Publications are communication focused documents, booklets, forms and references. The focus of these documents are to relay helpful information about the UT System, employee benefit information, campuses facts and more.
Title | Published | Office | File(s) | Page |
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Group Term Life Certificate | Employee Benefits | Group Term Life Certificate | More Info on Group Term Life Certificate | |
Accidental Death & Dismemberment Certificate | Employee Benefits | Accidental Death & Dismemberment Certificate | More Info on Accidental Death & Dismemberment Certificate | |
COBRA General Notice | Employee Benefits | COBRA General Notice for the 2022-2023 Plan Year | More Info on COBRA General Notice |
Title | Published | Office | File(s) | Page |
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Beneficiary Designation Form | Employee Benefits | Beneficiary Designation Form | More Info on Beneficiary Designation Form | |
Life and AD&D Brochure for Active Employees | Employee Benefits | Life and AD&D Benefit Brochure for Active Employees | More Info on Life and AD&D Brochure for Active Employees |
Title | Published | Office | File(s) | Page |
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Short-Term Disability Certificate | Employee Benefits |
NEW! Short Term Disability Certificate 2021-2022
Short Term Disability Certificate 2020-2021 |
More Info on Short-Term Disability Certificate | |
Short Term Disability Brochure | Employee Benefits |
NEW! 2021-2022 Short Term Disability Brochure
2020-2021 Short Term Disability Brochure |
More Info on Short Term Disability Brochure | |
Long-Term Disability Certificate | Employee Benefits |
NEW! 2021-2022 Long Term Disability Certificate
2020-2021 Long Term Disability Certificate |
More Info on Long-Term Disability Certificate | |
Long-Term Disability Benefit Highlights | Employee Benefits |
NEW! 2021-2022 Long Term Disability Brochure
2020-2021 Long Term Disability Brochure |
More Info on Long-Term Disability Benefit Highlights |
Title | Published | Office | File(s) | Page |
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Medicaid and the Children's Health Insurance Program (CHIP) Notice | Employee Benefits | Medicaid and the Children's Health Insurance Program (CHIP) Notice | More Info on Medicaid and the Children's Health Insurance Program (CHIP) Notice |
Title | Published | Office | File(s) | Page |
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Notice of Creditable Coverage (NOCC) | Employee Benefits | Medicare Part D Notice of Creditable Coverage | More Info on Notice of Creditable Coverage (NOCC) | |
Overview of TRS and ORP | Employee Benefits | TRS and ORP Overview - July 2021 | More Info on Overview of TRS and ORP |
Title | Published | Office | File(s) | Page |
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BAC By-Laws | Employee Benefits | BAC By-laws | More Info on BAC By-Laws |
Title | Published | Office | File(s) | Page |
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HIPAA Request for Access to Protected Health Information | Employee Benefits | Request for Access Form | More Info on HIPAA Request for Access to Protected Health Information | |
HIPAA Staff Assistance Authorization | Employee Benefits | HIPAA Staff Assistance Authorization | More Info on HIPAA Staff Assistance Authorization | |
HIPAA General Authorization Form | Employee Benefits | HIPAA General Authorization Form | More Info on HIPAA General Authorization Form | |
HIPAA Request for Accounting of Disclosures | Employee Benefits | HIPAA Request for Accounting of Disclosues Form | More Info on HIPAA Request for Accounting of Disclosures | |
HIPAA Revocation of Authorization | Employee Benefits | HIPAA Revocation of Authorization Form | More Info on HIPAA Revocation of Authorization | |
HIPAA Complaint Form | Employee Benefits | HIPAA Complaint Form | More Info on HIPAA Complaint Form |
Title | Published | Office | File(s) | Page |
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Legal Notices | Employee Benefits |
UT Benefits - Legal Notices 2023 (effective September 1, 2023)
UT Benefits - Legal Notices 2022 |
More Info on Legal Notices | |
Insurance FAQs for Stephen F. Austin State University | Employee Benefits | Insurance FAQs for SFA University Members | More Info on Insurance FAQs for Stephen F. Austin State University |
Title | Published | Office | File(s) | Page |
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Nondiscrimination and Accessibility Notice | Employee Benefits | Nondiscrimination and Accessibility Notice | More Info on Nondiscrimination and Accessibility Notice |
Title | Published | Office | File(s) | Page |
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Annual Leave Deferral Agreement | Employee Benefits | Annual Leave Deferral Agreement | More Info on Annual Leave Deferral Agreement | |
Purchase Change Agreement (All plans) | Employee Benefits | UT Retirement Purchase Change Agreement (All plans) | More Info on Purchase Change Agreement (All plans) |
Title | Published | Office | File(s) | Page |
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UTSaver Loan and Inservice Distribution Options | Employee Benefits | UTSaver Loan and Inservice Distribution Options | More Info on UTSaver Loan and Inservice Distribution Options | |
Weathering the Storm | Employee Benefits | Weathering the Storm | More Info on Weathering the Storm |
Title | Published | Office | File(s) | Page |
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Vesting/Termination Status Form | Employee Benefits | Vesting/Termination Status Form | More Info on Vesting/Termination Status Form |
Title | Published | Office | File(s) | Page |
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TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) | Employee Benefits | TRS Form 28 (Oct 2019) | More Info on TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) |
Title | Published | Office | File(s) | Page |
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ORP Acknowledgement | Employee Benefits | ORP Acknowledgement | More Info on ORP Acknowledgement |
Title | Published | Office | File(s) | Page |
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Annual Eligibility Notice for Retirement Plans | Employee Benefits | Annual Eligibility Notice for Retirement Plans | More Info on Annual Eligibility Notice for Retirement Plans |
Title | Published | Office | File(s) | Page |
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Vendor Services | Employee Benefits | Vendor Services for Retirement Participants | More Info on Vendor Services | |
UT Benefits Billing for COBRA Direct Payment/Debit Authorization Agreement | Employee Benefits | UT Benefits Billing for COBRA Direct Payment/Debit Authorization Agreement | More Info on UT Benefits Billing for COBRA Direct Payment/Debit Authorization Agreement | |
TRS Annuity Deduction Form | Employee Benefits | TRS Annuity Deduction Form | More Info on TRS Annuity Deduction Form |
Title | Published | Office | File(s) | Page |
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Retirement Program Sales Solicitation Agreement | Employee Benefits | Retirement Program Sales Solicitation Agreement | More Info on Retirement Program Sales Solicitation Agreement |
Title | Published | Office | File(s) | Page |
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UT Benefits Billing Direct Payment/Debit Authorization Agreement | Employee Benefits | Direct Payment/Debit Authorization Agreement | More Info on UT Benefits Billing Direct Payment/Debit Authorization Agreement | |
UT Benefits Billing Sample Monthly Statement | Employee Benefits | UT Benefits Billing Sample Monthly Statement | More Info on UT Benefits Billing Sample Monthly Statement |
Title | Published | Office | File(s) | Page |
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Personal Information and Emergency Contact Form | Employee Benefits | Personal Information and Emergency Contact Form | More Info on Personal Information and Emergency Contact Form |
Title | Published | Office | File(s) | Page |
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UT Benefits Enrollment Guide for Retiring Employees | Employee Benefits |
2023-2024 UT Benefits Enrollment Guide for Retiring Employees
2022-2023 UT Benefits Enrollment Guide for Retiring Employees |
More Info on UT Benefits Enrollment Guide for Retiring Employees | |
UT Benefits Enrollment Guide for Employees | Employee Benefits |
NEW! 2023-2024 UT Benefits Enrollment Guide for Employees
2022-2023 UT Benefits Enrollment Guide for Employees |
More Info on UT Benefits Enrollment Guide for Employees | |
COBRA Application FAQs | Employee Benefits | COBRA Application FAQs 2023-2024 | More Info on COBRA Application FAQs | |
COBRA Rates | Employee Benefits |
COBRA Rates 2023-2024
COBRA Rates 2022-2023 |
More Info on COBRA Rates |
Title | Published | Office | File(s) | Page |
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UT System Cafeteria Plan Document | Employee Benefits | UT System Cafeteria Plan Document | More Info on UT System Cafeteria Plan Document |
Title | Published | Office | File(s) | Page |
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Grandchild Certification Form | Employee Benefits | Dependent Grandchild Certification Form | More Info on Grandchild Certification Form |
Title | Published | Office | File(s) | Page |
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Office of Employee Benefits Organizational Chart | Employee Benefits | Office of Employee Benefits Organizational Chart | More Info on Office of Employee Benefits Organizational Chart |
Title | Published | Office | File(s) | Page |
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BCBSTX Identity Protection Services | Employee Benefits | BCBSTX Identity Protection Services | More Info on BCBSTX Identity Protection Services |
Title | Published | Office | File(s) | Page |
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Wondr Health Program | Employee Benefits | Wondr Health Program (formerly Naturally Slim) | More Info on Wondr Health Program | |
SilverSneakers Tuition Rewards Flyer | Employee Benefits |
SilverSneakers Tuition Rewards Flyer
SilverSneakers Tuition Rewards Flyer (Español) |
More Info on SilverSneakers Tuition Rewards Flyer | |
UT Living Well FAQs for Stephen F. Austin State University | Employee Benefits | UT Living Well FAQs for SFA University Members | More Info on UT Living Well FAQs for Stephen F. Austin State University | |
UT Retirement FAQs for Stephen F. Austin State University | Employee Benefits | UT Retirement FAQs for SFA University Members | More Info on UT Retirement FAQs for Stephen F. Austin State University | |
Welcome Letter for SFA Members | Employee Benefits | Welcome Letter for SFA Members (June 9, 2023) | More Info on Welcome Letter for SFA Members |