Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
DeltaCare Highlights September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
Purchase Change Agreement (All plans) September 1, 2013
UT SELECT DENTAL Plus Highlights September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
LTD Employee Claim Form September 1, 2013
STD Benefit Highlights September 1, 2013
Life Benefit Highlights for Retired Employees September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
Life Portability Application September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
The Connection Between Your Oral and Overall Health September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
573. Annual Base Benefit Rate (ABBR) Calculation September 1, 2013
DCP Purchase Agreement September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Long-Term Care Highlights September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
Death Claim Form September 1, 2013
About Online Beneficiary Management September 1, 2013
HIPAA Policy Section 8.4: Mitigation of Known Privacy Violations September 23, 2013
HIPAA General Authorization Form September 23, 2013
HIPAA Policy Section 8.1: Cooperation With the Secretary’s Investigation September 23, 2013
HIPAA Policy Section 7.6: Requests for Confidential Communications September 23, 2013
HIPAA Policy Section 7.3: Requests to Amend PHI September 23, 2013
HIPAA Policy Section 6.3: Carriers Providing Group Health Plan Coverage September 23, 2013
HIPAA Policy Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
HIPAA Policy Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
400. Health Insurance Portability and Accountability Act (HIPAA) September 23, 2013
HIPAA Policy Section 4.6: Research Disclosures and Uses September 23, 2013
HIPAA Policy 8.0: Ensuring Privacy Compliance September 23, 2013
HIPAA Disclosure Log September 23, 2013
HIPAA Policy Section 4.3: Uses and Disclosures Required by Law September 23, 2013
HIPAA Policy 5.0: Office of Employee Benefits As a Plan Sponsor September 23, 2013
HIPAA Breach Log September 23, 2013
HIPAA Policy Section 4.12: Personal Representatives September 23, 2013
HIPAA Privacy Officer Designation September 23, 2013
HIPAA Policy 2.0: Organization of System for HIPAA Privacy Standard Compliance Purposes September 23, 2013
HIPAA Request for Restriction on Use or Disclosure of Protected Health Information September 23, 2013
HIPAA Policy Section 4.2: Access to System PHI September 23, 2013
HIPAA Policy Section 9.1: Changes to Privacy Policies and Procedures September 23, 2013
Controller
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RFP: Administrative Services for Self-funded PPO Plan September 1, 2013
RFP: Long Term Care Insurance Plans September 1, 2013
Salary Supplementation: FY 2014 September 4, 2013
System Audit
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UTPA Police Department Audit September 3, 2013
UTPA College of Engineering and Computer Science Audit September 3, 2013
UTPA Laptop Encryption Audit September 3, 2013
UT Austin Department of Middle Eastern Studies Change in Management Audit September 11, 2013
UT Austin Department of Anthropology Change in Management Audit September 11, 2013
UT Austin Department of Electrical and Computer Engineering September 11, 2013
UT Austin Department of Accounting Change in Management Audit September 11, 2013
UT Austin UT Elementary School Change in Management Audit September 11, 2013
UT Austin Department of Finance Change in Management Audit September 11, 2013
UT Austin IT Governance Audit September 16, 2013
UTEP Centennial Museum Audit September 16, 2013
UT Austin CIM University Health Services Audit September 17, 2013
UT Austin University Health Services Change in Management Audit September 17, 2013
UT Austin Department of Special Education Change in Management Audit September 17, 2013
UTA Executive Travel and Entertainment Expense Audit September 18, 2013
UTD Office of Procurement Management Audit September 19, 2013
UTD Audit of Purchasing September 19, 2013
UTD Center for Vital Longevity Audit September 19, 2013
UTD Center for Space Studies Audit September 19, 2013
Risk Management
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ACORD Automobile Loss Notice September 6, 2013
General Counsel
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Non-Disclosure Agreement September 20, 2013
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