Health Insurance Plans

PEIA Forms

Forms and Downloads

Beneficiary Updates

Please remember to keep your beneficiary information up-to-date with PEIA and TIAA-CREF. It is important that you control who will receive your assets in the event of your death.

Medical and Life Insurance:

Full-time employees may enroll in health and life insurance plans through the West Virginia Public Employees Insurance Agency (PEIA).

Employees currently have a choice between two primary health plans available:

PEIA PBB Plans

PEIA offers the PEIA PPB Plans A, B and C to all active employees.

Plan A is the standard plan. Plan B is similar to Plan A, but offers lower premiums with higher deductible, higher out-of- pocket maximums, and higher copayments for prescription drugs. The medical coverage is identical in PPB Plans A and B. The differences are in the deductible, out-of-pocket maximums and drug copayments.

PEIA PPB Plan C is an IRS-qualified High Deductible Health Plan which can be paired with a Health Savings Account (HSA) or a Health Reimbursement Arrangement (HRA).

When considering a PBB Plan remember:

Questions about a PBB Plan?

Questions about medical claims should be addressed to Wells Fargo:
(888) 440-7342
http://www. wellsfargo.com/tpa

Questions about prescription drugs should be addressed to Express Scripts:
(877) 256-4680
http://www.express-scripts.com

Questions for PEIA should be addressed to the West Virginia Public Employees Insurance Agency:
(888) 680-7342
http://www.peia.wv.gov

PBB Plan Pre-certification & Out of State Referrals

Requests for pre-certification or out-of-state referrals for medical care should be addressed to ActiveHealth:
(888) 440-7342

Premium Discounts

Are you getting all of the PEIA discounts that you deserve? Click here to see what you need to do to get your premium discounts:
http://www.peia.wv.gov/services/ppb_plans/Pages/Premium_Discount_Programs.aspx

To find health screenings offered around the area, please click on link below
http://www.peiapathways.com/home.aspx

You will need to call the Health Screening location and ask for the Health Screening Coordinator to see what appointment times are available.

The Health Plan

The Health Plan is a Health Maintenance Organization (HMO).

HMO’s manage health care for their members by coordinating the use of health care services through their Primary Care Physicians. When considering the Health Plan remember:

Questions about the Health Plan

Questions about the Health Plan should be directed to the Health Plan:

(800) 624-6961
http://www.healthplan.org

Continuing Health Insurance with COBRA

Employees and their enrolled dependents may be eligible to continue current health coverage for a limited time under the federal Consolidated Omnibus Budget Reconciliation Act (COBRA).

COBRA is available for all PEIA’s insured, including those under managed care, and is administered by Wells Fargo TPA.

Questions about COBRA?

Questions about medical claims should be addressed to Wells Fargo:

(888) 440-7342
http://www. wellsfargo.com

Dental /Vision Insurance and Flexible Spending:

Full-time employees may enroll in dental, vision, and flexible spending accounts with Mountaineer Flexible Benefits, as well as long-term disability with The Standard through FBMC.

Mountaineer Flexible Benefits

Mountaineer Flexible Benefits provides optional insurance coverage, including dental benefits, optical benefits, flexible spending accounts, disability insurance and more. Not all PEIA members are covered under the plan. Members who are covered bear the cost of optional insurance with pre-tax earnings. Retirees can elect for some coverage with after-tax earnings. To learn more, call 1-800-342-8017.

Long-Term Disability

Long-term disability insurance is available to full-time employees through The Standard. For instructions and form click here

Affordable Care Act Notice

One of the requirements of the Affordable Care Act (sometimes referred to as “Obamacare”) is that employers notify employees before October 1, 2013 of the Health Insurance Marketplace. For information about the Marketplace and how this law may affect you, please read these notices: Notification  | Coverage Options

Aflac Policies Available to Employees

Shepherd University is partnering with Aflac to offer benefits to full-time and part-time employees. Full-time employees can pay their premiums through payroll deduction while part-time employees can enroll on a direct pay basis (credit card/bank draft).

This is not regular health insurance. The Aflac policies that will be offered to Shepherd employees are: (1) Accident; (2) Cancer/Specified Disease; (3) Hospital Confinement Indemnity (for example, maternity); (4) Hospital Confinement Sickness Indemnity; and (5) Specified Health Event. For additional information, please visit www.aflac.com and click on the Policies tab at the top of the page.

You also may feel free to contact our Aflac agents:

Michelle Rankin
301-668-2121
michelle_rankin@us.aflac.com

Harry Johnson
301-829-6565
harry_johnsonjr@us.aflac.com