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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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.