Venues Set for West Virginia Insurance Funding Hearings

Gov. Jim Justice has announced the venues for hearings on an insurance program for West Virginia teachers and other public employees.

Justice said Monday there will be 21 public hearings statewide, starting Tuesday night at Point Pleasant High School and Marshall University’s Joan C. Edwards Performing Arts Center. Another hearing will be Thursday night at Parkersburg High School.

The final hearing will be June 11 at the state Culture Center in Charleston.

Justice and the Legislature agreed to freeze PEIA premiums, deductibles and co-pays for the coming year and provided $29 million in supplemental funding. Teachers want a more permanent funding fix.

Justice also signed a 5 percent pay raise for teachers to end their nine-day strike in March.

Locations Picked for Hearings on Insurance Funding Solution

A task force subcommittee has chosen 22 locations across West Virginia to hold public hearings on an insurance program for West Virginia teachers and other public employees.

A public outreach subcommittee of the Public Employees Insurance Agency task force met Thursday in Charleston. It chose the communities for the meetings later this spring, and the staff of the governor’s office would schedule dates and meeting places.

Task force members say the meetings would be held either on Saturdays or weekday evenings.

Gov. Jim Justice and the Legislature agreed to freeze PEIA premiums, deductibles and co-pays for the coming year and provided $29 million in supplemental funding. Teachers want a more permanent funding fix.

Justice also signed a 5 percent pay raise for teachers last month to end their nine-day strike.

Deadline for West Virginia State Worker Health Plans Ended Sunday

The deadline for state employees, retirees and teachers to sign up for or change health insurance plans ended on Sunday, May 15, 2016.

Sunday marked the last day to adjust Public Employees Insurance Agency benefits.

The plans offered for the 2017 fiscal year include $120 million in cuts, including higher copays, premiums and other costs for employees.

The cuts result from a budget shortfall. They could be at least partially restored if a state budget is passed. There would be another open enrollment.

Democratic Gov. Earl Ray Tomblin has called the Republican-led Legislature into budget session Monday. The next budget year begins July 1.

Tomblin and lawmakers are negotiating tax increases, cuts and use of reserves to cover a $270 million gap.

House Speaker Tim Armstead says the budget will fully fund PEIA.

PEIA Board Fights Budget Bill

With less two days left in the 2016 Legislative Session, members of the Finance Board for the Public Employee’s Insurance Agency, or PEIA, have serious concerns about the changes to the state budget with regards to the agency’s funding.

The budget bill, containing a line item to take $67 million dollars from the state’s rainy day fund and other special accounts in order to fund PEIA, was debated for several hours on the House floor Friday.

During this session, the Democratic Party has criticized the majority for ignoring the need for additional funding to PEIA, while some Republican members argue the current budget does fully fund the program.

In a press conference this morning, six people spoke in direct opposition the current budget bill, saying there is no agreement between the House and Senate leadership on how to fund PEIA, an agency that provides health care coverage for more than 230,000 West Virginians.

Joshua sword is Secretary-Treasurer for West Virginia AFL-CIO and a member of PEIA Board.

“We’re facing roughly $50 million to $60 million dollars in inflation every year, as well as adding new people to the book, so we’re roughly $100 million short for the next plan year,” Sword said. “The legislature promised us that they were going to come up with a dedicated revenue stream for 2016 and beyond and here we are at days 59 and 60 and they haven’t done that.”

PEIA has seen no additional funding for the past few years, yet an increase in membership and rising prices. In previous years, the agency was able to offset benefit reductions with reserve funds, which came from what could basically be considered a savings account the agency built up with excess revenues over the years. Sword says dipping into the one-time dollars is a temporary fix, one that will leave the program even worse off next year.

“The problem that creates is that it might make it okay or doable for the plan year 2017, but when we start talking about plan year 2018, we have to make up that $67 million plus the additional rate of inflation we’re facing for the following year,” Sword said. “It puts us right back in the same place where we were when we start this discussion a few months ago, at roughly $120 million in benefit reduction for the next year.”

House Finance Chairman, Eric Nelson, defended his committee’s budget on the floor Friday, saying they had to consider all options in the extremely tight budget year.

“I will say that our budget is in very difficult time right now,” Nelson said. “Whether it be revenue measures or other expense cuts, or additional cash sweeps, all of those are on the table and need to be on the table. A 60-day session is not sufficient time for this body to be prudent.”

Other Republicans defended the measure as well, including Delegate Michael Ihle, who is also the mayor of Ravenswood.

“We’ve heard a lot about 1 in 6 or 1 in 7 West Virginians, who get PEIA,” Ihle said. “What about the other six out of seven? Many of whom have had their insurance skyrocket by a lot more than 12 percent, if they’re even lucky enough to have insurance.”

Earlier this session, a bill was killed in the House Finance Committee that would have increased the tax on a pack of cigarettes by one dollar. The Senate had approved the tax and dedicated some of the revenues to the PEIA reserve account, allowing the program to help sustain itself into the future.  Both Democrats and Republicans voted against the bill in the Committee.

Same Sex Couples Are Now Covered by PEIA

A spokeswoman for the Department of Administration confirmed Thursday that married, same sex couples in West Virginia are now able to apply for coverage under the state’s Public Employee Insurance Agency.

The change comes after Attorney General Patrick Morrisey decided last week to no longer defend the state’s gay marriage ban in federal court. Governor Tomblin soon after released a statement directing state agencies to “take appropriate action” to make the practice legal in West Virginia, including the reprinting of marriage license applications.

Diane Holley-Brown, communications director for the Department of Administration, said same sex spouses were able to enroll in the program immediately after the governor’s announcement was made, but said the enrollment system is not able to track same sex marriages specifically. 

Outside of an open enrollment period, state employees can only buy coverage in the program when they experience what’s referred to by the industry as a “qualifying event.” That includes things like marriage, divorce, or a birth in the family.

Holley-Brown said the governor’s decision to essentially change the definition of marriage then made those couples immediately eligible to purchase an insurance plan under PEIA.

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