Staff Resources > Insurance Information


PEIA Shopper's Guide
Plan Year 2012 Benefits
July 1, 2011 - June 30, 2012


2011-12 PEIA Premiums

Active State PEIA - Plan A
Active State PEIA - Plan B
Active State PEIA - Plan C
COBRA
Retired Non-Medicare
Retired Medicare [PEIA PPB - Plan A]
Basic Life Rates - All

List of Premiums and Deductibles


It's time to Complete Your Living Will/Advance Directive Affidavit! - 21 October 2010

Once you've completed your advance directive, the easiest way to get your discount is to complete the Living Will Affidavit on PEIA's "Manage My Benefits" site. Go to www.wvpeia.com and click on the green "Manage My Benefits" button in the upper right corner. If you've used the site before, just log in. If you haven't used the site before, you'll use the "Need to Register" function before you complete your affidavit. When you get to your menu, choose the Living Will button and follow the instructions.



Please remember, PEIA does not want a copy of your advance directive or living will. Please DO NOT mail or fax a copy of your actual advance directive document to us. All you must do to receive the discount is complete the affidavit - either online or on paper.

Memo from PEIA Administration - 16 September 2009

In an effort to make our operations at PEIA more efficient, we'd like to ask your cooperation with the following:

1. Please refer all member eligibility calls to Customer Service. All members should be referred to Customer Service (1-888-680-7342, option 0) even if they have questions about eligibility. The Customer Service staff has the training in eligibility issues to be able to answer member calls. Please do not give the names and extension numbers of the eligibility staff to your PEIA members.

2. For claim or customer service issues, please refer your PEIA members to PEIA's contractors first. As you know, we have a VERY SMALL customer service staff here, and their job is to handle the more complex issues that the contractors can't handle. Questions should be referred to:

a. PPB benefits, claims, and ID cards: Wells Fargo TPA • 1-888-440-7342
b. PPB precertification and out-of-state referrals: ActiveHealth • 1-888-440-7342
c. PPB prescription issues: Express Scripts Inc. • 1-877-256-4680
d. Health Plan HMO questions: The Health Plan • 1-888-847-7902
e. Carelink HMO questions: Carelink • 1-800-348-2922
f. Medicare retiree benefit questions (thru 12/30/09): Advantra Freedom • 1-877-337-4178
g. Future (1/1/10) Medicare retiree questions: Humana • 1-800-783-4599

3. As a general rule, temporary ID cards will no longer be generated. Enrollment forms must be submitted to PEIA by the 15th of the month in order for eligibility to complete the data entry and for the member to receive an ID card by the first of the following month. Online transactions must be completed and approved by the 20th of the month for the member to receive an ID card by the first of the following month. If PEIA does not complete the data entry within a time frame to allow for the member to receive the ID card by the 1st of the month, then the member may request a temporary ID card. Otherwise, you may advise them to present a copy of their enrollment form, or they may use the policyholder's SSN as their ID number to receive services.

We appreciate your help as we try to change processes here to make the plan work more efficiently for everyone!

PEIA Update

Beginning with Plan Year 2009 on July 1, 2008, participants will no longer be required to complete a tobacco affidavit each year — unless there is a change in participant or dependent tobacco use. Changes (tobacco status, adding or deleting dependents, etc.) may be made through the Board office or online once you have gone through the initial registration process.

Available Plans - These plans are available to school employees in Pendleton County:

• PEIA PPB Plan A, which is the plan most all of the employees are currently in; or
• PEIA PPB Plan B, which has lower premiums but significantly higher deductibles and out-of-pocket expenses; and
• PEIA PPB Plan C, which has the highest deductible and out of pocket maximum and in some cases a lower premium

 
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Pendleton County Schools
PO Box 888 • 108 Walnut Street
Franklin WV 26807
Phone (304) 358-2207 • Fax (304) 358-2936

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