If you are an active employee or retiree, please log on to your E-PEBP Portal for detailed information including Plan Year 2023 documents, new voluntary product information, to enroll/make changes, or to access your UMR or Express Scripts single sign on accounts.

Eligibility Forms for All Plans:

Appeal Forms:

Consumer Driven Health Plan Forms:

Flexible Spending Account Forms:

Health Plan of Nevada (HPN) Forms:

Premier Plan (EPO) Forms:

Low Deductible Plan Forms:

Basic Life Insurance Forms:

Effective 7/1/2022, UMR will be the plan administrator for the basic life insurance policy provided to eligible active and retired members.

The Standard Insurance Forms for Voluntary Life Insurance:

PEBP Vaccine Clinic Consent Form: