Documents by Office

Documents by Office

Documents by Office

Controller
Document Publish Date File
UT System Legislative Appropriations Requests: Galveston October 16, 2012
UT System Legislative Appropriations Requests: Health Science Center at Houston October 16, 2012
UT System Legislative Appropriations Requests: Health Science Center at San Antonio October 16, 2012
UT System Legislative Appropriations Requests: M.D. Anderson Cancer Center October 16, 2012
UT System Legislative Appropriations Requests: Pan American October 16, 2012
UT System Legislative Appropriations Requests: Permian Basin October 16, 2012
UT System Legislative Appropriations Requests: San Antonio October 16, 2012
UT System Legislative Appropriations Requests: Science Center at Tyler October 17, 2012
UT System Legislative Appropriations Requests: Southwestern Medical Center October 16, 2012
UT System Legislative Appropriations Requests: Tyler October 16, 2012
UTS Annual Financial Report August 1, 2011
Wireless Communication Device Reimbursement Request Form January 1, 2013
Wireless Device Allowance Request Form January 1, 2013
Employee Benefits
Document Publish Date File
111. Uniform Insurance Benefits Act August 1, 2013
120. Office of Employee Benefits Administration September 1, 2008
130. Office of Employee Benefits Terms and Definitions April 1, 2014
140. Funding for Group Insurance Coverage September 1, 2005
141. Waiting Period for Group Insurance Benefits September 1, 2004
142. Premium Sharing for Graduate Students and Part-Time Employees July 1, 2010
150. Program to Prevent, Detect & Mitigate Identity Theft August 1, 2009
160. Tobacco Premium Program September 1, 2012
210. Employees September 1, 2010
211. Certain Non-Employees June 1, 2013
220. Retired Employees September 1, 2010
230. Dependents February 1, 2014
240. Surviving Dependents September 1, 2008
250. COBRA Participants September 1, 2005
260. Health Insurance Premium Payment (HIPP) Reimbursement Program September 1, 2008
270. Evidence of Insurability (EOI) February 1, 2014
310. Qualified Status Change Events February 1, 2014
320. Active Military Duty July 1, 2010
400. Health Insurance Portability and Accountability Act (HIPAA) September 23, 2013
570. UT FLEX Program September 1, 2010
571. UT FLEX Contribution Reporting August 1, 2013
572. Address Change Procedures for UT FLEX Debit Card Participants November 1, 2008
573. Annual Base Benefit Rate (ABBR) Calculation September 1, 2013
701. Premium Billing & Reconciliation September 1, 2005
702. Billing of Postage to Components April 1, 2014
705. Employee Assistance Program September 1, 2004
706. BCBS Eligibility Audit April 1, 2014
707. Retroactive Eligibility Adjustments April 1, 2014
810. Optional Retirement Program April 1, 2006
820. UTSaver Tax-Sheltered Annuity Program December 7, 2004
830. UTSaver Deferred Compensation Plan August 1, 2005
840. Investment Policy Statement March 1, 2010
About Online Beneficiary Management September 1, 2013
Accelerated Death Claim Form September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
Annual Eligibility Notice for Retirement Plans April 1, 2014
Beneficiary Designation Form September 1, 2013
Benefits Cost Worksheet for Employees September 1, 2013
Benefits Cost Worksheet for Employees 2014-2015 July 7, 2014
Benefits Cost Worksheet for Retired Employees July 15, 2013
Benefits Cost Worksheet for Retired Employees 2014-2015 July 7, 2014
Blue Care Link September 1, 2013
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions April 1, 2014
Coordination of Benefits/Direct Claim Form September 1, 2013
Create Your Own Will Online September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
DCP Purchase Agreement September 1, 2013
Death Claim Form September 1, 2013
Delta Dental Online Services September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
DeltaCare Benefits Guide September 1, 2013
DeltaCare Highlights September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As September 1, 2013
Filing Your STD Claim September 1, 2013
Finding-In-Network Providers September 1, 2013
Flexible Spending Accounts (FSA) Flyer September 1, 2013
Getting Started with the Online Member Portal September 1, 2013
Grandchild Certification Form April 1, 2014
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
HIPAA Breach Log September 23, 2013
HIPAA Complaint Form September 23, 2013
HIPAA Disclosure Log September 23, 2013
HIPAA General Authorization Form September 23, 2013
HIPAA Hybrid Entity Designation September 23, 2013
HIPAA Notice of Privacy Practices September 1, 2013
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