Article

West Virginia Public Employees Insurance Act

W. Va. Code § 5-16-1— Short title; legislative intent
W. Va. Code § 5-16-2— Definitions
W. Va. Code § 5-16-3— Composition of Public Employees Insurance Agency
W. Va. Code § 5-16-4— Public Employees Insurance Agency Finance Board
W. Va. Code § 5-16-4a
W. Va. Code § 5-16-5— Powers and duties of the finance board
W. Va. Code § 5-16-5a— Retiree premium subsidy from Retiree Health Benefit Trust for hires prior to July 1, 2010
W. Va. Code § 5-16-5b— Creation of trust for retirees hired on or after July 1, 2010
W. Va. Code § 5-16-6
W. Va. Code § 5-16-7— Authorization to establish plans; mandated benefits; optional plans; separate rating for claims experience purposes
W. Va. Code § 5-16-7a— Additional mandated benefits; third party reimbursement for colorectal cancer examination and laboratory testing
W. Va. Code § 5-16-7b— Coverage for telehealth services
W. Va. Code § 5-16-7c— Required coverage for reconstruction surgery following mastectomies
W. Va. Code § 5-16-7d— Coverage for patient cost of clinical trials
W. Va. Code § 5-16-7e— Definitions
W. Va. Code § 5-16-7f— Prior authorization
W. Va. Code § 5-16-7g— Coverage for prescription insulin drugs
W. Va. Code § 5-16-8— Conditions of insurance program
W. Va. Code § 5-16-8a— Air-ambulance fees
W. Va. Code § 5-16-9— Authorization to execute contracts
W. Va. Code § 5-16-10— Contract provisions for group hospital and surgical, group major medical, group prescription drug and group life, and accidental death insurance for retired employees, their spouses, and dependents
W. Va. Code § 5-16-11— To whom benefits paid
W. Va. Code § 5-16-12— Misrepresentation by employer, employee or provider; penalty
W. Va. Code § 5-16-12a— Inspections; violations and penalties
W. Va. Code § 5-16-12b— Privileges and immunity
W. Va. Code § 5-16-13— Payment of costs by employer and employee; spouse and dependent coverage; involuntary employee termination coverage; conversion of annual leave and sick leave authorized for health or retirement benefits; authorization for retiree participation; continuation of health insurance for surviving dependents of deceased employees; requirement of new health plan; limiting employer contribution
W. Va. Code § 5-16-14— Program qualifying for favorable federal income tax treatment
W. Va. Code § 5-16-15— Optional dental, optical, disability, and prepaid retirement plan, and audiology and hearing-aid service plan
W. Va. Code § 5-16-16— Preferred provider plan
W. Va. Code § 5-16-17— Preexisting conditions not covered; defined
W. Va. Code § 5-16-18— Payment of costs by employer; schedule of insurance; special funds created; duties of Treasurer with respect thereto
W. Va. Code § 5-16-19— Authorization to take advantage of acts of congress, accept gifts, grants and matching funds
W. Va. Code § 5-16-20— Expense fund
W. Va. Code § 5-16-21— No member or employee of public employees insurance agency shall gain directly or indirectly from any contract or contracts provided for hereunder; criminal penalties
W. Va. Code § 5-16-22— Permissive participation; exemptions
W. Va. Code § 5-16-23— Members of Legislature may be covered if cost of the entire coverage is paid by such members
W. Va. Code § 5-16-24— Rules for administration of article; eligibility of certain retired employees and dependents of deceased members for coverage; employees on medical leave of absence entitled to coverage; life insurance
W. Va. Code § 5-16-24a— Paper transactions
W. Va. Code § 5-16-25— Reserve fund
W. Va. Code § 5-16-26— Quarterly report
W. Va. Code § 5-16-27
W. Va. Code § 5-16-28— Incorporation of the coverage for 12-month refill for contraceptive drugs
W. Va. Code § 5-16-29— Limitation on PEIA participation
W. Va. Code § 5-16-30— PEIA solvency
W. Va. Code § 5-16-31— PEIA actuarial study
W. Va. Code § 5-16-32— Effective date of amendments