Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Section 7.5: Requests for Restrictions on Use and Disclosure September 23, 2013
Section 7.2: Right to Access Protected Health Information September 23, 2013
Section 6.4: Agreements With Recipients of a Limited Data Set September 23, 2013
HIPAA Breach Log September 23, 2013
Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI September 23, 2013
HIPAA Request for Restriction on Use or Disclosure of Protected Health Information September 23, 2013
Section 4.14: Documentation of Disclosures September 23, 2013
Section 4.11: Obtaining and Relying Upon an Authorization September 23, 2013
HIPAA Request for Amendment of Protected Health Information September 23, 2013
Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
HIPAA Staff Assistance Authorization September 23, 2013
Section 4.6: Research Disclosures and Uses September 23, 2013
Section 9.1: Changes to Privacy Policies and Procedures September 23, 2013
Section 4.3: Uses and Disclosures Required by Law September 23, 2013
Section 8.4: Mitigation of Known Privacy Violations September 23, 2013
573. Annual Base Benefit Rate (ABBR) Calculation September 1, 2013
Superior Vision Plan Highlights September 1, 2013
Your Solution to Long Term Care September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Smart Alert - Partnering for Total Wellness September 1, 2013
UT SELECT Medical Plan Guide with Prescription Drug Coverage September 1, 2013
Long-Term Care Long Form Application for all other applicants September 1, 2013
Short-Term Disability Benefits Guide September 1, 2013
Quality LASIK for Texas Members September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
LTD Employer Claim Form September 1, 2013
UT SELECT DENTAL Benefits Guide September 1, 2013
ORP Acknowledgement September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
STD Benefit Highlights September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
Recommend Your Dentist September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
Voluntary Retirement Programs Loan and Hardship Options September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
UTSaver TSA Disclosure Form September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
Death Claim Form September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
Prescription Drug Reimbursement Form September 1, 2013
Retirement Eligibility Tool September 1, 2013
About Online Beneficiary Management September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As September 1, 2013
UT SELECT Highlights September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
Long-Term Care Highlights September 1, 2013
Superior Vision Plan Brochure September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
SVContacts.com - Online Contact Lens Ordering September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
Long-Term Disability Benefit Highlights September 1, 2013
UT FLEX Benefits Guide September 1, 2013
Overview of TRS and ORP September 1, 2013
Superior Vison Claim Form September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
Prescription Drug Co-payments at a Glance September 1, 2013
ORP Authorization for Reduction for Employee Contribution September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
Blue Care Link September 1, 2013
Vesting/Termination Status Form September 1, 2013
Delta Dental Online Services September 1, 2013
Life/AD&D Benefit Highlights for Active Employees September 1, 2013
Voluntary Retirement Programs Transfer Verification Form September 1, 2013
DeltaCare Highlights September 1, 2013
Life Conversion Application September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
Accelerated Death Claim Form September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
General Counsel
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Non-Disclosure Agreement September 20, 2013
Risk Management
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ACORD Automobile Loss Notice September 6, 2013
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