Below are updates and information about managing member benefits. You can subscribe to the Benefit Coordinator Briefing by clicking the RSS Feed button.
Benefit Coordinator Updates Regarding Beneficiaries
Benefit Coordinators are now unable to change a beneficiary for a member after the original enrollment.
You will notice that the button to change beneficiaries is removed for Benefit Coordinators.
Only the member should be changing the beneficiaries on their account through either: (a) a written CIB form, or; (b) by creating an MMB account themselves (not created by a spouse or other 3rd party) and changing their beneficiaries there.
New Premium Rates for 2/1/22
New Premium Rates were approved by the PEIA Board and can be found here. The new rates will begin 2/1/22.
Letters will go out this week to 300 members regarding being enrolled in the Comprehensive Care Program. Please let your members know that the letters are legitimate and that if they want to opt out of the program, they need to call PEIA customer service at 877-233-4295.
BC Quarterly Workshop 10/17/19
Beginning July 18, 2019 at 7am, the 888-440-7342 telephone number will go directly to UMR. If it needs to be redirected to HealthSmart, they will do so.
PEIA and UMR are hosting a Webinar Town Hall meeting for Benefit Coordinators on Monday, June 17th, 2019 at 1:30. All Benefit Coordinators are encouraged to attend. The first Webinar had some glitches, and our hope is that those unable to log into the first one will attend this second one. Below is the link to get registered and also a list of the questions posed during the first Webinar.
PEIA/UMR Town Hall PowerPoint
Questions and Answers from the Town Hall Webinars
Plan Year 2020 Finalized
Benefit Coordinator Quarterly Workshop at the Days Inn, Flatwoods was a success. To review the training, please click here.
January 2018 BC Quarterly Workshop
Thank you to the Benefit Coordinators who were able to make it to the BC QW in January. The meetings were productive and we had a lot of good questions and feedback. If you missed the meeting, please view the information you missed here. I also would encourage you to sign onto one of the Open Enrollment Meeting in March because even more information will be presented there. You can sign up here.
Benefit Coordinator Quarterly Workshop October 2017
Thank you to all who participated in the workshop. For those unable to attend, click here to view the PowerPoint.
Update for April 2017
Benefit Coordinator Quarterly Workshop has been scheduled for July 20, 2017.
January 2017 Benefit Coordinator Quarterly Workshop
Data Match Questionnaire
Updated Termination Form and Policy
Quarterly Benefit Coordinator Workshop PowerPoint Presentation
Benefit Coordinators are invited to attend a workshop held on Tuesday, September 27. 2016 from 12pm-3pm. It will be held at the Flatwoods Days Inn Conference Center. We will cover a variety of material and questions that Benefit Coordinators often encounter. Please click here to view the presentation.
News and Updates May 2016
PEIA has decided to extend a grace period for those who have not turned in the Healthy Tomorrows forms. We will now accept HTOM forms until May 31, 2016.
You will not be receiving your shipments of Plan Year 2017 Shopper Guides or Summary Plan Description Guides as you normally do. PEIA has determined that in light of the status of the budget of West Virginia, it is not financially responsible to print additional guides that are not a true reflection of what the Plan may be. I will be sending out an email to BCs to let you know when they are available. Thank you for your patience.
Open Enrollment PowerPoint Available for Plan Year 2017
Thank you to all of the Benefit Coordinators who participated in the Open Enrollment trainings and Webinars. Below you will find the PowerPoint that was presented.
Open Enrollment 2017 PowerPoint
Benefit Coordinators for State Agencies
The below guidance that has been issued from the
West Virginia Division of Personnel with regard to premium reimbursements
related to the divorce audit currently underway at PEIA. Please note that
the opinion and guidance allows for disciplinary action(s) against employees
identified in the audit(s).
State of WV PEIA Premium Reimbursement Policy from the DOA
PEIA Premium Reimbursement audit TM.pdf
2017 January Benefit Coordinator Quarterly Workshops- UPDATE
Thank you to all who attended the BC Quarterly Workshops in January. If you were unable to attend or did not get a handout, you can preview or print what was covered by clicking here. BC Quarterly Workshop 1 16.