As an employee of Boise State University
you can now signup your spouse/partner 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:

  Spouse/Partner First Name
 Spouse/Partner Last Name

Last 4 digits of spouse's SSN


PLEASE NOTE:
By continuing you will be taken to the
My ePHIT user account setup for your SPOUSE/PARTNER.
If your spouse/partner 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.