Health Insurance Plan

Fairmont State/Pierpont, through the WV Public Employees Insurance Agency (PEIA), offers a choice of a preferred provider benefit plan (PPB), and managed care plans (HMO) for employees and their dependents health plan coverage. Employee premiums are based on annual base salary, coverage type (single or family), and the plan selected. Some plans base their premiums on tobacco use. New hires have the month of hire and the following two months to select coverage. Coverage is effective the first of the month following the month of enrollment in the plan. Premiums are taken on a pre-tax basis.

View the latest Shoppers Guide for current plan benefits and premiums:
Visit the PEIA web site

• Premiums are decreased for non-tobacco users.
• Employees pay annual deductible and co-insurance amounts up to an annual out-of-pocket maximum. Both amounts are determined by annual salary.
• There are restrictions on traveling outside West Virginia to get medical care.
• Prescription drugs have a separate annual deductible and out-of-pocket maximum.
• Premium discount available for policyholders who submit an affidavit that they have a Living Will.
• Premium discount for policyholders who participate in a health screening.

PPB PLAN C
High deductible health plan ($1,200 single; $2,400 with dependants) for medical and prescriptions.  Some preventive services are covered with no deductible, co-insurance, or co-payment.

 For more information visit the plan web site or call the toll free number.  The PEIA Shopper's Guide can be found online: www.peia.wv.gov

 
The Health Plan - www.healthplan.org - (800) 624-6961

• Managed care health plans are offered by PEIA
• All family members must live in the enrollment area of the plan
• Premium contributions are set by the managed care plan and are based on salary
• Deductibles vary by plan
• Prescription coverage also varies by plan
• Primary Care Physician coordinates all health needs including all referrals.
• Emergency room treatment for “non-emergencies” are not covered.
• Treatment outside of the HMO network will not be covered unless it is due to an emergency.