Documents by Office

Documents by Office

Documents by Office

Employee Benefits
Document Publish Datesort icon File
Quality LASIK for Texas Members September 1, 2013
STD Benefit Highlights September 1, 2013
UT SELECT Health Benefits Guide September 1, 2013
ORP Authorization for Reduction for Employee Contribution September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
Vesting/Termination Status Form September 1, 2013
Recommend Your Dentist September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
Voluntary Retirement Programs Transfer Verification Form September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Death Claim Form September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
About Online Beneficiary Management September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
Prescription Drug Reimbursement Form September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
UT System Cafeteria Plan Document September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
Long-Term Care Highlights September 1, 2013
UT SELECT Highlights September 1, 2013
Superior Vision Plan Brochure September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Benefits Cost Worksheet for Employees September 1, 2013
Long-Term Disability Benefit Highlights September 1, 2013
Short-Term Disability Benefits Guide September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
SVContacts.com - Online Contact Lens Ordering September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
UT SELECT DENTAL Benefits Guide September 1, 2013
Optional Retirement Program (ORP) Plan Document September 1, 2013
Superior Vison Claim Form September 1, 2013
Blue Care Link September 1, 2013
UT Benefits Handbook for Retired Employees September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
Life/AD&D Benefit Highlights for Active Employees September 1, 2013
Voluntary Retirement Programs At a Glance September 1, 2013
Delta Dental Online Services September 1, 2013
Life Conversion Application September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
DeltaCare Highlights September 1, 2013
Accelerated Death Claim Form September 1, 2013
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
Beneficiary Designation Form September 1, 2013
DCP Purchase Agreement September 1, 2013
UT SELECT DENTAL Plus Highlights September 1, 2013
The PayFlex Card Flyer September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
UT FLEX Claim Form September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
UT SELECT Medical Health Resources and Tools September 1, 2013
Superior Vision Plan Highlights September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
Getting Started with the Online Member Portal September 1, 2013
Long-Term Care Short Form Application for current employees and spouses September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
LTD Employee Claim Form September 1, 2013
UT FLEX Benefits Guide September 1, 2013
Summary of Retirement Programs September 1, 2013
Finding-In-Network Providers September 1, 2013
LTD Conversion Calculator September 1, 2013
Prescription Drug Co-payments at a Glance September 1, 2013
ORP Acknowledgement September 1, 2013
Provider Nomination Form September 1, 2013
Filing Your STD Claim 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
The Connection Between Your Oral and Overall Health September 1, 2013
Life Benefit Highlights for Retired Employees September 1, 2013
Voluntary Retirement Programs Loan and Hardship Options September 1, 2013
Your Dental Plan Options September 1, 2013
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