Faculty Handbook - Fairmont State University
Faculty Handbook - Fairmont State University
Faculty Handbook - Fairmont State University
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New <strong>Faculty</strong> Enrollment Period for PEIA Health and Life Insurances and Mountaineer Flexible<br />
Benefit Plans<br />
New hires have the month of hire and the two following months to enroll in health, basic, optional<br />
and dependent life, and Mountaineer Flexible Benefit plans. Documentation for dependents is<br />
required for health coverage to be approved (marriage license/spouse; birth certificate/children).<br />
Effective Date of Coverage:<br />
Coverage is effective the first of the month following the month of enrollment in the plan. Example:<br />
if you are hired in August and enroll, coverage is effective September 1.<br />
HEALTH INSURANCE<br />
The WV Public Employees Insurance Agency (PEIA) offers a choice of plans of a preferred provider<br />
benefit plan (PPB) and managed care plans (HMO) for employees and their dependents. Employee<br />
premiums are based on annual base salary, coverage type (single or family), and the plan selected<br />
(see discounts below). New hires have the month of hire and the following two months to select<br />
coverage. Coverage is effective the first of the month following the month of enrollment. Premiums<br />
are taken on a pre-tax basis. PEIA requires a copy of the marriage certificate to add a spouse, and a<br />
copy of the birth certificate for each dependent child from birth up to age 26.<br />
In April, PEIA mails to each employee a “Shopper’s Guide”, which outlines the benefits for the<br />
plans offered, and premiums for both health and optional life insurances for the plan year. In<br />
addition, refer to the Summary Plan Description booklet for more information. Both booklets are<br />
available on the PEIA web site: www.wvpeia.com<br />
PEIA PPB PLANS A, B, D<br />
Preferred Provider Benefit Plan premiums for this plan are based on employee and dependent<br />
Tobacco Status. Premiums, annual deductibles, and co-insurance amounts are based on the<br />
employee’s annual salary. Plan D is for WV residents who received all care in WV, except<br />
emergencies and approved procedures not available in WV.<br />
There are restrictions on traveling outside West Virginia to get medical care. Prescription drugs<br />
have a separate plan deductible and out-of-pocket maximum.<br />
PEIA PPB PLAN C<br />
A High Deductible Health Plan, which can be paired with a Health Savings Account or a Health<br />
Reimbursement Arrangement. Single deductible is $1250; children or family $2500. Premiums are<br />
based on tobacco status, but not on salary.<br />
Premium Discounts for PEIA PPB Plans A, B, C & D: Tobacco free<br />
Advance Directive/Living Will<br />
Improve Your Score (health screen)<br />
PEIA MANAGED CARE PLANS (HMO)<br />
HMO’s manage health care for their members by coordinating the use of health care services<br />
through Primary Care Physicians. PEIA offers HMO plans with “The Health Plan”. Members must be<br />
referred by the PCP for specialty care within the network. Family members must live in the plan<br />
enrollment area. Premiums are based on salary, tobacco status and living will status, and are set by<br />
the managed care plan. www.healthplan.org 1-800-624-6961<br />
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