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Benefit Coordinators


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

Premium Rates

See employers' portion of the premium rates for Preferred Provider (PPB) Plans ... Learn More.

Benefit Coordinator Briefing

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, too.

Popular Downloads

Healthy Tomorrows Flyer
FBMC Personal Pay Form
Premium Rates
Benefit Coordinators Reference Manual
Mountaineer Flexible Benefits Plans and Enrollment Forms
Training and Instructional Documents
MetLife Vision Web Site Information


Go to Forms & Downloads

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