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Mountaineer Flexible Benefits

Did you know you can schedule a one-on-one phone call with representatives from FBMC to discuss your Mountaineer Flexible Benefits options and coverage during open enrollment? Visit their scheduling page​ for more information or to schedule your call today!


​​Benefit Guide (Plan Year 2025 - July 1, 2024 - June 30, 2025)


Mountaineer Flexible Benefits Plan (Active Employees)
Mountaineer Flexible Benefits Plan (Retirees)

Enrollment Forms (Plan Year 2025)


Benefit Guide (Plan Year 2026 - July 1, 2025 - June 30, 2026)

​​Mountaineer Flexible Benefits Plan (Active Employees)
Mountaineer Flexible Benefits Plan​ (Retirees)

Enrollment Forms (Plan Year 2026)

Mountaineer Flexible Benefits Enrollment Form (Active Employees) 
Mountaineer Flexible Benefits Enrollment Form (Active Employees) Fillable PDF
Mountaineer Flexible Benefits Enrollment Form (Re​tirees)​
Mountaineer Flexible Benefits Enrollment Form (Retirees) Fillable PDF​



Please note, to update your Mountaineer Flexible Benefits elections after a change-in-status event, you must complete an Enrollment Form with FBMC.                    ​Employees must submit the form, as well as supporting documentation, to their Agency Benefit Coordinator within the month of or two months following the status-changing event. Please select the appropriate Enrollment Form above (Active or Retiree) for the current plan year.​​

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Other Forms
Mountaineer Flexible Benefits Benefit Coordinator Reference​ Manual

Mountaineer Flexible Benefits Demographic Change Form (Active Employees)
Mountaineer Flexible Benefits Demographic Change Form (Retirees) 

Personal Pay Summary Form

Sun Life Dental Claim Form

Humana E​yeMed Claim Form

Contact Information

Call Customer Service at 1-844-559-8248