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Documents by Office

Documents by Office

Documents by Office

Employee Benefits
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Delta Dental Online Services September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
DeltaCare Highlights September 1, 2013
Portability and Conversion of Life Insurance September 1, 2013
UTSaver TSA - 403(b) Plan Document September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
Death Claim Form September 1, 2013
UT SELECT DENTAL Plus Highlights September 1, 2013
About Online Beneficiary Management September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
DCP Purchase Agreement September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
UT SELECT Medical Health Resources and Tools September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
Summary of Retirement Programs September 1, 2013
Your Solution to Long Term Care September 1, 2013
Long-Term Disability Benefits Guide September 1, 2013
Long-Term Care Long Form Application for all other applicants September 1, 2013
Superior Vision Benefits Guide September 1, 2013
LTD Employer Claim Form September 1, 2013
UT Benefits Handbook for Retired Employees September 1, 2013
573. Annual Base Benefit Rate (ABBR) Calculation September 1, 2013
ORP Acknowledgement September 1, 2013
The Connection Between Your Oral and Overall Health September 1, 2013
UT SELECT Medical Plan Guide with Prescription Drug Coverage September 1, 2013
STD Benefit Highlights September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
Your Dental Plan Options September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
Life/AD&D Benefit Highlights for Active Employees September 1, 2013
Voluntary Retirement Programs Loan and Hardship Options September 1, 2013
DeltaCare Benefits Guide September 1, 2013
Life Conversion Application September 1, 2013
Accelerated Death Claim Form September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
UTSaver TSA Disclosure Form September 1, 2013
Beneficiary Designation Form September 1, 2013
UTSaver DCP - 457(b) Plan Document September 1, 2013
The PayFlex Card Flyer September 1, 2013
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
Retirement Eligibility Tool September 1, 2013
UT FLEX Claim Form September 1, 2013
Early Retiree Reinsurance Program (ERRP) Notice and Q&As 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
UT SELECT DENTAL Benefits Guide 2013-2014 September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Long-Term Disability Conversion Kit September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
Policy 7: Individual Rights September 23, 2013
400. Health Insurance Portability and Accountability Act (HIPAA) 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
Policy 5: Office of Employee Benefits As a Plan Sponsor September 23, 2013
HIPAA Revocation of Authorization September 23, 2013
Section 4.12: Personal Representatives September 23, 2013
System Audit
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UTPA College of Engineering and Computer Science Audit September 3, 2013
UTPA Police Department Audit September 3, 2013
UTPA Laptop Encryption Audit September 3, 2013
UT Austin Department of Accounting Change in Management Audit September 11, 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 IT Governance Audit September 16, 2013
UT Austin Department of Special Education Change in Management Audit September 17, 2013
UT Austin University Health Services 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
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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