As an employee of Boise State University
you can now signup a dependent (18 years or older)
to receive a one year My ePHIT membership.
You will have a recurring payroll deduction
of $3.98 per pay period for each
membership you authorize.*

*Deductions will continue for 26 pay periods
until the Annual Contract amount has been paid.


For more information please contact My ePHIT customer service at
 1-866-693-7448 or email customer@ephit.com

_________________________________________

Please enter your employee information:
        Your First Name

        Your Last Name

University Employee ID#
Last 4 digits of your SSN


Now enter the name of the person you
wish to purchase a membership for:

  Dependent First Name
 Dependent Last Name

Last 4 digits of Dependent's SSN


PLEASE NOTE:
By continuing you will be taken to the
My ePHIT user account setup for your DEPENDENT.
If your dependent is not ready to complete registration
at this time do not hit submit below.
Return to this page when he/she is ready
to complete registration.