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Comprehensive list of Forms and Documents. Alphabetical list of PEIA forms and documents . Documents for Benefit Coordinators
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.
Fillable Form SF15 (2020) The SF-15 or Application for 10-point Veterans' Preference is being used by Federal agencies and OPM examining offices as a basis for an individuals' claims for veterans' preference. FILL ONLINE.
Full instructions can be found here. ***If you have previously had PEIA as your insurance carrier, you are unable to use Manage My Benefits to log in and enroll. Please see your HR department to fill out paper enrollment forms. Preferred Provider Benefit (PPB) Plans. Comprehensive Care Program Enrollment Form.
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.
The SF-15 can be found on the OPM website. Go to https://www.opm.gov/Forms/pdf_fill/SF15.pdf
To download a copy of Form SF15, visit https://www.opm.gov/forms/pdf_fill/sf15.pdf. Additional documentation is required, depending on survivor status.
