Benefit Information and Forms

Quick Links:

FY24 Benefit Information (July 1, 2023 - June 30, 2023)

• Benefits Summary
• Benefit Education (coming soon)

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

• Traditional 2023-24 grid
• Traditional 2023-24 SBC
• STAR 2023-24 grid
• STAR 2023-24 SBC

Dental Plan Benefit Information

• PEHP Preferred & Traditional 2023-24 grid
• EMI Choice Indemnity

Vision Plan Benefit Information

• EyeMed Full
• EyeMed Hardware
• Opticare Full
• Opticare Hardware

PEHP Notices

• Notices 2023
• 2023 Creditable Coverage Notice
• SBC Glossary

Life Insurance Benefit Information

New Forms Coming Soon!

Retirement Information

• Retirement Education
• URS Forms
• URS Webinars
• URS Publications
• 403b vs 457b Comparison Chart 2023
• TIAA 403(b), 457(b), and ROTH(b) Salary Reduction Agreement

FY23 Benefit Information (July 1, 2022- June 30,2023)