Employee Benefits

• Manage My Benefits​ (select to complete PEIA forms online)
• After completing the PEIA benefits enrollment online through the PEIA website, complete the basic life and optional life insurance beneficiary for​m on the MetLife website by clicking here​. Please provide the completed form to the HR coordinator for processing
  
• PEIA Health Benefits Enrollment Form**
  
• PEIA Basic Life Form
  
• PEIA Optional Life Form​​
  
• PEIA Change In Status Form (Changes can be submitted on the PEIA website.  Required backup document must be included)
  
• Mountaineer Flexib​le (FBMC) Enrollment Form ​​(Enrollment is Optional.  Form must be completed and returned, even if declining participation as indicated on form)
• Public Employees Retir​ement System (PERS) Enrollment Form (MUST be completed in blue ink and originals provided to Divison of Finance - Payroll Services - copies and scans cannot be accepted)
  
• Public Employees Retirement System (P​​​​​ERS) Beneficiary Form (MUST be completed in blue ink and originals provided to Divison of Finance - Payroll Services - copies and scans cannot be accepted)
  
• PERS Tier I Brochure​
• PERS Tier II Brochure​
  
• WV Retirement Plus (457) Deferred Compensation Plan Participating Agreement (Enrollment is optional.  Form must be completed and returned even if declining participation )​
• WV Retir​​ement Plus (457) Deferred Compensation Plan Beneficiary Designation​ (Complete ONLY if enrolling)
• Smart 529 Flyer​
  

​**If adding dependent's to benefits, a copy of each dependent​'​s birth certificate must be provided.

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