ࡱ> QSP bjbjeDeD 44.c.c rrl34SiiiiDDD33535353535353$58pY3DDDDDY3iin3...D(ii33.D33..m02i6Q}l:%13303=1\99022&92`DD.DDDDDY3Y3.DDD3DDDD9DDDDDDDDDr }: New Employee Who Is Eligible? As a public employee, you are eligible to be covered under the plan offered by your employer if you are: A full-time employee (working regularly at least 20 hours per week) An elected official who works full-time in an elected position Temporary and Part-Time employees are not eligible for coverage, except as noted above. Who Can You Enroll? Your legal spouse Your biological children, adopted children, or stepchildren under age 26 Other children form whom you are the court-appointed guardian to age 18 How Long Is My Initial Enrollment Period? Opens the calendar month you are hired and remains open the following two calendar months. Where Do I Enroll? For health insurance you will create an account and enroll at  HYPERLINK "http://WWW.WVPEIA.COM" WWW.WVPEIA.COM For Mountaineer Flexible Benefits Plan dental, vision, disability insurance and flexible spending accounts you will want to schedule time to meet with Human Resources for assistance in completing your enrollment form. Who Can I Call If I Have Questions? PEIA 1-304-558-7850 or 1-888-680-7342 Mountaineer Flexible Benefits 1-844-559-8248 HealthSmart 1-888-440-7342 Minnesota Life 1-800-203-9515 Prescription Drug Benefits and Claims 1-877-256-4680 The Health Plan 1-800-624-6961 What is IRS Section 125 Premium Conversion Plan? Sections 125 identifies if the new employee wants their benefit premiums tax sheltered. What Is A Qualifying Life Event? A qualifying event is a personal change in status which may allow you to change your benefit elections. Qualifying life events must be reported immediately and substantiating documentation must be provided. Qualifying EventRequired DocumentationDivorceCopy of divorce decree showing divorce is finalMarriageCopy of valid marriage license or certificateBirth of ChildCopy of childs birth certificateAdoptionCopy of adoption papersAdding Coverage for a dependent Copy of child's birth certificateAdding coverage on child who resides with policyholderCopy of court-ordered guardianship papersOpen enrollment under spouse's or dependent employer's benefit planCopy of printed materials showing open enrollment dates and employer's nameDeath of spouse or dependentCopy of death certificateBeginning of spouse's or dependent's employmentLetter for spouse's employer stating hire date , effective date and employer's nameEnd of spouse's or dependent's employmentLetter from the employer stating termination or retirement dateSignificant change in health coverage due to spouse's or dependent's employmentLetter from insurance carrier indicating the change in insurance coverageUnpaid leave of absence by employee, spouse or dependentLetter from your or your spouse's or your dependent's personnel office stating the date unpaid leave startedChange in employment status FT/PTLetter from employer stating previous hours worked and new hours worked and the effective date.   f g h } ! 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