Open Enrollment for WVU Health Insurance: Key Updates and Guidelines

The open enrollment period for Plan Year 2027 at West Virginia University (WVU) is now active and will remain open until May 15. This crucial window enables benefits-eligible faculty and staff to alter their health insurance plans, such as adding or dropping coverage, without a qualifying life event. Policyholders should diligently review their current insurance plan details to address potential changes affecting premiums or claims processing.

Accurate personal information is vital for correct premium calculation and timely claims processing. Key areas include:

• Tobacco Status: Policyholders eligible for a tobacco-free premium discount must verify through a tobacco affidavit that they and their dependents have abstained from tobacco use for at least six months by January 1, 2026, for the 2027 plan year. Updates can be made via the Public Employees Insurance Agency (PEIA) Manage My Benefits portal.
• Dependents: Changes due to life events like divorce, marriage, adoption, or birth require coverage updates. Removing ineligible dependents, such as ex-spouses or ex-stepchildren, is essential to maintain compliant insurance records.
• Spousal Coverage: West Virginia law imposes a spousal surcharge if a covered spouse receives health benefits through another employer. Policyholders should update the coverage type to "Family with Spousal Surcharge" in the Manage My Benefits portal when applicable.
• Coordination of Benefits (COB): Annual COB updates help prevent claims denial for policyholders covering dependents. PEIA PPB plan members have the option to update through UMR.com or phone, while Health Plan members should contact the designated support number.

For detailed information on open enrollment, benefit options, and support services, WVU Shared Services is available via phone, email, or in-person. West Virginia University remains committed to being an Equal Opportunity Employer, offering comprehensive support during this enrollment phase.