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Click ‘Get Form’ to open the Health Benefits Enrollment Form in the editor.
Begin by filling out your legal name, mailing address, and social security number in the designated fields. Ensure accuracy as this information is crucial for your enrollment.
Provide your county of residence, home telephone number, and date of birth. Select your sex by circling 'M' or 'F'.
In the Coverage section, indicate if you are enrolling for Employee Only, Employee/Child(ren) Only, or Family coverage by checking the appropriate box.
Fill out the Dependent Information section if applicable. Include details such as legal names, relationships, and social security numbers for each dependent.
Complete the Tobacco Affidavit by marking who uses tobacco within your family and signing where indicated to potentially receive a discount on premiums.
Finally, review all entered information for accuracy before signing and dating the acceptance box at the bottom of the form.

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Is UMR the same as PEIA?

UMR is PEIAs 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.

Who is eligible for PEIA in WV?

You are eligible for PEIA insurance if you are: a full-time employee (working regularly at least 20 hours per week); an elected official who works full-time in the elected position; a member of the West Virginia Legislature (must pay 100% of the premium); a member of the West Virginia Board of Education (must

Is PEIA good insurance reddit?

For most people, PEIA Plan B is a good default choice. It has widely accepted coverage, a decent premium, and relatively low deductibles and out-of-pocket maxes. If you use a lot of healthcare, consider switching to PEIA Plan A.

Is WV PEIA only for state employees?

Non-State Agency Participation Code 5-16-29, which prohibits enrollment in the PEIA Plan for any non-state entities not currently participating in the plan, with the exception of certain charter school employees.

west virginia peia benefits

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