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Superior Vision Plan Highlights NEW! Superior Vision Highlights 2023-2024
Superior Vision Highlights 2022-2023
More Info on Superior Vision Plan Highlights
UT FLEX Letter of Medical Necessity Form Letter of Medical Necessity More Info on UT FLEX Letter of Medical Necessity Form
UT FLEX Health Care Reimbursement Claim Form UT FLEX HCRA Claim Form More Info on UT FLEX Health Care Reimbursement Claim Form
Beneficiary Designation Form Beneficiary Designation Form More Info on Beneficiary Designation Form
Accidental Dismemberment Claim Form Accidental Dismemberment Claim Form More Info on Accidental Dismemberment Claim Form
Death Claim Form Death Claim Form More Info on Death Claim Form
Life Portability Application Life Portability Application More Info on Life Portability Application
Life Conversion Application Application to Convert Group Life Insurance More Info on Life Conversion Application
Life and AD&D Brochure for Active Employees Life and AD&D Benefit Brochure for Active Employees More Info on Life and AD&D Brochure for Active Employees
Accidental Death & Dismemberment Certificate Accidental Death & Dismemberment Certificate More Info on Accidental Death & Dismemberment Certificate
Short Term Disability Brochure NEW! 2021-2022 Short Term Disability Brochure
2020-2021 Short Term Disability Brochure
More Info on Short Term Disability Brochure
LTD Conversion Calculator LTD Conversion Calculator More Info on LTD Conversion Calculator
Long-Term Disability Conversion Kit Long Term Disability Conversion Kit More Info on Long-Term Disability Conversion Kit
LTD Employer Claim Form LTD Employer Claim Form More Info on LTD Employer Claim Form
LTD Employee Claim Form LTD Employee Claim Form More Info on LTD Employee Claim Form
Long-Term Disability Benefit Highlights NEW! 2021-2022 Long Term Disability Brochure
2020-2021 Long Term Disability Brochure
More Info on Long-Term Disability Benefit Highlights
Medicaid and the Children's Health Insurance Program (CHIP) Notice Medicaid and the Children's Health Insurance Program (CHIP) Notice More Info on Medicaid and the Children's Health Insurance Program (CHIP) Notice
Notice of Creditable Coverage (NOCC) Medicare Part D Notice of Creditable Coverage More Info on Notice of Creditable Coverage (NOCC)
UT System Cafeteria Plan Document UT System Cafeteria Plan Document More Info on UT System Cafeteria Plan Document
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program Tobacco Cessation Program Physician Statement More Info on Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program
Annual Leave Deferral Agreement Annual Leave Deferral Agreement More Info on Annual Leave Deferral Agreement
DCP Catch-Up Provision Agreement DCP Catch-Up Provision Agreement More Info on DCP Catch-Up Provision Agreement
UTSaver DCP - 457(b) Plan Document UTSaver DCP - 457(b) Plan Document More Info on UTSaver DCP - 457(b) Plan Document
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions Comparison of Traditional, Roth 403(b), and Roth IRA Contributions More Info on Comparison of Traditional, Roth 403(b), and Roth IRA Contributions
Purchase Change Agreement (All plans) UT Retirement Purchase Change Agreement (All plans) More Info on Purchase Change Agreement (All plans)
UTSaver TSA Disclosure Form UTSaver TSA Disclosure Form More Info on UTSaver TSA Disclosure Form
UTSaver TSA - 403(b) Plan Document UTSaver TSA - 403(b) Plan Document More Info on UTSaver TSA - 403(b) Plan Document
UT Transfer Verification Form (All plans) UT Transfer Verification Form (All plans) More Info on UT Transfer Verification Form (All plans)
UTSaver Loan and Inservice Distribution Options UTSaver Loan and Inservice Distribution Options More Info on UTSaver Loan and Inservice Distribution Options
Voluntary Retirement Programs At a Glance Voluntary Retirement Programs More Info on Voluntary Retirement Programs At a Glance
Vesting/Termination Status Form Vesting/Termination Status Form More Info on Vesting/Termination Status Form
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) TRS Form 28 (Oct 2019) More Info on TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund)
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE More Info on ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE
ORP Authorization for Reduction for Employee Contribution ORP Authorization for Reduction for Employee Contribution More Info on ORP Authorization for Reduction for Employee Contribution
ORP Acknowledgement ORP Acknowledgement More Info on ORP Acknowledgement
Optional Retirement Program (ORP) Plan Document Optional Retirement Program (ORP) Plan Document More Info on Optional Retirement Program (ORP) Plan Document
Overview of TRS and ORP TRS and ORP Overview - July 2021 More Info on Overview of TRS and ORP
HIPAA Policy 1.0: Introduction & Definitions HIPAA Policy 1.0: Introduction & Definitions More Info on HIPAA Policy 1.0: Introduction & Definitions
HIPAA Policy 2.0: Organization of System for HIPAA Privacy Standard Compliance Purposes HIPAA Policy 2.0: Organization of System for HIPAA Privacy Standard Compliance Purposes More Info on HIPAA Policy 2.0: Organization of System for HIPAA Privacy Standard Compliance Purposes
HIPAA Policy 3.0: Breach Notification Policy HIPAA Policy 3.0: Breach Notification Policy More Info on HIPAA Policy 3.0: Breach Notification Policy
HIPAA Policy 4.0: PHI Requests, Access, Uses and Disclosures HIPAA Policy 4.0: PHI Requests, Access, Uses and Disclosures More Info on HIPAA Policy 4.0: PHI Requests, Access, Uses and Disclosures
HIPAA Policy Section 4.1: Requests for PHI HIPAA Policy Section 4.1: Requests for PHI More Info on HIPAA Policy Section 4.1: Requests for PHI
HIPAA Policy Section 4.2: Access to System PHI HIPAA Policy Section 4.2: Access to System PHI More Info on HIPAA Policy Section 4.2: Access to System PHI
HIPAA Policy Section 4.3: Uses and Disclosures Required by Law HIPAA Policy Section 4.3: Uses and Disclosures Required by Law More Info on HIPAA Policy Section 4.3: Uses and Disclosures Required by Law
HIPAA Policy Section 4.4: Discretionary Uses and Disclosures Without An Authorization HIPAA Policy Section 4.4: Discretionary Uses and Disclosures Without An Authorization More Info on HIPAA Policy Section 4.4: Discretionary Uses and Disclosures Without An Authorization
HIPAA Policy Section 4.5: Conducting Underwriting Activities HIPAA Policy Section 4.5: Conducting Underwriting Activities More Info on HIPAA Policy Section 4.5: Conducting Underwriting Activities
HIPAA Policy Section 4.6: Research Disclosures and Uses HIPAA Policy Section 4.6: Research Disclosures and Uses More Info on HIPAA Policy Section 4.6: Research Disclosures and Uses
HIPAA Policy Section 4.7: Making Notification Disclosures HIPAA Policy Section 4.7: Making Notification Disclosures More Info on HIPAA Policy Section 4.7: Making Notification Disclosures
HIPAA Policy Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer HIPAA Policy Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer More Info on HIPAA Policy Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer
HIPAA Policy Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI HIPAA Policy Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI More Info on HIPAA Policy Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI
HIPAA Policy Section 4.10: Verification of Requestor’s Identity and Authority HIPAA Policy Section 4.10: Verification of Requestor’s Identity and Authority More Info on HIPAA Policy Section 4.10: Verification of Requestor’s Identity and Authority
HIPAA Policy Section 4.11: Obtaining and Relying Upon an Authorization HIPAA Policy Section 4.11: Obtaining and Relying Upon an Authorization More Info on HIPAA Policy Section 4.11: Obtaining and Relying Upon an Authorization
HIPAA Policy Section 4.12: Personal Representatives HIPAA Policy Section 4.12: Personal Representatives More Info on HIPAA Policy Section 4.12: Personal Representatives
HIPAA Policy Section 4.13: De-identified Information HIPAA Policy Section 4.13: De-identified Information More Info on HIPAA Policy Section 4.13: De-identified Information
HIPAA Policy Section 4.14: Documentation of Disclosures HIPAA Policy Section 4.14: Documentation of Disclosures More Info on HIPAA Policy Section 4.14: Documentation of Disclosures
HIPAA Policy 5.0: Office of Employee Benefits As a Plan Sponsor HIPAA Policy 5.0: Office of Employee Benefits As a Plan Sponsor More Info on HIPAA Policy 5.0: Office of Employee Benefits As a Plan Sponsor
HIPAA Policy 6.0: Relationships With Other Entities HIPAA Policy 6.0: Relationships With Other Entities More Info on HIPAA Policy 6.0: Relationships With Other Entities
HIPAA Policy Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI HIPAA Policy Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI More Info on HIPAA Policy Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI
HIPAA Policy Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entities. Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entitie More Info on HIPAA Policy Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entities.
HIPAA Policy Section 6.3: Carriers Providing Group Health Plan Coverage HIPAA Policy Section 6.3: Carriers Providing Group Health Plan Coverage More Info on HIPAA Policy Section 6.3: Carriers Providing Group Health Plan Coverage
HIPAA Policy Section 6.4: Agreements With Recipients of a Limited Data Set HIPAA Policy Section 6.4: Agreements With Recipients of a Limited Data Set More Info on HIPAA Policy Section 6.4: Agreements With Recipients of a Limited Data Set
HIPAA Policy 7.0: Individual Rights HIPAA Policy 7.0: Individual Rights More Info on HIPAA Policy 7.0: Individual Rights
HIPAA Policy Section 7.1: Notice of Individual Rights Concerning PHI HIPAA Policy Section 7.1: Notice of Individual Rights Concerning PHI More Info on HIPAA Policy Section 7.1: Notice of Individual Rights Concerning PHI
HIPAA Policy Section 7.2: Right to Access Protected Health Information HIPAA Policy Section 7.2: Right to Access Protected Health Information More Info on HIPAA Policy Section 7.2: Right to Access Protected Health Information
HIPAA Policy Section 7.3: Requests to Amend PHI HIPAA Policy Section 7.3: Requests to Amend PHI More Info on HIPAA Policy Section 7.3: Requests to Amend PHI
HIPAA Policy Section 7.4: Right to Receive an Accounting of Disclosures HIPAA Policy Section 7.4: Right to Receive an Accounting of Disclosures More Info on HIPAA Policy Section 7.4: Right to Receive an Accounting of Disclosures
HIPAA Policy Section 7.5: Requests for Restrictions on Use and Disclosure HIPAA Policy Section 7.5: Requests for Restrictions on Use and Disclosure More Info on HIPAA Policy Section 7.5: Requests for Restrictions on Use and Disclosure
HIPAA Policy Section 7.6: Requests for Confidential Communications HIPAA Policy Section 7.6: Requests for Confidential Communications More Info on HIPAA Policy Section 7.6: Requests for Confidential Communications
HIPAA Policy Section 7.7: Right to Make A Complaint HIPAA Policy Section 7.7: Right to Make A Complaint More Info on HIPAA Policy Section 7.7: Right to Make A Complaint
HIPAA Policy 8.0: Ensuring Privacy Compliance HIPAA Policy 8.0: Ensuring Privacy Compliance More Info on HIPAA Policy 8.0: Ensuring Privacy Compliance
HIPAA Policy Section 8.1: Cooperation With the Secretary’s Investigation HIPAA Policy Section 8.1: Cooperation With the Secretary’s Investigation More Info on HIPAA Policy Section 8.1: Cooperation With the Secretary’s Investigation
HIPAA Policy Section 8.2: Training HIPAA Policy Section 8.2: Training More Info on HIPAA Policy Section 8.2: Training
HIPAA Policy Section 8.3: Safeguarding PHI HIPAA Policy Section 8.3: Safeguarding PHI More Info on HIPAA Policy Section 8.3: Safeguarding PHI
BAC By-Laws BAC By-laws More Info on BAC By-Laws
HIPAA Policy Section 8.4: Mitigation of Known Privacy Violations HIPAA Policy Section 8.4: Mitigation of Known Privacy Violations More Info on HIPAA Policy Section 8.4: Mitigation of Known Privacy Violations
HIPAA Policy Section 8.5: Sanctions for Personnel Violations of Privacy HIPAA Policy Section 8.5: Sanctions for Personnel Violations of Privacy More Info on HIPAA Policy Section 8.5: Sanctions for Personnel Violations of Privacy
HIPAA Policy 9.0: Documentation HIPAA Policy 9.0: Documentation More Info on HIPAA Policy 9.0: Documentation
HIPAA Policy Section 9.1: Changes to Privacy Policies and Procedures HIPAA Policy Section 9.1: Changes to Privacy Policies and Procedures More Info on HIPAA Policy Section 9.1: Changes to Privacy Policies and Procedures
HIPAA Policy Section 9.2: Retention of Privacy Documentation HIPAA Policy Section 9.2: Retention of Privacy Documentation More Info on HIPAA Policy Section 9.2: Retention of Privacy Documentation
HIPAA Request for Access to Protected Health Information Request for Access Form More Info on HIPAA Request for Access to Protected Health Information