Death of Spouse or Dependent

Death of Spouse/Dependent

Medical/Dental/Vision Coverage

Contact PEHP Medical/Dental at (801) 366-7555 or (800) 765-7347


If the employee’s spouse provided health care coverage for eligible dependents, the dependents become eligible for coverage with PEHP under the employee’s coverage. The effective date is the day after the spouse’s death. If the dependent was insured by the employee, please contact PEHP to remove the dependent from the insurance plan. Applicable forms must be filled out and submitted as needed. If the dependent was insured by a different plan (e.g., spouse's plan), then contact that plan to have the dependent removed. 


Term Life

To claim death benefits, contact PEHP Life at (801) 366-7495 or (800) 753-7495.


Spouse Term Coverage: Up to $15,000 is a guaranteed issue amount if applied for within 60 days after the employee’s hire date. Amounts above $15,000 require Evidence of Insurability. After the initial 60-day period, all amounts will require evidence of insurability.


An employee may enroll for Dependent Child Coverage for up to $15,000. Coverage for newborns is limited to $1,000 up to the age of six months. The maximum Child Coverage is $10,000 per eligible employee.


Accidental Death & Dismemberment (AD&D) Family and Individual Plans

To claim death benefits, contact PEHP Life at (801) 366-7495 or (800) 753-7495.


The employee’s spouse is automatically insured for a principal sum equal to 40% of the employee’s principal sum. If the employee has no eligible dependent children, the spouse’s principal sum is increased to 50% of the employee’s principal sum. Each eligible dependent child is insured for 15% of the employee’s principal sum. If the employee has no spouse, each eligible dependent child’s principal sum is increased to 20% of the Employee’s Principal Sum. Employees should keep PEHP informed of any changes in the addresses of family members. Employees should also keep copies of any insurance records and notices sent to PEHP. 


Other

Update W-4: Employees can update W-4 forms on the Employee Self Service (ESS) System or by submitting a new W-4 form and submitting it to payroll@utah.gov


Bereavement Leave: Consider taking time off. Click here to learn more about our Bereavement Leave policy (HR07-9).


Update Address and Emergency Contact: Click here to learn more about updating your address. Please follow the same instructions when updating your emergency contacts.


Update Beneficiaries: Please log into your myPEHP (Employer: State of Utah) and myURS accounts to update your beneficiaries.