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. Premium discounts available.  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

PEIA PPB PLAN (Preferred Provider Benefit) - Plans A & B
  • 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.
  • PEIA PPB Plan D is for WV residents who receive all care in WV except for emergencies and service not provided in WV.

High deductible health plan ($1,200 single; $2,400 family) for medical and prescriptions.  Some preventive services are covered with no deductible, co-insurance, or co-payment.  Plan C can be paired with a Health Savings Account or  Health Reimbursement Arrangement.

Who To Call With Questions:
Medical Claims & ID Cards
Health Smart (888) 440-7342
Health Smart (888) 440-7342
Prescription Drugs
Express Scripts (877) 256-4680

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

PEIA Managed Care Plans (HMO)
HMO (Health Maintenance Organization) — HMO's manage health care for their members by coordinating the use of health care services through a network of primary care physicians.

The Health Plan - - (800) 624-6961

  • Three 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
  • Premium discounts available for non-tobacco users and with living will affidavit
  • 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.