WV PEIA Health Benefits Enrollment 2019-2025 free printable template

Complete this form to enroll for health coverage, providing personal and dependent information, selecting coverage options, and confirming tobacco use.

How to fill out wv public employees insurance

How to fill out WV PEIA Health Benefits Enrollment

1. Obtain the WV PEIA Health Benefits Enrollment form from the official website or your HR department.
2. Review the eligibility requirements to ensure you are eligible for the benefits.
3. Fill out personal information, including your name, address, and Social Security number.
4. Select the appropriate coverage options such as individual or family plans.
5. Provide information about any dependents who will be covered under the plan.
6. Include any required documentation, such as proof of dependency or prior coverage.
7. Sign and date the form to certify the information provided is accurate.
8. Submit the completed form by the deadline to the designated office.

Who needs WV PEIA Health Benefits Enrollment?

1. Employees of the state of West Virginia who are eligible for health benefits.
2. Dependents of eligible employees who need health insurance coverage.
3. New hires who require health benefits enrollment.
4. Employees experiencing a qualifying life event that allows for enrollment or changes in coverage.

People Also Ask about

What is the Peia Cobra phone number?

The employee or dependent can contact UMR regarding COBRA coverage by dialing 1-888- 680-7342.

What is PPB in insurance?

Preferred Provider Benefit (PPB) Plan A Higher premiums and lower deductibles, out-of-pocket maximums and drug copays.

Who is eligible for PEIA in WV?

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.

Can an employer contribute different amounts towards employee medical insurance?

An employer's contribution does not have to be the same for single employee coverage and family coverage, and often is not. When it comes to national averages, employers typically cover about 82 percent of single employee premiums and 70 percent of family premiums.

What does peia stand for?

What does PEIA stand for? Rank Abbr.MeaningPEIAPublic Employees Insurance AgencyPEIAPreliminary Environmental Impact Assessment (various locations)PEIAProgrammatic Environmental Impact AnalysisPEIAPacific Energy Innovation Association3 more rows

How is WV PEIA funded?

The Board is required to provide a financing plan in which the State Fund revenue costs are financed 80% by state employers and 20% by state employees in FY 2022 and in subsequent fiscal years.

What is the difference between PEIA Plan A and B?

Plan A has the richest benefits with the highest premiums of all the PEIA PPB Plans. It is available to all active employees and non-Medicare retirees. Plan B offers lower premiums with higher deductibles, higher out-of-pocket maximums, increased coinsurance, and higher copayments for prescription drugs.

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What is WV PEIA Health Benefits Enrollment?

WV PEIA Health Benefits Enrollment refers to the process by which eligible individuals in West Virginia enroll in the Public Employees Insurance Agency (PEIA) health insurance plans. This enrollment allows individuals to select and receive benefits under the state's health insurance program.

Who is required to file WV PEIA Health Benefits Enrollment?

Employees of the state of West Virginia and certain affiliated agencies who are eligible for health insurance benefits are required to file for WV PEIA Health Benefits Enrollment. This typically includes full-time employees and their eligible dependents.

How to fill out WV PEIA Health Benefits Enrollment?

To fill out the WV PEIA Health Benefits Enrollment, individuals must obtain the enrollment form, complete the required personal information, choose the desired health plan options, and submit the form by the designated deadline. It may also require additional documentation for dependents.

What is the purpose of WV PEIA Health Benefits Enrollment?

The purpose of WV PEIA Health Benefits Enrollment is to ensure that eligible employees and their dependents have access to health insurance coverage. It facilitates the selection of appropriate plans based on individual or family health needs.

What information must be reported on WV PEIA Health Benefits Enrollment?

The information that must be reported on WV PEIA Health Benefits Enrollment includes the employee's personal details (such as name, address, and social security number), choices of health plans, information about dependents, and any additional required documentation for verification.