Forms and Publications

Insurance Benefits List | Retirement Programs List

You will need Adobe Reader to view the following PDF files. You may view these documents in your browser window or download them to your hard drive. If you need assistance with forms please contact your local Benefits Office.

Insurance Benefits

Guides and Policies

MEDICAL - Blue Cross and Blue Shield of Texas

PRESCRIPTION / PHARMACY - Medco

DENTAL

VISION - Superior Vision

UT FLEX - PayFlex Systems

LIFE & ACCIDENTAL DEATH and DISMEMBERMENT(AD&D) Fort Dearborn Life

SHORT TERM DISABILITY (STD) - The Hartford

LONG TERM DISABILITY (LTD) - The Hartford

LONG TERM CARE (LTC) - CNA

Other

Retirement Programs

Optional Retirement Program

UTSaver Tax-Sheltered Annuity Program

UTSaver Deferred Compensation Plan

Forms to download if you do not wish to use UTRetirement Manager

If you are making an initial ORP election, you must also complete the TRS 28 form listed at the top of this page.

Your Benefits Office can help you complete these forms.

 

The Seal of the University of Texas System

  • © 2008 The University of Texas System
  • 702 Colorado Street, Suite 2.100
  • Austin, TX 78701
  • Phone: (512)499-4616
  •