Documents by Office

Documents by Office

Documents by Office

Employee Benefits
Document Publish Date File
HIPAA Privacy Officer Designation September 23, 2013
HIPAA Request for Access to Protected Health Information September 23, 2013
HIPAA Request for Accounting of Disclosures September 23, 2013
HIPAA Request for Amendment of Protected Health Information September 23, 2013
HIPAA Request for Confidential Communications of Medical Information September 23, 2013
HIPAA Request for Restriction on Use or Disclosure of Protected Health Information September 23, 2013
HIPAA Revocation of Authorization September 23, 2013
HIPAA Staff Assistance Authorization September 23, 2013
International Travel Quick Reference Sheet August 1, 2012
Introduction April 1, 2014
Life Benefit Highlights for Retired Employees September 1, 2013
Life Conversion Application September 1, 2013
Life Portability Application September 1, 2013
Life/AD&D Benefit Highlights for Active Employees September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
Long-Term Care Highlights September 1, 2013
Long-Term Care Long Form Application for all other applicants September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
Long-Term Care Short Form Application for current employees and spouses September 1, 2013
Long-Term Disability Benefit Highlights September 1, 2013
Long-Term Disability Benefits Guide September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
LTD Conversion Calculator September 1, 2013
LTD Employee Claim Form September 1, 2013
LTD Employer Claim Form September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
Notice of Creditable Coverage (NOCC) September 1, 2013
Optional Retirement Program (ORP) Plan Document September 1, 2013
ORP Acknowledgement September 1, 2013
ORP Authorization for Reduction for Employee Contribution September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
Overview of TRS and ORP August 1, 2014
Payflex Mobile Application Flyer September 1, 2013
Personal Information and Emergency Contact Form July 17, 2014
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
Policy 1: Introduction & Definitions September 23, 2013
Policy 2: Organization of System for HIPAA Privacy Standard Compliance Purposes September 23, 2013
Policy 3: Breach Notification Policy September 23, 2013
Policy 4: PHI Requests, Access, Uses and Disclosures September 23, 2013
Policy 5: Office of Employee Benefits As a Plan Sponsor September 23, 2013
Policy 6: Relationships With Other Entities September 23, 2013
Policy 7: Individual Rights September 23, 2013
Policy 8: Ensuring Privacy Compliance September 23, 2013
Policy 9: Documentation September 23, 2013
Portability and Conversion of Life Insurance September 1, 2013
Prescription Drug Co-payments at a Glance August 6, 2014
Prescription Drug Reimbursement Form August 26, 2014
Privacy Officer Designation September 23, 2013
Provider Nomination Form September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
Quality LASIK for Texas Members September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
Recommend Your Dentist September 1, 2013
Record of Revisions April 1, 2014
Required Documentation for Eligible Dependents Chart April 1, 2014
Retirement Eligibility Flowchart April 1, 2014
Retirement Eligibility Tool September 1, 2013
Section 4.10: Verification of Requestor’s Identity and Authority September 23, 2013
Section 4.11: Obtaining and Relying Upon an Authorization September 23, 2013
Section 4.12: Personal Representatives September 23, 2013
Section 4.13: De-identified Information September 23, 2013
Section 4.14: Documentation of Disclosures September 23, 2013
Section 4.1: Requests for PHI September 23, 2013
Section 4.2: Access to System PHI September 23, 2013
Section 4.3: Uses and Disclosures Required by Law September 23, 2013
Section 4.4: Discretionary Uses and Disclosures Without An Authorization September 23, 2013
Section 4.5: Conducting Underwriting Activities September 23, 2013
Section 4.6: Research Disclosures and Uses September 23, 2013
Section 4.7: Making Notification Disclosures September 23, 2013
Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer September 23, 2013
Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits 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 6.3: Carriers Providing Group Health Plan Coverage September 23, 2013
Section 6.4: Agreements With Recipients of a Limited Data Set September 23, 2013
Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
Section 7.2: Right to Access Protected Health Information September 23, 2013
Section 7.3: Requests to Amend PHI September 23, 2013
Section 7.4: Right to Receive an Accounting of Disclosures September 23, 2013
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