Iron Road Healthcare—formerly UPREHS—is the trusted health ally for employees of Union Pacific. Our history dates back to 187 ... 0, when the first hospital associations were born to protect sick and injured railroad employees. In 1947, U.P.R.E.H.S. became its own separate organization, dedicated to serving the employees of Union Pacific. While the face of our organization has evolved, our commitment remains constant. We work with Anthem Blue Cross Blue Shield and FirstHealth to provide you with some of the best and most convenient healthcare in the county. With coverage starting on your first day of employment and going into retirement with Medicare, we are proud to be your plan for life. read more