Employee Benefits

PEIA forms are encouraged to be completed online

Manage My Benefits (select to complete PEIA forms online)

After completing the PEIA benefits enrollment through the PEIA website, complete the basic life and optional life insurance beneficiary form on the MetLife website by clicking here

PEIA Health Benefits Enrollment Form**

PEIA Basic Life Form

PEIA Optional Life Form

PEIA Change In Status Form (May be changed on the PEIA website. Required backup document must be included)

Mountaineer Flexible (FBMC) Enrollment Form (Optional. Also, return form if declining participation as indicated on form)

Public Employees Retirement System (PERS) Enrollment Form

Public Employees Retirement System (PERS) Beneficiary Form

PERS Tier I Brochure

PERS Tier II Brochure

WV Retirement Plus (457) Deferred Compensation Plan Participating Agreement (Optional. Return form declining participation if not enrolling)

WV Retirement Plus Beneficiary (Complete if enrolling)

Smart 529 Flyer

**If adding dependents to benefits, a copy of each dependents birth certificate must be provided.

**If enrolling a spouse to benefits, a copy of the marriage certificate must be attached to the online transaction or submitted with the paper document.

PEIA Shopper's Guide 2024

Mountaineer Flexible Benefit Shopper's Guide 2024

PEIA Onboarding Video

CPRB Onboarding Video

Pay/Holiday Calendar 2024 (NOTE: JUNETEENTH HOLIDAY OBSERVATION WILL BE DETERMINED BY LEGISLATORS AND THE CALENDAR WILL BE UPDATED AS APPLICABLE).

Per pay annual accrual rate and carry forward amounts:

Length of Service                          Accrual Rate                       Carry Forward Amount
0-5 years                                         4.62 hours 30 days    or    240 hours
5-10 years                                       5.55 hours   30 days    or   240 hours
10-15 years                                     6.47 hours                            35 days    or    280 hours
Greater than 15 years         7.40 hours       40 days    or    320 hours

Sick leave accrual 5.55 hours per pay.