PEIA conducting first insuree audit in years

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PEIA conducting first insuree audit in years
By Phil Kabler, The Charleston Gazette-Mail

The state Public Employees Insurance Agency is conducting its first major audit of insurees in six years, Department of Administration spokeswoman Diane Holley Brown confirmed this week.

She said the state health insurance provider began the audit about six months ago as a way to curb increasing costs.

"PEIA is doing everything it can to make sure its membership data is correct," she said, adding, "This audit is going to save the state money."

In June, legislators approved a $67 million increase in employer premium payments that allowed PEIA to avoid having to cut insuree benefits by more than $120 million through higher co-pays, deductibles and out-of-pocket maximums, as a way to offset increasing health care costs.

Holley Brown said federal privacy rules for health insurers prevents PEIA from discussing specifics of the audit, which is using the state Bureau of Vital Statistics master data file to verify information on members' policies.

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