PEIA Notice

Deductions

Please carefully review your July 16, 2010, pay stub for changes in your health and/or life insurance premiums. Compare your pay stub deductions against the premiums listed in the PEIA Shoppers Guide. Keep in mind, your health insurance premiums increased and the optional life premiums decreased effective July 1, 2010.

Your premium amounts are based on your annual salary as of May 14, 2010. Premium amounts for family with employee spouse, which includes employee and employee spouse, are based on the average of the two employees’ salaries.

Immediately report any discrepancies via fax at 304-558-2952 or e-mail to Linda Foster linda.foster@courtswv.gov or Barbara Randolph barbara.randolph@courtswv.gov in the Division of Human Resources.

Changes for Plan Year Effective July 1, 2011

You will be allowed to add your dependents to your health insurance coverage only if you have a qualifying event (for example, marriage, adoption or birth of child).  You can add a dependent within the month of the event or the two following calendar months or during open enrollment that is held annually in April. See page forty-one of the Shoppers Guide to see the entire list of qualifying events. If you miss the time-sensitive enrollment period of a qualifying event, you will have to wait until April 2011 to add a dependent.

Legislation recently was passed that removed the pre-existing condition limitation from all PPB Plans. Therefore, you will not be required to provide proof of prior creditable coverage when you add a new dependent to your PPB Plan. 

All PEIA policyholders should have received their PEIA Summary Plan Description Booklet (Plan Year 2011) by now. If you have not received a booklet, you may call PEIA’s Customer Service toll free number (1-888-680-7342) or download a copy at www.wvpeia.com under “Members” or “Summary Plan Descriptions.”  

Health Data Management (HDM) Audit

PEIA contracted with HDM to perform an entire eligibility audit affecting employees who have dependent(s) covered for health and/or dependent optional life coverage. This audit was completed and ninety percent of employees complied with furnishing the required documents (marriage certificates for spouses, birth certificates of dependent children and 2008 or 2009 tax returns).  For those that submitted their documentation timely there was no interruption in coverage. However, for those folks who did not submit the pertinent documentation and their dependent(s) were terminated, you will need to contact PEIA concerning your appeal regarding submission of the required audit information. Time is of the essence at this point for approval of retroactive reinstatement of dependent coverage.  As a courtesy, forward a copy of the final decision (approved or denied) as soon as possible to the Division of Human Resources.