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West Virginia
Public Employees Insurance Agency
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Manage My Benefits

Adoption

 
When an adopted child is placed in the home of a member, the member has the month the child was born and/ or placed in the home and the two following calendar months to add coverage for the child. 

Coverage will be retroactive to the date of birth or placement if enrolled during the initial qualifying event period. If the child is not added to the insurance during the initial enrollment period, the child cannot be added until open enrollment or until another qualifying event occurs (insurance will not be retroactive). 
 
To add an adopted child to your health insurance, you can:
1. Visit your Benefits Coordinator and fill out a Change in Status Form.  You will need a copy of the certificate of placement or legal adoption papers as documentation.
2. Log into your Manage My Benefits account. 
From your Menu screen, choose Add a Dependent. 
 
Enter the child's demographic information into the system. 
 
Answer if the child has insurance other than PEIA. If you want to chose a Primary Care Physician, you can do it here. Choose finalize.  
 
The next screen will have your child's name, click Next.  
 
 From this screen you will choose if you want to manage Health Insurance for the dependent or Life Insurance.
 
Choose adoption and enter the child's date of birth of date, date of placement or date of legal adoption in the MM/DD/YYYY format and continue.
 
You will see and/or choose your plan on the next screen, click continue.
 
Mark a yes by the dependent's name. On the next screen select finalize.
 
On the main menu, click the gray box that says Upload Required Documentation. 
 
The type of file is Adoption Papers.  Choose the child's name. 
 
Browse to the file with the placement certificate, birth certificate and/or the adoption decree and then click upload at the bottom of the page.
 
 
You can find details about making changes like this in the  Summary Plan Description  under Qualifying Events.
 
PLEASE NOTE: Any change that is made with PEIA does not change with your Mountaineer Flexible Benefits. To change demographic information for FBMC, please click here.