New Authorization to Remove Form
The Authorization to Remove Form has been updated in the Find a Forms section of this website. Please be sure to update and confirm that no previous Benefit Coordinators or Web Contributions Coordinators have access to your PHI. If you are a new BC or WCC, please feel free to contact Jill Bevins (firstname.lastname@example.org) to find out if there is a predecessor that needs to be removed.”
Incomplete Change is Status Forms
Change in Status forms sent to PEIA requesting changes on a PH with no PH signature or date are not acceptable. If an employee is on Leave Of Absence, the employer is still responsible for getting the form signed and dated. PEIA cannot process these requests nor should the changes be made without a signed document from the PH.
Quarterly Benefit Coordinator Workshops 2016
The second Quarterly Benefit Coordinator Workshop is scheduled for Sept 9 in Flatwoods(Sutton) at the Days Inn Conference Center, 2000 Sutton Lane. It will be from 10am to 2pm. Please register at our website:
If you missed the training on July 7, 2015 in Morgantown, here is the PowerPoint. Please follow up with me if you have further questions.
Quarterly Benefit Coordinator Training 7-15
New Minnesota Life Supply Website
Minnesota Life has a new website dedicated to making your job easier as a Benefit Coordinator. You can order supplies directly from this site and have them sent to you.
Pick a PCP Form
Because there are still thousands of PEIA PPB plan policyholders who have not named a PCP with the deadline upon us, PEIA is making available a blank Pick a PCP form
. You may copy this form and distribute it to your employees who have not yet named a PCP online or on another Pick a PCP form
. Please discourage employees from submitting more than one form. Multiple forms just gum up the works and slow the process down. One form per policyholder is enough. Thanks!Pick a PCP Form
See employers' portion of the premium rates
for Preferred Provider (PPB) Plans ... Learn More.
The BC Briefing provides timely updates about health insurance and other services provided by PEIA ... Learn more
Benefit Coordinator Training
Benefit coordinators can participate in Benefit Coordinator Workshops, On-line Courses
, Open Enrollment Training
, PEIA 101
, and other classes to help them carry out this important role. You can enroll on-line
Healthy Tomorrows FlyerFBMC Personal Pay Form
Premium RatesBenefit Coordinators Reference Manual Mountaineer Flexible Benefits Plans and Enrollment FormsTraining and Instructional DocumentsMetLife Vision Web Site Information
Go to Forms & Downloads