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Benefit Information and Forms

Quick Links:
FY25 Benefit Information (July 1, 2024 - June 30, 2025)
Blue Arrow2024-25 Benefit Summary
FY24 Benefit Information (July 1, 2023 - June 30, 2024)
Access PEHP Online Portal
  • Current Employees: Enrollment changes can be completed online in your personal PEHP account
    • Visit PEHP.org
    • Login using the "Classic Portal"
  • New Employees: Please complete this FORM and submit using the Benefit Form Submission button
  • Domestic Partner Declaration
Medical Plan Benefit Information
Dental Plan Benefit Information
Vision Plan Benefit Information
PEHP Notices