West Virginia Code
Article 16. West Virginia Public Employees Insurance Act
§5-16-22. Permissive Participation; Exemptions

The provisions of this article are not mandatory upon any employee or employer who is not an employee of, or is not, the State of West Virginia, its boards, agencies, commissions, departments, institutions or spending units, or a county board of education, and nothing contained in this article compels any employee or employer to enroll in or subscribe to any insurance plan authorized by the provisions of this article: Provided, That nothing in this section requires a public charter school to participate in the Public Employees Insurance Agency program.
Those employees enrolled in the insurance program authorized under the provisions of 21A-2B-1 et seq. of this code are not required to enroll in or subscribe to an insurance plan or plans authorized by the provisions of this article, and the employees of any department which has an existing insurance program for its employees to which the government of the United States contributes any part or all of the premium or cost of the premium may be exempted from the provisions of this article. Any employee or employer exempted under the provisions of this paragraph may enroll in any insurance program authorized by the provisions of this article at any time, to the same extent as any other qualified employee or employer, but employee or employer may not remain enrolled in both programs.
Any plan established or administered by the Public Employees Insurance Agency pursuant to this article is exempt from the provisions of chapter 33 of this code unless explicitly stated. Notwithstanding any provision of this code to the contrary, the Public Employees Insurance Agency is not an insurer or engaged in the business of insurance as defined in chapter 33 of this code.
Employers, other than the State of West Virginia, its boards, agencies, commissions, departments, institutions, spending units, or a county board of education, are exempt from participating in the insurance program provided for by the provisions of this article unless participation by the employer has been approved by a majority vote of the employers governing body. It is the duty of the clerk or secretary of the governing body of an employer who by majority vote becomes a participant in the insurance program to notify the director not later than 10 days after the vote.
Any employer, whether the employer participates in the Public Employees Insurance Agency insurance program as a group or not, which has retired employees, their dependents or surviving dependents of deceased retired employees who participate in the Public Employees Insurance Agency insurance program as authorized by this article, shall pay to the agency the same contribution toward the cost of coverage for its retired employees, their dependents or surviving dependents of deceased retired employees as the State of West Virginia, its boards, agencies, commissions, departments, institutions, spending units, or a county board of education pay for their retired employees, their dependents and surviving dependents of deceased retired employees, as determined by the finance board: Provided, That after June 30, 1996, an employer not mandated to participate in the plan is only required to pay a contribution toward the cost of coverage for its retired employees, their dependents or the surviving dependents of deceased retired employees who elect coverage when the retired employee participated in the plan as an active employee of the employer for at least five years: Provided, however, That those retired employees of an employer not participating in the plan who retire on or after July 1, 2010, who have participated in the plan as active employees of the employer for less than five years are responsible for the entire premium cost for coverage and the Public Employees Insurance Agency shall bill for and collect the entire premium from the retired employees, unless the employer elects to pay the employer share of the premium. Each employer is hereby authorized and required to budget for and make such payments as are required by this section.

Structure West Virginia Code

West Virginia Code

Chapter 5. General Powers and Authority of the Governor, Secretary of State and Attorney General; Board of Public Works; Miscellaneous Agencies, Commissions, Offices, Programs, etc.

Article 16. West Virginia Public Employees Insurance Act

§5-16-1. Short Title; Legislative Intent

§5-16-2. Definitions

§5-16-3. Composition of Public Employees Insurance Agency; Appointment, Qualification, Compensation and Duties of Director of Agency; Employees; Civil Service Coverage

§5-16-4. Public Employees Insurance Agency Finance Board Continued; Qualifications, Terms, and Removal of Members; Quorum; Compensation and Expenses; Termination Date

§5-16-5. Purpose, Powers and Duties of the Finance Board; Initial Financial Plan; Financial Plan for Following Year; and Annual Financial Plans

§5-16-5a. Retiree Premium Subsidy From Retiree Health Benefit Trust for Hires Prior to July 1, 2010

§5-16-5b. Creation of Trust for Retirees Hired on or After July 1, 2010

§5-16-7. Authorization to Establish Group Hospital and Surgical Insurance Plan, Group Major Medical Insurance Plan, Group Prescription Drug Plan, and Group Life and Accidental Death Insurance Plan; Rules for Administration of Plans; Mandated Benefits...

§5-16-7a. Additional Mandated Benefits; Third Party Reimbursement for Colorectal Cancer Examination and Laboratory Testing

§5-16-7b. Coverage for Telehealth Services

§5-16-7c. Required Coverage for Reconstruction Surgery Following Mastectomies

§5-16-7d. Coverage for Patient Cost of Clinical Trials

§5-16-7e. Definitions

§5-16-7f. Prior Authorization

§5-16-7g. Coverage for Prescription Insulin Drugs

§5-16-8. Conditions of Insurance Program

§5-16-8a. Air-Ambulance Fees

§5-16-9. Authorization to Execute Contracts for Group Hospital and Surgical Insurance, Group Major Medical Insurance, Group Prescription Drug Insurance, Group Life and Accidental Death Insurance, and Other Accidental Death Insurance; Mandated Benefit...

§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

§5-16-11. To Whom Benefits Paid

§5-16-12. Misrepresentation by Employer, Employee or Provider; Penalty

§5-16-12a. Inspections; Violations and Penalties

§5-16-12b. Privileges and Immunity

§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 Participa...

§5-16-14. Program Qualifying for Favorable Federal Income Tax Treatment

§5-16-15. Optional Dental, Optical, Disability and Prepaid Retirement Plan and Audiology and Hearing-Aid Service Plan

§5-16-16. Preferred Provider Plan

§5-16-17. Preexisting Conditions Not Covered; Defined

§5-16-18. Payment of Costs by Employer; Schedule of Insurance; Special Funds Created; Duties of Treasurer With Respect Thereto

§5-16-19. Authorization to Take Advantage of Acts of Congress, Accept Gifts, Grants and Matching Funds

§5-16-20. Expense Fund

§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

§5-16-22. Permissive Participation; Exemptions

§5-16-23. Members of Legislature May Be Covered, if Cost of the Entire Coverage Is Paid by Such Members

§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

§5-16-24a. Paper Transactions

§5-16-25. Reserve Fund

§5-16-26. Quarterly Report

§5-16-28. Incorporation of the Coverage for 12-Month Refill for Contraceptive Drugs

§5-16-29. Limitation on Peia Participation