Plan Booklets and Publications
Disclaimer: This website should not be considered a repository of records nor an annal of PEIA's history. It is designed and intended for general informational purposes only. To view prior years' Summary Plan Descriptions, see 151 CSR 01 on the West Virginia Secretary of State's Administrative Law website.
Active Employees & Non-Medicare Retirees
Benefits Guide
The Benefits Guide (Shopper's Guide) is an invaluable tool for all employees and provides information about the plans offered as well as rate tables for premiums for the plan year.
Summary Plan Description (SPD) Plans A, B, & D
The SPD provides PEIA PPB Plan A, B, & D participants with an easy-to-read description of benefits available through the Plans and instructions on how to use these benefits. The SPD is a summarized version of a portion of PEIA’s Plan Document.
Summary Plan Description (SPD) Plan C
The SPD for Plan C provides PEIA PPB Plan C participants with an easy-to-read description of benefits available through the Plans and instructions on how to use these benefits. The SPD is a summarized version of a portion of PEIA’s Plan Document.
Mountaineer Flexible Benefits Booklet
This booklet provides eligible participants with an easy-to-read description of flexible benefits (dental, vision, hearing, long and short-term disability, group legal insurance, flexible spending accounts, health savings accounts and limited healthcare FSA) that may be available to them. To view additional forms from Mountaineer Flexible Benefits, please view the Forms & Downloads page.
- Plan Year 2027 Mountaineer Flexible Benefits Booklet
- Plan Year 2026 Mountaineer Flexible Benefits Booklet
Note: To enroll in fringe benefits as a new employee, you must complete the paper enrollment form and submit to your Benefit Coordinator.
Medicare Retirees
Medicare Benefits Guide
The Medicare Benefits Guide is an invaluable tool for Medicare and provides information about the plans offered as well as rate tables for premiums for the plan year.
Medicare Advantage and Prescription Drug Plan Booklet
This booklet describes the benefits provided for certain PEIA-covered, Medicare-eligible retirees. PEIA has a contract with Humana, Inc. to provide health and prescription drug benefits to Medicare-eligible retired employees and Medicare-eligible dependents of retired employees through the Medicare Advantage and Prescription Drug Plan. These benefits are for members whose primary insurance is Medicare. To review the Annual Notice of Changes and Evidence of Coverage, please visit Humana's website.
Special Medicare Plan Booklet
This booklet describes the benefits provided for PEIA insureds who have Medicare as their primary insurance coverage, but are not enrolled in the Humana/PEIA Medicare Advantage and Prescription Drug Plan. Enrollment in the Special Medicare Plan is generally for no more than one calendar year.
Mountaineer Flexible Benefits Booklet
This booklet provides eligible participants with an easy-to-read description of flexible benefits (dental, vision, hearing, long and short-term disability, group legal insurance, flexible spending accounts, health savings accounts and limited healthcare FSA) that may be available to them. To view additional forms from Mountaineer Flexible Benefits, please view the Forms & Downloads page.