To enroll your spouse and/or dependents in the Life Insurance Plan PEHP offers complete this form and submit to PEHP directly. This enrollment may also be completed using the online PEHP enrollment option available on myPEHP.
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Department of Human Resource Management
For inquiries or to schedule an appointment, contact us.
State Office Building
Suite 2120
Salt Lake City, Utah
84114-1531
Suite 2120
Salt Lake City, Utah
84114-1531
Phone: (801) 538-3025
Fax: (801) 538-3081
TDD: (801) 538-3696
Fax: (801) 538-3081
TDD: (801) 538-3696
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