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Comprehensive list of Forms and Documents. Alphabetical list of PEIA forms and documents . Documents for Benefit Coordinators
- Find a Form Or Document
The following is an alphabetical list of forms and documents...
- Enrollment Forms
PEIA > Enrollment Forms. Enrollment Forms. If a form has...
- Find a Form Or Document
The following is an alphabetical list of forms and documents on the Web site. If you see (Complete Online) next to a form, you can do this online by going to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA.
PEIA > Enrollment Forms. Enrollment Forms. If a form has (Complete Online) next to it, you can do this online by going to Manage My Benefits. It's easier, faster and leads to fewer mistakes than printing a form and sending it to PEIA. Full instructions can be found here.
The WV PEIA Prior Authorization form is a document required by the Public Employees Insurance Agency (PEIA) in West Virginia to gain pre-approval for certain prescriptions or medical services before they are provided.
PEIA forms are encouraged to be completed online. Manage My Benefits (select to complete PEIA forms online) After completing the PEIA benefits enrollment through the PEIA website, complete the basic life and optional life insurance beneficiary for m on the MetLife website by clicking here . PEIA Health Benefits Enrollment Form**
meet with a benefits coordinator to discuss retiree benefits 1-844-55-WVA4U (1-844-559-8248) for further information. available and complete your enrollment form. on billing if you go on approved, unpaid leave.
Public Employees Insurance Agency. PEIA was established under the Public Employees Insurance Act of 1971, to provide hospital, surgical, group major medical, prescription drug, group life, and accidental death and dismemberment insurance coverage to eligible employees; and to establish and promulgate rules for the administration of these plans.
