Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Accidental Death & Dismemberment Benefits Guide September 1, 2013
Benefits Cost Worksheet for Employees September 1, 2013
Your Dental Plan Options September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
ORP Authorization for Reduction for Employee Contribution September 1, 2013
DeltaCare Highlights September 1, 2013
Death Claim Form September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
Vesting/Termination Status Form September 1, 2013
Coordination of Benefits/Direct Claim Form September 1, 2013
About Online Beneficiary Management September 1, 2013
Delta Dental Online Services September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
UT SELECT Benefits Summary Chart September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
Superior Vision Benefits Guide September 1, 2013
UT FLEX Benefits Guide September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
Filing Your STD Claim September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
Your Solution to Long Term Care September 1, 2013
Superior Vision Plan Brochure September 1, 2013
Long-Term Care Long Form Application for all other applicants September 1, 2013
SVContacts.com - Online Contact Lens Ordering September 1, 2013
LTD Employer Claim Form September 1, 2013
Superior Vison Claim Form September 1, 2013
STD Benefit Highlights September 1, 2013
The Connection Between Your Oral and Overall Health September 1, 2013
Life/AD&D Benefit Highlights for Active Employees September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Section 7.8: Right to Breach Notifications September 23, 2013
Section 7.7: Right to Make A Complaint September 23, 2013
Section 7.4: Right to Receive an Accounting of Disclosures September 23, 2013
HIPAA Disclosure Log September 23, 2013
Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entities. September 23, 2013
Section 4.13: De-identified Information September 23, 2013
Section 4.10: Verification of Requestor’s Identity and Authority September 23, 2013
HIPAA Breach Log September 23, 2013
Section 4.7: Making Notification Disclosures September 23, 2013
HIPAA Request for Restriction on Use or Disclosure of Protected Health Information September 23, 2013
Section 4.4: Discretionary Uses and Disclosures Without An Authorization September 23, 2013
HIPAA Request for Amendment of Protected Health Information September 23, 2013
Section 4.1: Requests for PHI September 23, 2013
HIPAA Staff Assistance Authorization September 23, 2013
Policy 3: Breach Notification Policy September 23, 2013
Section 8.5: Sanctions for Personnel Violations of Privacy September 23, 2013
Privacy Officer Designation September 23, 2013
Policy 6: Relationships With Other Entities September 23, 2013
Section 8.2: Training September 23, 2013
Section 7.6: Requests for Confidential Communications September 23, 2013
Policy 7: Individual Rights September 23, 2013
Section 7.3: Requests to Amend PHI September 23, 2013
Section 6.4: Agreements With Recipients of a Limited Data Set September 23, 2013
Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI September 23, 2013
Section 4.12: Personal Representatives September 23, 2013
Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
HIPAA Complaint Form September 23, 2013
Section 4.6: Research Disclosures and Uses September 23, 2013
Section 4.3: Uses and Disclosures Required by Law September 23, 2013
HIPAA Privacy Officer Designation September 23, 2013
HIPAA Request for Accounting of Disclosures September 23, 2013
Policy 1: Introduction & Definitions September 23, 2013
Section 9.2: Retention of Privacy Documentation September 23, 2013
HIPAA Request for Access to Protected Health Information September 23, 2013
Policy 4: PHI Requests, Access, Uses and Disclosures September 23, 2013
Risk Management
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ACORD Automobile Loss Notice September 6, 2013
System Audit
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UTA Executive Travel and Entertainment Expense Audit September 18, 2013
Audit of Purchasing September 19, 2013
Center for Vital Longevity September 19, 2013
Office of Procurement Management September 19, 2013
Center for Space Studies September 19, 2013
General Counsel
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Non-Disclosure Agreement September 20, 2013
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