West Virginia PEIA Selects UMR/UnitedHealthcare to Administer Health Care Benefits for State Employees

  • UnitedHealthcare to administer health benefits for PEIA members and their families through its UMR third-party administration business, effective July 1, 2019
  • Personalized care management, broad care provider network  supports the goals for the PEIA benefits program
  • UnitedHealthcare to open customer support center in Charleston; career opportunities available

CHARLESTON, W.Va. (Jan. 23, 2019) – UnitedHealthcare  will administer the West Virginia Public Employees Insurance Agency’s (PEIA) health care benefits for the state’s covered employees and their families, effective July 1, 2019.

UnitedHealthcare, through its UMR third-party administration business, will collaborate with PEIA and its staff to manage the state’s health care benefits program, providing clinical, claims and member-advocacy services, including PEIA’s ongoing efforts to support its Comprehensive Care Partnership (CCP). Under this patient-centered medical home model, PEIA members may access preventive care and other health care services at little or no cost, depending on plan selected.   

PEIA and its members will also realize substantial cost savings on approved out-of-state care through UnitedHealthcare’s national care provider network of more than 1.2 million physicians and care professionals and 6,500 hospitals and other care facilities.

“We look forward to collaborating with PEIA to help its members and their families access care to help them live healthier lives to make quality care more affordable for more people,” said Dan Schumacher, UnitedHealthcare president and chief operation officer. “As we expand in West Virginia, we will continue to work with state and local health and community-based organizations to help improve the health of residents throughout the state and its communities.”

To better support PEIA members and their families, UnitedHealthcare will open a member-support center in Charleston in early 2019. The center’s member-advocacy team will assist plan participants with routine care and benefits questions and other key care concerns, including choosing the right care, closing gaps in care and helping establish primary care provider relationships. Hiring for more than 100 employees at the center began in November 2018. To see job listings, visit https://careers.unitedhealthgroup.com.

UnitedHealthcare will continue to support West Virginians through its community nurse program, which includes wellness events and individual education/outreach, and introduce other programs as the relationship grows to help plan participants better manage their care.


About West Virginia PEIA

PEIA was established under the Public Employees Insurance Act of 1971, to provide hospital, surgical, group major medical, prescription drug, group life, and accidental death and dismemberment insurance coverage to eligible employees; and to establish and promulgate rules for the administration of these plans. Benefits are made available to all active employees of the State of West Virginia and various related State agencies and local governments. Participants may elect health insurance coverage through a fully self-insured preferred provider benefit plan (PPB) or through external managed care organizations (MCO). Additionally, all participants may elect to purchase additional life insurance under the optional life insurance policy. For revenue, PEIA relies almost solely on the premiums paid directly by its participating employers and employees.

About UnitedHealthcare

UnitedHealthcare is dedicated to helping people live healthier lives and making the health system work better for everyone by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. In the United States, UnitedHealthcare offers the full spectrum of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.2 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide. The company also provides health benefits and delivers care to people through owned and operated health care facilities in South America. UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified health care company. For more information, visit UnitedHealthcare at www.uhc.com or follow @UHC on Twitter.