Eligible employees have the option of enrolling in one of two health plans offered by Seneca, both of which include a prescription drug plan. The health coverage is with Public Employees Insurance Agency (PEIA) and administered by Wells Fargo. The prescription benefits are administered by Express-Scripts. Seneca pays 75% of the premium for single and family coverage.

Care provided by participating network physicians is generally covered at 80% and care provided by non-participating physicians is covered at 60%, unless prior authorized. The PEIA preferred provider organization (PPO) is a network of physicians and hospitals from whom PEIA members can receive care at the highest level of benefit. This network consists of WV physicians and hospitals who accept PEIA’s reimbursement, and out-of-state physicians and hospitals who participate in PEIA’s out-of-state networks.

If you wish to view a listing of medical providers, press the PEIA web address on the “LINKS” page. To view a listing of participating pharmacies, press the Express-Scripts web address on the “LINKS” page.

DENTAL/VISION INSURANCE

Eligible employees may elect dental/vision coverage. There is a $50 deductible for basic and major dental services and the plan pays a set percentage or dollar amount for covered services. Seneca pays 50% of the premium for single coverage. Family coverage is available at the employees’ expense.

LIFE INSURANCE & DISABILITY BENEFITS

Term Life and Accidental Death & Dismemberment (AD&D) Insurance. Seneca pays 100% of the premium. The benefit amount is 200% of the covered employee’s salary up to a maximum of $200,000 plus $10,000. Coverage for spouse is $5,000 and $1,000 for dependent children.

Optional Life Insurance. Eligible employees may elect additional life insurance at their own expense. Benefit amounts available for employees up to $500,000. For spouse amounts available are $5,000, $10,000, $15,000 or $20,000 and for dependent children
amounts available are $2,000, $4,000, $7,000 or $10,000.

Long Term Disability (LTD). Seneca pays 100% of the premium. The benefit amount is 60% of monthly pay subject to a maximum of $5,000/month with a qualifying period of six months.