​Divorce is a qualifying event to make changes to your insurance.    Qualifying events which end eligibility (such as divorce) must be reported immediately. For purposes of eligibility, the term “immediately” shall mean as soon as practically possible and, in no case, greater than thirty (30) days from the date of the final divorce decree.    You must remove your ex-spouse and stepchildren from all of the policies that they were covered by ie. Health and Dependent Life, Dental, Vision etc..

To make the change you can fill out a  Change in Status form, check the box divorce and turn it in to your Human Resources Department. Coverage would be effective the first day of the month following PEIA receiving the Change in Status form and the divorce decree.   

From your Menu screen you will choose  your stepchild's and/or spouse's name and you click next.

 

 From this screen you will choose if you want to manage Health Insurance for the dependent or Life Insurance.

 

 You will choose divorce and enter the date the divorce is final with backslashes and continue.

  

 Uncheck the box beside the dependent's name and then on the next screen finalize.

 

 When you go back to the main menu, you will see a grey box that says Upload Required Documentation.  Click it.

 

 The type of file is Divorce Decree .  Choose the spouse's name. 

 

 Browse to the file with  the Divorce Decree and then click upload at the bottom of the page.

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.