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Be A Wise Healthcare Consumer

UT Group Insurance Plans and the Competitive Bid Process

Under state law, the UT System Office of Employee Benefits (OEB) is required to request and evaluate competitive proposals from vendors at least once every six years for each insurance plan offered as a part of the UT Benefits program. This process ensures that vendors contracting with UT System offer plans and services that are competitive in the current marketplace and that UT System plan participants continue to receive the best possible benefits at the lowest possible overall cost.

The bid process also ensures that UT System can specify requirements that must be met by contracting vendors. This allows the opportunity to maintain popular plan design features whenever possible and for adjusting those areas that may need to change based on participant experiences or can be enhanced with newer options that were not available when prior contracts were signed.

OEB recently entered the competitive bid process for two products: the Health Risk Assessment (HRA) tool and related services for the LivingWell Program (formerly provided by WebMD) and third-party administrator services for the UT SELECT Medical PPO Plan (currently provided by Blue Cross and Blue Shield of Texas). Because the UT SELECT Medical PPO Plan is self-funded, UT System contracts with an outside vendor not for insurance, but to handle a variety of administrative services, including provider network management, customer service, and claims processing. A third Request for Proposal (RFP) for Long Term Care insurance (currently provided by CNA) will be issued during December.

A vendor for HRA services will be selected soon so that we may begin implementation in time to launch the new HRA program during January. The UT SELECT Medical PPO third-party administrator and Long Term Care vendor negotiation, selection, and implementation timelines are longer because the implementation deadlines are not until Summer Annual Enrollment with a September 1, 2013 effective date for the new contracts.

IMPORTANT REMINDERS - UT FLEX Grace Period and Claim Filing Deadline

UT FLEX Health Care Reimbursement Account - Grace Period
The UT FLEX Grace Period allows UT FLEX Health Care Reimbursement Account participants an additional 2 ½ months each year (September 1 through November 15) to spend any funds remaining in your account after the end of the plan year on eligible expenses. By spending funds on eligible health-related purchases or services during the grace period, UT FLEX medical participants can avoid forfeiting any leftover funds from the 2011-2012 plan year that ended on August 31, 2012.

Notice for UT FLEX Health Care Reimbursement Account (HCRA) Members: The grace period for your 2011-2012 UT FLEX HCRA will end on Thursday, November 15, 2012.

Notice for Dependent Day Care Reimbursement Account Members: The grace period does not apply to the Dependent Day Care Account.

UT FLEX Claims Filing Deadline
All UT FLEX claims for the 2011-2012 plan year (which ended August 31, 2012), including those incurred during the additional 2 ½ month grace period for the Health Care Reimbursement Account, must be submitted (faxed, uploaded, or postmarked) no later than Friday, November 30, 2012, or they will not be eligible for reimbursement.

For questions regarding your UT FLEX account(s), please visit www.utflex.com or contact PayFlex Customer Service at (866) 887-3539.