Documents by Office

Documents by Office

Documents by Office

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Employee Benefits
Document Publish Date File
HIPAA Policy Section 4.7: Making Notification Disclosures September 23, 2013
HIPAA Policy Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer September 23, 2013
HIPAA Policy Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
HIPAA Policy Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI September 23, 2013
HIPAA Policy Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entities. September 23, 2013
HIPAA Policy Section 6.3: Carriers Providing Group Health Plan Coverage September 23, 2013
HIPAA Policy Section 6.4: Agreements With Recipients of a Limited Data Set September 23, 2013
HIPAA Policy Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
HIPAA Policy Section 7.2: Right to Access Protected Health Information September 23, 2013
HIPAA Policy Section 7.3: Requests to Amend PHI September 23, 2013
HIPAA Policy Section 7.4: Right to Receive an Accounting of Disclosures September 23, 2013
HIPAA Policy Section 7.5: Requests for Restrictions on Use and Disclosure September 23, 2013
HIPAA Policy Section 7.6: Requests for Confidential Communications September 23, 2013
HIPAA Policy Section 7.7: Right to Make A Complaint September 23, 2013
HIPAA Policy Section 7.8: Right to Breach Notifications September 23, 2013
HIPAA Policy Section 8.1: Cooperation With the Secretary’s Investigation September 23, 2013
HIPAA Policy Section 8.2: Training September 23, 2013
HIPAA Policy Section 8.3: Safeguarding PHI September 23, 2013
HIPAA Policy Section 8.4: Mitigation of Known Privacy Violations September 23, 2013
HIPAA Policy Section 8.5: Sanctions for Personnel Violations of Privacy September 23, 2013
HIPAA Policy Section 9.1: Changes to Privacy Policies and Procedures September 23, 2013
HIPAA Policy Section 9.2: Retention of Privacy Documentation September 23, 2013
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 February 1, 2014
Introduction April 1, 2014
Legal Notices August 1, 2015
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 January 1, 2016
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) October 8, 2014
Optional Retirement Program (ORP) Plan Document September 1, 2013
ORP Acknowledgement January 1, 2015
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, 2015
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
Portability and Conversion of Life Insurance September 1, 2013
Prescription Drug Co-payments at a Glance August 6, 2014
Prescription Drug Reimbursement Form / Coordination of Benefits Claim Form August 26, 2014
Prescriptions by Mail Order Form September 1, 2015
Privacy Officer Designation September 23, 2013
Provider Nomination Form September 1, 2014
Purchase Change Agreement (All plans) September 1, 2013
Quality LASIK for Texas Members September 1, 2014
Reasons to Consider Long Term Care September 1, 2013
Recommend Your Dentist September 1, 2013
Record of Revisions November 1, 2015
Required Documentation for Eligible Dependents Chart July 1, 2015
Retirement Eligibility Flowchart April 1, 2014
Retirement Eligibility Tool September 1, 2013
Short-Term Disability Benefits Guide January 1, 2016
Smart Alert - Partnering for Total Wellness September 1, 2014
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
STD Benefit Highlights September 1, 2013
Summary of Retirement Programs January 26, 2016
Superior Vision Benefits Guide September 1, 2013
Superior Vision Plan Brochure September 1, 2014
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