Notes regarding Mountaineer Flex Benefits 

12/22/2011 

Some agencies that participate with the WV Public Employees Insurance Agency also carry Mountaineer Flexible Benefits through Flexible Benefits Management (FBMC). PEIA does not actively share information with FBMC; if you agency has Mountaineer Flex Benefits, please see below for some differences to note.

When a PEIA member sends in a Change in Status or Change of Address form to PEIA, they also need to complete an FBMC form to make those changes to their Mountaineer Flexible Benefits. Please note that FBMC only requires supporting documentation for qualifying events (Change In Status form); supporting documents are not required for open enrollment changes or for new hire enrollments. Additionally, FBMC rules for Change in Status vary slightly from PEIA rules; changes to coverage made due to a qualifying event must be received by FBMC within 60 days of the change event. This differs from PEIA rules which state that changes can be made based on a qualifying event during the remainder of the month in which the event occurs plus the two following months. The FBMC Change in Status form is the same as the Enrollment Form which provides checkboxes in the upper right corner which should be marked as applicable for Open Enrollment, Transfer, New Hire, and Change in Status.

The FBMC Change of Address Form is used to submit any address changes to FBMC.

When an FBMC member is out on leave and is no longer having their premiums payroll deducted, they need to mail in the premium payments on their own; please use the Personal Pay Summary Form when making these monthly payments.

Contact:

Emily Hoffman 
304-558-7850 ext. 52652 
ehoffman@fbmc.com 
 

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