Get the free peia mountaineer flexible benefits open enrollment 2013 form - peia wv

ENROLLMENT FORM Attention Mailslot 37 PLEASE PRINT USING A BALLPOINT PEN. Press Firmly THE LAST COPY IS YOURS. SOCIAL SECURITY E-mail TYPE OF FORM OPEN ENROLLMENT LAST NAME TRANSFER / MALE FEMALE STATE DATE EMPLOYED MARRIED SINGLE CHANGE IN STATUS MI CITY BIRTH DATE NEW HIRE FIRST NAME HOME ADDRESS STREET Mountaineer Flexible Benefits Plan Year 2013 July 1 2012-June 30 2013 P. O. Box 1878 Tallahassee FL 32302-1878 STATE OF WEST VIRGINIA Z...

How to fill out peia mountaineer flexible benefits

How to fill out PEIA Mountaineer Flexible Benefits:

1. Start by gathering all necessary documentation, such as your employee identification number, social security number, and any dependent information.
2. Visit the PEIA website or contact their customer service to obtain the necessary forms for the Mountaineer Flexible Benefits program.
3. Carefully review the instructions provided with the forms to understand the eligibility requirements and permissible expenses for the program.
4. Fill out the required personal information sections on the forms, making sure to provide accurate and up-to-date details.
5. Determine the type of flexible benefits you wish to enroll in, such as medical, dental, vision, or dependent care, and complete the corresponding sections accordingly.
6. Calculate the amount of contributions you want to allocate towards each flexible benefit, ensuring that it falls within the program's limits and your budget.
7. If applicable, provide the necessary information regarding dependent coverage, including their names, social security numbers, and relationship to you.
8. Review all the information provided on the forms for accuracy and completeness before submitting them.
9. Once you have completed the forms, submit them according to the instructions provided, either online or by mailing them to the designated address.

Who needs PEIA Mountaineer Flexible Benefits:

1. Employees and their eligible dependents who are eligible for benefits through the Public Employees Insurance Agency (PEIA).
2. Individuals who wish to have flexible options for their healthcare, dental, vision, or dependent care expenses.
3. Employees who want to take advantage of pre-tax savings by contributing a portion of their salary towards these benefits.
4. Individuals who want to have greater control over their healthcare and dependent care expenses by choosing the options that best suit their needs.
5. Employees who want to access affordable and comprehensive benefits through the PEIA program.

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What is peia mountaineer flexible benefits?

PEIA Mountaineer Flexible Benefits is a program offered by the Public Employees Insurance Agency (PEIA) in West Virginia that allows eligible employees to choose from a variety of pre-tax benefits options such as health insurance, dental insurance, vision insurance, and flexible spending accounts.

Who is required to file peia mountaineer flexible benefits?

All eligible employees of the West Virginia Public Employees Insurance Agency (PEIA) are required to file for Mountaineer Flexible Benefits if they wish to participate in the program.

How to fill out peia mountaineer flexible benefits?

To fill out PEIA Mountaineer Flexible Benefits, eligible employees need to complete the enrollment form provided by PEIA during the open enrollment period. The form will require personal and dependent information, benefit choices, and any necessary documentation.

What is the purpose of peia mountaineer flexible benefits?

The purpose of PEIA Mountaineer Flexible Benefits is to provide eligible employees with the opportunity to customize their benefit package and save money by paying for eligible expenses with pre-tax dollars.

What information must be reported on peia mountaineer flexible benefits?

On PEIA Mountaineer Flexible Benefits, employees are required to report personal and dependent information, choose benefit options, and provide any necessary supporting documentation to verify eligibility.