Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Life/AD&D Benefit Highlights for Active Employees September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
Your Dental Plan Options September 1, 2013
Life Conversion Application September 1, 2013
DeltaCare Benefits Guide September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
Accelerated Death Claim Form September 1, 2013
Beneficiary Designation Form September 1, 2013
DCP Purchase Agreement September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
The PayFlex Card Flyer September 1, 2013
UT FLEX Claim Form September 1, 2013
Helpful Hints for Completing the Direct Payment Agreement September 1, 2013
Long-Term Care Highlights September 1, 2013
HIPAA Notice of Privacy Practices September 1, 2013
Long-Term Care Enrollment Form for new employees September 1, 2013
Short-Term Disability Benefits Guide September 1, 2013
Long-Term Disability Benefit Highlights September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Filing Your STD Claim September 1, 2013
Recommend Your Dentist September 1, 2013
Life Benefit Highlights for Retired Employees September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
Voluntary Retirement Programs Loan and Hardship Options September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
Retirement Eligibility Tool September 1, 2013
Life Portability Application September 1, 2013
UTSaver TSA Disclosure Form September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Create Your Own Will Online September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
Flexible Spending Accounts (FSA) Flyer September 1, 2013
Medicaid and the Children's Health Insurance Program (CHIP) Notice September 1, 2013
UT FLEX Direct Deposit Authorization Form September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
Long-Term Care Benefits Guide September 1, 2013
Long-Term Care Short Form Application for current employees and spouses September 1, 2013
LTD Employee Claim Form September 1, 2013
LTD Conversion Calculator September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
Section 6.3: Carriers Providing Group Health Plan Coverage September 23, 2013
HIPAA Complaint Form September 23, 2013
Policy 6: Relationships With Other Entities September 23, 2013
Section 4.13: De-identified Information September 23, 2013
HIPAA Request for Accounting of Disclosures September 23, 2013
Section 4.10: Verification of Requestor’s Identity and Authority September 23, 2013
HIPAA Request for Access to Protected Health Information September 23, 2013
Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer September 23, 2013
Policy 9: Documentation September 23, 2013
Section 4.5: Conducting Underwriting Activities September 23, 2013
Section 4.2: Access to System PHI September 23, 2013
Section 8.1: Cooperation With the Secretary’s Investigation September 23, 2013
Policy 3: Breach Notification Policy September 23, 2013
System Audit
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UTPA Laptop Encryption Audit September 3, 2013
UTPA College of Engineering and Computer Science Audit September 3, 2013
UTPA Police Department Audit September 3, 2013
UT Austin Department of Middle Eastern Studies Change in Management Audit September 11, 2013
UT Austin Department of Finance Change in Management Audit September 11, 2013
UT Austin UT Elementary School Change in Management Audit September 11, 2013
UT Austin Department of Electrical and Computer Engineering September 11, 2013
UT Austin Department of Anthropology Change in Management Audit September 11, 2013
UT Austin Department of Accounting Change in Management Audit September 11, 2013
UT Austin IT Governance Audit September 16, 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 Audit of Purchasing September 19, 2013
UTD Center for Vital Longevity Audit September 19, 2013
UTD Office of Procurement Management Audit September 19, 2013
UTD Center for Space Studies Audit September 19, 2013
UTMB Healthcare Clinical Staffing Solutions Change in Management Audit September 23, 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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