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Documents by Office

Documents by Office

Documents by Office

Employee Benefits
Document Publish Datesort icon File
Vesting/Termination Status Form September 1, 2013
DeltaCare - Getting the Most from Your Dental HMO September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
Voluntary Retirement Programs Transfer Verification Form September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
Life Portability Application September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
Accidental Dismemberment Claim Form September 1, 2013
DCP Catch-Up Provision Agreement September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
Create Your Own Will Online September 1, 2013
UT System Cafeteria Plan Document 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
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
Benefits Cost Worksheet for Employees September 1, 2013
LTD Conversion Calculator September 1, 2013
573. Annual Base Benefit Rate (ABBR) Calculation September 1, 2013
Optional Retirement Program (ORP) Plan Document September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
Accidental Death & Dismemberment Benefits Guide September 1, 2013
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE September 1, 2013
Delta Dental Online Services September 1, 2013
UT SELECT Medical Plan Guide with Prescription Drug Coverage September 1, 2013
DeltaCare Highlights September 1, 2013
UT Benefits Billing Reference Guide 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
DCP Purchase Agreement September 1, 2013
HealthHub (utflex.com) Quick Reference Guide September 1, 2013
UT SELECT Medical Health Resources and Tools September 1, 2013
Payflex Mobile Application Flyer September 1, 2013
Long-Term Care Outline of Coverage September 1, 2013
Summary of Retirement Programs September 1, 2013
Retirement Eligibility Tool September 1, 2013
UT FLEX Letter of Medical Necessity Form 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
STD Benefit Highlights September 1, 2013
ORP Acknowledgement September 1, 2013
The Connection Between Your Oral and Overall Health September 1, 2013
400. Health Insurance Portability and Accountability Act (HIPAA) 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
System Audit
Document Publish Datesort icon File
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
Document Publish Datesort icon File
ACORD Automobile Loss Notice September 6, 2013
General Counsel
Document Publish Datesort icon File
Non-Disclosure Agreement September 20, 2013
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