Premium Assistance

PEEHIP can provide some assistance to its members by giving a discount on Hospital Medical premiums based on (1) family size and (2) total combined household income.

Active and retired members may apply. The discount will be effective the first day of the second month after PEEHIP’s receipt and approval of the application. The discount only applies to Hospital Medical premiums and is for the current plan year only. Members must reapply each plan year.

The discount does not apply to the tobacco premium or wellness premium for those who are subject to these premiums. The discount does not apply to members on a Leave of Absence, COBRA, or surviving dependent contract.

Premium Assistance Law

Any information provided to PEEHIP is kept strictly confidential and in compliance with HIPAA regulations. Your income and tax information will not be shared with any third party. 

Frequently Asked Questions

How do I apply for Premium Assistance?

  • Estimate eligibility for the discount using the household income table found on the Premium Assistance Application (PAA).
  • If eligible, the Premium Assistance Application must be filled out completely and must be signed by you and your spouse (if married). 
  • You must provide a copy of your current year filed Federal Income Tax Return Transcript when you send the application to PEEHIP. If you were married and filed taxes separately, you must also include a copy of your spouse's current year filed Federal Income Tax Return Transcript. Include ALL pages of the transcript(s). There is no charge to get your transcript from the Internal Revenue Services (IRS). Click here to view a sample Tax Return Transcript.
  • To receive your free Federal Income Tax Return Transcript, visit or call 800.908.9946. You should receive your transcript within 7-10 business days.
    • NOTE: Due to sending your transcript, you are not required to send your W-2 or 1099 with your application.

When are applications due?

Any Premium Assistance Application postmarked after the Open Enrollment period (July 1 – August 31) will be effective for the first day of the second month after the receipt and approval of the application.

How many applications can I submit each year?

Only one application can be submitted per plan year regardless of income change.

Do I need to reapply every year?

You must reapply every year during Open Enrollment or your discount will expire on the upcoming October 1.

Is there any tax-related help available?

For free tax preparation help, visit   

For free tax preparation software, visit

For a free transcript, visit or call 800.908.9946.