Benefit Information and Forms

Quick Links:

FY25 Benefit Information (July 1, 2024 - June 30, 2025)

2024-25 Benefit Summary

• Benefit Education

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: Will receive a subscriber ID to create an online account where enrollment selections are made
• Domestic Partner Declaration

Medical Plan Benefit Information

• Traditional 2024-25 grid
• Traditional 2024-25 SBC
• STAR 2024-25 grid
• STAR 2024-25 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 2024
• 2024 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