Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Beneficiary Designation Form September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
UT System Cafeteria Plan Document September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
The PayFlex Card Flyer September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
UT FLEX Claim Form September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Long-Term Care Short Form Application for current employees and spouses September 1, 2013
Short-Term Disability Benefits Guide September 1, 2013
LTD Employee Claim Form September 1, 2013
UT SELECT DENTAL Benefits Guide 2013-2014 September 1, 2013
Benefits Cost Worksheet for Employees September 1, 2013
Retirement Eligibility Tool September 1, 2013
LTD Conversion Calculator September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
Optional Retirement Program (ORP) Plan Document September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Filing Your STD Claim September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
Recommend Your Dentist September 1, 2013
Life Benefit Highlights for Retired Employees September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Life Portability Application September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
DCP Purchase Agreement September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Create Your Own Will Online September 1, 2013
Notice of Creditable Coverage (NOCC) September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
Flexible Spending Accounts (FSA) Flyer September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
UT FLEX Direct Deposit Authorization Form September 1, 2013
Your Solution to Long Term Care September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
Long-Term Care Long Form Application for all other applicants September 1, 2013
UT FLEX Benefits Guide September 1, 2013
LTD Employer Claim Form September 1, 2013
STD Benefit Highlights September 1, 2013
ORP Acknowledgement September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
Delta Dental Online Services September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
Voluntary Retirement Programs Loan and Hardship Options September 1, 2013
DeltaCare Highlights September 1, 2013
Death Claim Form September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
UTSaver TSA Disclosure Form September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
About Online Beneficiary Management September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
UT SELECT DENTAL Plus Highlights September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As September 1, 2013
UT SELECT Medical Health Resources and Tools September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
Long-Term Care Highlights September 1, 2013
Summary of Retirement Programs September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
Long-Term Disability Benefits Guide September 1, 2013
System Audit
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UTD Financial Statement Certification Audit August 29, 2013
UTD Budget Process Audit August 29, 2013
MDACC Job Order Contracts Audit August 28, 2013
MDACC Physician Referral Service Audit August 27, 2013
MDACC Bastrop Procurement Card Review August 27, 2013
MDACC PeopleSoft Data Assurance Audit Logging Review August 27, 2013
UTT Departmental Account Reconciliations Audit August 27, 2013
UTSA Faculty Recruitment Audit August 26, 2013
UTSW Laptop Encryption Audit August 20, 2013
General Counsel
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Agreement between Owner and Design Build Contractor August 23, 2013
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