These instructions apply to colleges and universities ONLY. Online Web Contributions Courses Available.PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > News Center > Plan Year 2025 Changes Passed by the PEIA/RHBT Finance Board.For West Virginia teachers, PEIA’s financial crisis has real costs. More than 200,000 West Virginia state employees rely on PEIA for health insurance. As the state agency faces a looming budget cliff, those on the insurance say change is urgently needed. by P.R. Lockhart February 3rd, 2023. Teachers watch in the gallery of the West Virginia ... How to Report Insurance Fraud. If you suspect a doctor, insurance company or individual is committing insurance fraud, call PEIA at 304-558-7850. You also may e-mail the Suspected Insurance Fraud Citizen Reporting Form to [email protected] or fax the information to 304-558-2470. PEIA provides health, life, and accidental death and dismemberment insurance to eligible employees of the State of West Virginia and related agencies and local governments. It …Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Contact PEIA > PEIA Staff > Eligibility. EligibilityCall: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Forms & Downloads > Medicare Retirees. Medicare Retirees. Premium a nd Benefit Assistance Form (Plan Year 2024)West Virginia. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. Members. Active Members; Non-Medicare Retiree; Medicare Retiree; Open Enrollment Information - Plan Year 2025; ... Call: 1-888-680-7342 Email: [email protected]. Members ...Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Forms & Downloads > Medicare Retirees. Medicare Retirees. Premium a nd Benefit Assistance Form (Plan Year 2024)WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT. Tuesday, March 19, 2024. Facebook Twitter YouTube. West Virginia Code. Menu. Primary menu. WV Legislature Home Page; Enrolled Bills; ... Limitation on PEIA participation. §5-16-30. PEIA solvency. §5-16-31. PEIA actuarial study. §5-16-32. Effective date …The bill, which returns to an 80/20 split in insurance costs between employers and employees, will raise premiums by as much as 26%. Lawmakers say the measure is necessary to preserve the … Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. PEIA > Members. The screen will advise you what documentation PEIA will need to add coverage for the qualifying event you have chosen. ... Beneficiary form found at PEIA.wv.gov. How to Enroll on Manage My Benefits 17 How to Enroll on Manage My Benefits 8/2022 The next screen will confirm your demographic information. Public Employees Insurance Agency. Benefitting People Who Serve. Manage My Benefits. Menu. ... Call: 1-888-680-7342 Email: [email protected]. Manage My Benefits. Fiscal Year 2011 Report (Fiscal Years 2011-2016) Quarterly Report (3-31-11) Quarterly Report (12-31-10) OPEB Reports. GASB 75 Repo rt - Audited Schedules of Employer OPEB Allocations and OPEB Amounts by Employer for the Year Ended June 30, 2023. June 30, 2022 OPEB Valuation. GASB 75 Repo rt - Audited Schedules of Employer OPEB Allocations and ... State of West Virginia Public Employee Insurance Agency Change-in-Status Form ... your benefit coordinator; retired employees mail this form to PEIA, 601 57th St, SE, Suite 2, Charleston, WV 25304-2345 or fax to 1-877-233-4295. This is a 2-page form. You must complete and submit both pages to change your coverage.PEIA is required by law to maintain the confidentiality, privacy, and security of our members’ protected health information (PHI). Skip to Navigation. Skip to Main Content. State Agency Directory | Online Services. ... Call: 1-888-680-7342 …If you suspect a doctor, insurance company or individual is committing insurance fraud, call PEIA at 304-558-7850 or 877-233-4295. You also may e-mail the Suspected Insurance Fraud Citizen Reporting Form to [email protected]. Mountaineer Flexible Benefits Find out about optional insurance available through Mountaineer Flexible Benefits...With inflation and salaries still an issue, tax cuts and a $2,300 pay raise aren’t reducing concerns about PEIA’s increased cost. Public employees watch from the gallery on March 4, 2023, as delegates debated and passed PEIA legislation. Photo by Perry Bennett/WV Legislature. Even when she was in college, Katie Surface knew that …The bill, which returns to an 80/20 split in insurance costs between employers and employees, will raise premiums by as much as 26%. Lawmakers say the measure is necessary to preserve the …WEST VIRGINIA PUBLIC EMPLOYEES INSURANCE ACT. Tuesday, March 19, 2024. Facebook Twitter YouTube. West Virginia Code. Menu. Primary menu. WV Legislature Home Page; Enrolled Bills; ... Limitation on PEIA participation. §5-16-30. PEIA solvency. §5-16-31. PEIA actuarial study. §5-16-32. Effective date …Statehouse Spotlight. PEIA bill proposed by West Virginia lawmakers would remove some spouses, likely raise premiums. In Tuesday’s edition of Statehouse …A recent analysis from the West Virginia Center on Budget and Policy noted that given the extent of the damage, PEIA premiums would have to rise more than 50% to fully cover the cost of the $376 million shortfall that is expected by 2027. And while the state’s current requirement that insurance costs be paid at an 80/20 split between ...Update (December, 7, 2023): On Thursday afternoon, the PEIA Finance Board voted to approve a 10.5% premium increase for state employees and a 14% premium increase for local and non-state employees for the 2024-2025 fiscal year. The agency did not pass a proposed $147 monthly charge for local employees seeking to add a non-PEIA spouse …. 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