Important Information Regarding Changes for Plan Year 2024

In light of recent benefit changes enacted by the Legislature, PEIA will be making changes to the Plan Year 2024 Financial Plan (effective July 1, 2023).  

The major changes, effective July 1, 2023, include:

1. Imposition of the spouse surcharge for active employee policyholders from state agencies, colleges, universities, and county boards of education whose spouses are offered employer-sponsored insurance coverage but who choose to get coverage through a plan offered by PEIA. This change does not affect non-state agencies, retirees, spouses who are employed by PEIA-participating agencies, or spouses whose coverage is through Medicare, Medicaid, or TRICARE.

2. Increasing health premiums to get the plan back to an 80/20 employer/employee premium split for state agencies, colleges, universities, and county boards of education by July 1, 2023. A fourth across-the-board pay raise for state employees by Gov. Jim Justice will help cushion the impact felt by plan members.

3. Increasing reimbursement to providers to a minimum of 110% of Medicare’s reimbursement.

Before adopting the revised 2024 Financial Plan, the PEIA Finance Board will hold a series of public hearings next week. 

PEIA staff is working diligently to schedule additional hearings, and as soon as dates and locations are available, they will be posted on the PEIA website and on our Facebook page: PEIA-West Virginia Public Employees Insurance Agency. 

Thanks for your patience as we work to get changes in place in advance of Open Enrollment, which begins April 2, 2023.