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  • Peia Claim Status Form

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West Virginia Public Employees Insurance Agency Medical Claim Form Mail to: Wells Fargo TPA, Inc. Post Office Box 2451 Charleston, West Virginia 25329 Active Employee (Please print or type) Retired.

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On Feb. 28, PEIA announced that it was going to stop coverage of anti-obesity medications effective March 15. This includes both pill and injectable forms of medicines.

To reach one of our customer service representatives, please call 1-304-558-7850 or 1-888-680-7342, or send an e-mail to PEIA.Help@wv.gov. If you email PEIA, please include your member ID in the message so we are able to answer your questions more efficiently.

The new monthly surcharge of about $147 is applied when spouses of active policyholders from state agencies, colleges, universities and county boards of education are offered insurance coverage through their own employer but choose to get coverage through a plan offered by PEIA.

UMR is PEIA's third-party administrator that handles medical claim processing, case management, utilization management, precertification, prior approval and customer service for the PEIA PPB Plans.

Welcome to the Public Employee's Insurance Agency! ​We understand that it can be overwhelming trying to pick the best insurance coverage for you and your dependents. At PEIA, we have compiled various resources for our members to help them make their insurance decisions.

Plan A has the richest benefits with the highest premiums of all the PEIA PPB Plans. It is available to all active employees and non-Medicare retirees. Plan B offers lower premiums with higher deductibles, higher out-of-pocket maximums, increased coinsurance, and higher copayments for prescription drugs.

If your claim is for an illness or injury wrongfully or negligently caused by someone else, and you expect to be reimbursed by another party or insurance plan, you must file a claim with PEIA within six (6) months of the date of service to ensure that the covered services will be paid.

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.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232