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PEIA > Forms & Downloads

Forms & Downloads

Members

Enrollment Forms
Shopper's Guides
Summary Plan Descriptions
Preferred Provider (PPB) Plans
Prescription Drug Information
Medical Home Program
Life Insurance
Mountaineer Flexible Benefits
PEIA Correspondence
PEIA Policies
Health & Wellness
Health Tips
Enrollment Reconcilliation Analysis / Dependent Eligibility Verfication (ERA / DEV)
Other Documents

Providers

Case Managed Drugs
Fee Schedules & Manuals
Historic Fee Schedules
Summary Plan Descriptions
Preferred Provider (PPB) Plans
Presciption Drug Information
Medical Home Program
PEIA Correspondence
PEIA Policies
Other Documents

Retirees with Medicare

Humana
Life Insurance
Mountaineer Flexible Benefits
PEIA Correspondence
Health & Wellness
Health Tips
Express-Scripts
Other Documents

Financial Reports

Comprehensive Annual Financial Report (CAFR)
Other Post-Employment Benefits (OPEB)
PEIA Financial Plans
PEIA Quarterly Reports
Retiree Health Benefit Trust Fund (RHBT)
Other Documents

Benefit Coordinators

Enrollment Forms
Shopper's Guides
Summary Plan Descriptions
Premium Rates
Preferred Provider (PPB) Plans
Life Insurance
Mountaineer Flexible Benefits
Web Contributions System Instructions
Benefit Coordinators Reference Manual
Other Post-Employment Benefits (OPEB)
Enrollment Reconcilliation Analysis / Dependent Eligibility Verfication (ERA / DEV)
Other Documents

Miscellaneous

Requests for Proposals / Quotations
Notice of Privacy Practices
Other Documents

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