Forms and Publications

Jump to:

 

Medical
Document Office Publish Date File
24/7 Nurseline Employee Benefits 24/7 Nurseline
Airrosti Brochure Employee Benefits Fix Pain Fast
Airrosti Benefit Guide 2026
Airrosti Reach A Doc 2026
BCBSTX Annual Wellness Checklist Employee Benefits BCBSTX Annual Wellness Checklist for UT Benefits Members
BCBSTX Behavioral Health: Substance Abuse Employee Benefits BCBSTX Behavioral Health: Substance Abuse 2025
Glossary of Health Coverage and Medical Terms Employee Benefits Uniform Glossary of Health Coverage and Medical Terms
How to Log in to My UT Benefits for Retirees Employee Benefits How to Log in to My UT Benefits for Retirees from UT Austin and Stephen F. Austin State University
How to Log in to My UT Benefits for Retirees in All Other Institutions
J-Visa Summary of Benefits and Coverage Employee Benefits NEW! 2026-2027 Summary of Benefits: J-Visa Plan
2025-2026 Summary of Benefits: J-Visa Plan
2025-2026 Summary of Benefits: J-Visa Plan (Spanish/Español)
Know Where to Go for Care Employee Benefits Know Where to Go for Care
Know Your Behavioral Health Network Employee Benefits UT SELECT Know Your Behavioral Health Network
Learn to Live Resources for Your Mental Wellbeing Employee Benefits UT SELECT Learn to Live Resources for Your Mental Wellbeing 2025
Out-of-Area Network Summary of Benefits and Coverage Employee Benefits NEW! 2026-2027 Summary of Benefits: Out-of-Area Plan
2025-2026 Summary of Benefits: Out-of-Area Plan
2025-2026 Summary of Benefits: Out-of-Area Plan (Spanish/Español)
Perinatal Wellness Guidelines Employee Benefits Recommendations for a Healthy Pregnancy
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program Employee Benefits Tobacco Cessation Program Physician Statement
PPO Network Summary of Benefits and Coverage Employee Benefits NEW! 2026-2027 Summary of Benefits: PPO Plan
2025-2026 Summary of Benefits: PPO Plan
2025-2026 Summary of Benefits: PPO Plan (Spanish/Español)
Preventive Care Incentive Program FAQs Employee Benefits Preventive Care Incentive Program (PCIP) FAQs
Preventive Services for Adults Employee Benefits Adult Wellness Guidelines
Preventive Services for All Ages Employee Benefits Family Wellness and Preventive Care
Preventive Services for Children Employee Benefits Wellness Guidelines for Children
Progyny Fertility Benefits Brochure & Member Guide Employee Benefits Progyny Fertility Benefits Overview
Quick Guide for Employees Employee Benefits Quick Guide for Employees Document
Seasons of Life Employee Benefits UT SELECT Seasons of Life Brochure
UT SELECT Seasons of Life Presentation
Tobacco Premium Program Declaration Form Employee Benefits Tobacco Premium Program Declaration Form
UT CARE Eligibility Flow Chart Employee Benefits UT CARE Eligibility Flow Chart
UT CARE Eligibility Groups Employee Benefits UT CARE Eligibility Groups
UT CARE Health & Wellness Benefits Employee Benefits UT CARE Health & Wellness Benefits 2026
UT CARE Medicare Enrollment Brochure Employee Benefits NEW! UT CARE Medicare Enrollment Brochure (effective January 1, 2026)
UT CARE Medicare Enrollment Brochure (effective January 1, 2025)
UT CARE Medicare Health & Wellness Benefits
UT CARE Medicare Importance of Part A and B Employee Benefits UT CARE: The importance of enrolling in Medicare Part A and Part B
UT CARE Medicare Overview Employee Benefits UT CARE Medicare Overview 2026
UT CARE Medicare Plan Highlights Employee Benefits NEW! UT CARE Medicare Plan Highlights (effective January 1, 2026)
UT CARE Medicare Plan Highlights (effective January 1, 2025)
UT CARE Medicare Plan in Other Languages Employee Benefits UT CARE Medicare Plan in Other Languages
UT CARE Medicare Plan Providers and Network Employee Benefits UT CARE Medicare Plan Providers and Network 2026
UT CARE Medicare Sample Enrollment Kit Employee Benefits UT CARE Medicare Sample Enrollment Kit (effective January 1, 2024)
UT CARE Medicare Kit de Inscripción (en Español)
UT CARE Medicare Sample Enrollment Kit (effective January 1, 2025)
UT CARE Medicare Welcome Letter Employee Benefits UT CARE Medicare Welcome Letter
UT CARE New Member Checklist Employee Benefits UT CARE New Member Checklist
UT CARE Prior Authorizations Employee Benefits UT CARE: What to Know About Prior Authorizations
UT CARE Quick Start Reference Sheet Employee Benefits UT CARE Quick Start Reference Sheet
UT CARE TruHearing Employee Benefits UT CARE TruHearing 2026
UT Health Network Flyer Employee Benefits UT Health Network Flyer 2025
UT SELECT Benefits at a Glance Brochure Employee Benefits 2026-2027 UT SELECT Benefits At-a-Glance Brochure
UT SELECT Benefits Summary Chart Employee Benefits UT SELECT Benefits Summary Chart 2024-2025
UT SELECT Blue Access for Members Employee Benefits UT SELECT Blue Access for Members 2025
UT SELECT Cancer Services and Support Employee Benefits UT SELECT Cancer Services and Support Program
UT SELECT Concierge Employee Benefits UT SELECT Concierge 2026
UT SELECT Fitness Program Employee Benefits UT SELECT Fitness Member Flyer 2026
UT SELECT Health Advocate Solutions FAQs Employee Benefits UT SELECT Health Advocate Solutions FAQs
UT SELECT Health Advocate Solutions Infographic Employee Benefits UT SELECT Health Advocate Solutions Infographic
UT SELECT MDLIVE Overview Employee Benefits UT SELECT MDLIVE Brochure 2024
UT SELECT MDLIVE: How to Register Employee Benefits UT SELECT MDLIVE: Register today so you’re ready when you need care
UT SELECT Medical Claim Form Employee Benefits UT SELECT Medical Claim Form
UT SELECT Medical Plan Guide with Prescription Drug Coverage Employee Benefits NEW! 2025-2026 UT SELECT Benefits Guide
2024-2025 UT SELECT Benefits Guide
UT SELECT Ovia Health Overview Employee Benefits UT SELECT Ovia Health 2026
UT SELECT Ovia Solution 2026
UT SELECT Tobacco Cessation Program Employee Benefits UT SELECT Tobacco Cessation Program
UT SELECT Where to Go for Care Employee Benefits UT SELECT Where to Go for Care

Life and Accidental Death and Dismemberment (AD&D)
Document Office Publish Date File
Accidental Death & Dismemberment Certificate Employee Benefits Accidental Death & Dismemberment Certificate (effective 09/01/2024)
Accidental Death & Dismemberment Certificate (expires 09/01/2024)
Beneficiary Designation Form Employee Benefits Beneficiary Designation Form
Group Term Life Brochure for Retired Employees Employee Benefits Group Term Life Brochure for Retired Employees
Group Term Life Certificate Employee Benefits Group Term Life Certificate (effective 09/01/2024)
Life and AD&D Brochure for Active Employees Employee Benefits Life and AD&D Benefit Brochure for Active Employees
Life, AD&D, and Disability Insurance Overview Employee Benefits Group Term Life Benefit for Active Employees 2026
Group Term Life Benefit for Retired Employees 2026
Life, AD&D, and Disability Brochure 2026
Life, AD&D, and Disability Enrollment Highlights 2026
Long-Term Disability (STD) Brochure 2026
Short-Term Disability (STD) Brochure 2026
Enhanced Product Services 2026
Learn More QR Code 2026

Pharmacy
Document Office Publish Date File
Accredo Specialty Pharmacy Employee Benefits Accredo Specialty Pharmacy Flyer
Express Scripts 90-Day Supply Employee Benefits Express Scripts: Relax with 90-day Supplies
Express Scripts Print and Digital ID Cards Employee Benefits Express Scripts Print and Digital ID Cards
Express Scripts UT SELECT Formulary Employee Benefits 2025 ESI National Preferred Formulary for UT SELECT
NEW! 2026 ESI National Preferred Formulary for UT SELECT
Express Scripts: How to Register Online Employee Benefits Express Scripts: How to Register Online
Express Scripts: Manage Your Prescription Plan Employee Benefits Express Scripts: Manage Your Prescription Plan
Getting Started with Home Delivery from Express Scripts Pharmacy Employee Benefits Getting Started with Home Delivery from Express Scripts Pharmacy
Prescription Drug Co-payments at a Glance Employee Benefits UT SELECT Prescription Drug Program at-a-Glance 2025-2026
UT CARE Medicare Prescription Drug Program at-a-Glance 2025
NEW! UT CARE Medicare Prescription Drug Program at-a-Glance 2026
Prescription Drug Reimbursement Form / Coordination of Benefits Claim Form Employee Benefits Prescription Drug Reimbursement Form / Coordination of Benefits Claim Form
Prescriptions by Mail Order Form Employee Benefits Prescriptions by Mail Order Form
UT CARE Part D Benefit Overview Employee Benefits 2025 UT CARE Part D Benefit Overview
NEW! 2026 UT CARE Part D Benefit Overview
UT CARE Part D Contacts Employee Benefits UT CARE Part D Contacts
UT CARE Part D Formulary Employee Benefits 2025 UT CARE Part D Formulary
NEW! 2026 UT CARE Part D Formulary
UT CARE Part D Welcome Kit Employee Benefits 2026 UT CARE Part D Welcome Kit
UT CARE Part D Welcome Kit Letter Employee Benefits 2024 UT CARE Part D Welcome Kit Letter
NEW! 2025 UT CARE Part D Welcome Kit Letter
UT SELECT Part D Evidence of Coverage Employee Benefits UT SELECT Part D Evidence of Coverage
UT SELECT Part D Language Services UT SELECT Part D Language Services
UT SELECT Part D Mail Order Form UT SELECT Part D Mail Order Form
UT SELECT Part D Presentation UT SELECT Part D Presentation

Special Notices
Document Office Publish Date File
Affordable Care Act - Marketplace Notices Employee Benefits Stephen F Austin State University ACA Notice
UT Arlington ACA Notice
UT Austin ACA Notice
UT Dallas ACA Notice
UT El Paso ACA Notice
UT Health Houston ACA Notice
UT Health San Antonio ACA Notice
UT Health Tyler ACA Notice
UT Medical Branch Galveston ACA Notice
UT MD Anderson Cancer Center ACA Notice
UT Permian Basin ACA Notice
UT Rio Grande Valley ACA Notice
UT San Antonio ACA Notice
UT Southwestern Medical Center ACA Notice
UT System Administration ACA Notice
UT Tyler ACA Notice
BAC By-Laws Employee Benefits BAC By-laws
HIPAA Breach Log Employee Benefits HIPAA Breach Log
HIPAA Complaint Form Employee Benefits HIPAA Complaint Form
HIPAA General Authorization Form Employee Benefits HIPAA General Authorization Form
HIPAA Request for Access to Protected Health Information Employee Benefits Request for Access Form
HIPAA Request for Accounting of Disclosures Employee Benefits HIPAA Request for Accounting of Disclosues Form
HIPAA Request for Amendment of Protected Health Information Employee Benefits HIPAA Request for Amendment of Protected Health Information Form
HIPAA Request for Confidential Communications of Medical Information Employee Benefits HIPAA Request for Confidential Communications of Medical Information Form
HIPAA Request for Restriction on Use or Disclosure of Protected Health Information Employee Benefits HIPAA Request for Restriction Form
HIPAA Revocation of Authorization Employee Benefits HIPAA Revocation of Authorization Form
HIPAA Staff Assistance Authorization Employee Benefits HIPAA Staff Assistance Authorization
Legal Notices Employee Benefits UT Benefits - Legal Notices 2025 (revised as of February 16, 2026)
Medicaid and the Children's Health Insurance Program (CHIP) Notice Employee Benefits Medicaid and the Children's Health Insurance Program (CHIP) Notice
Nondiscrimination and Accessibility Notice Employee Benefits Nondiscrimination and Accessibility Notice
Notice of Creditable Coverage (NOCC) Employee Benefits Medicare Part D Notice of Creditable Coverage

UT Retirement Program
Document Office Publish Date File
Annual Eligibility Notice for Retirement Plans Employee Benefits 2026 Annual Eligibility Notice for Retirement Plans
Annual Leave Deferral Agreement Employee Benefits Annual Leave Deferral Agreement
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions Employee Benefits NEW! 2026 Comparison of Traditional, Roth 403(b), and Roth IRA Contributions
DCP Catch-Up Provision Agreement Employee Benefits DCP Catch-Up Provision Agreement
ORP Acknowledgement Employee Benefits ORP Acknowledgement
ORP Authorization for Reduction for Employee Contribution Employee Benefits ORP Authorization for Reduction for Employee Contribution
ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE Employee Benefits ORP Authorization for Reduction for Employee Contribution RETURNING EMPLOYEE
Overview of TRS and ORP Employee Benefits TRS and ORP Overview - July 2021
Purchase Change Agreement (All plans) Employee Benefits UT Retirement Purchase Change Agreement (All plans)
Retirement Program Sales Solicitation Agreement Employee Benefits Retirement Program Sales Solicitation Agreement
Summary of Retirement Programs Employee Benefits Retirement Programs Summary for 2025
Retirement Programs Summary for 2026
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) Employee Benefits TRS Form 28 (Apr 2021)
UT Retirement Program Age 50-plus Catch-up Flyer Employee Benefits 2026 University of Texas System Age 50-plus Catch-up Provisions
UT Retirement SECURE 2.0 Mandatory Roth Catch-Up Contributions Employee Benefits 2026 University of Texas Mandatory Roth Catch-up Contributions
UT Transfer Verification Form (All plans) Employee Benefits UT Transfer Verification Form (All plans)
UTSaver Loan and Inservice Distribution Options Employee Benefits UTSaver Loan and Inservice Distribution Options
UTSaver TSA Disclosure Form Employee Benefits UTSaver TSA Disclosure Form
Vendor Services Employee Benefits Vendor Services for Retirement Participants
Vesting/Termination Status Form Employee Benefits Vesting/Termination Status Form
Voluntary Retirement Programs At a Glance Employee Benefits Voluntary Retirement Programs for 2025
Voluntary Retirement Programs for 2026
Weathering the Storm Employee Benefits Weathering the Storm

Benefits Handbooks and Cost Worksheet
Document Office Publish Date File
Annual Enrollment & Resource Guide for Employees Employee Benefits NEW! 2026-2027 Annual Enrollment Guide for Employees
2025-2026 Annual Enrollment Guide for Employees
Annual Enrollment & Resource Guide for Retired Employees Employee Benefits NEW! 2026-2027 Annual Enrollment & Resource Guide for Retired Employees
2025-2026 Annual Enrollment & Resource Guide for Retired Employees
Annual Enrollment Highlights for Employees Employee Benefits NEW! 2026-2027 Annual Enrollment Highlights for Employees
¡NUEVO! Inscripción Anual de Beneficios para Empleados 2026-2027
2025-2026 Annual Enrollment Highlights for Employees
Annual Enrollment Highlights for Retired Employees Employee Benefits NEW! 2026-2027 Annual Enrollment Highlights for Retired Employees
2025-2026 Annual Enrollment Highlights for Retired Employees
Benefits Cost Worksheet for Employees Employee Benefits NEW! 2026-2027 Active Employee Cost Worksheet
2025-2026 Active Employee Cost Worksheet
Benefits Cost Worksheet for Retired Employees Employee Benefits NEW! 2026-2027 Retired Employee Cost Worksheet
2025-2026 Retired Employee Cost Worksheet
UT Benefits Enrollment Guide for Employees Employee Benefits NEW! 2025-2026 UT Benefits Enrollment Guide for Employees
2024-2025 UT Benefits Enrollment Guide for Employees
UT Benefits Enrollment Guide for Retiring Employees Employee Benefits 2025-2026 UT Benefits Enrollment Guide for Retiring Employees
2024-2025 UT Benefits Enrollment Guide for Retiring Employees

Other
Document Office Publish Date File
Benefits Coverage Mapping for SFA Employees & Retirees Employee Benefits Benefits Coverage Mapping for SFA Employees
Benefits Coverage Mapping for SFA Retirees
Blue Cross and Blue Shield of Texas Fitness Program Employee Benefits BCBSTX Fitness Program for UT SELECT (February 2026)
COBRA Application FAQs Employee Benefits COBRA Application FAQs
COBRA General Notice Employee Benefits NEW! COBRA General Notice for the 2026-2027 Plan Year (applicable beginning 9/1/2026)
COBRA General Notice for the 2025-2026 Plan Year
COBRA Rates Employee Benefits NEW! COBRA Rates 2026-2027
COBRA Rates 2025-2026
Enrolling as a New Hire During Annual Enrollment Employee Benefits Enrolling as a New Hire During Annual Enrollment
Grandchild Certification Form Employee Benefits Dependent Grandchild Certification Form
Hello Heart FAQ Employee Benefits Hello Heart FAQ Flyer 2026
Hello Heart Pre Enrollment Employee Benefits Hello Heart Pre Enrollment 2026
How to Log into the Mobile App - My UT Benefits Employee Benefits Logging Into the Benefitplace App to Access My UT Benefits
Insurance FAQs for Stephen F. Austin State University Employee Benefits Insurance FAQs for SFA University Members
Legal Ease Enrollment Guide Employee Benefits Legal Ease Enrollment Guide ENGLISH 2026
Legal Ease Enrollment Guide SPANISH 2026
Legal Ease Hello Divorce Employee Benefits Legal Ease Hello Divorce ENGLISH 2026
Legal Ease Hello Divorce SPANISH 2026
Legal Ease LawAssure Employee Benefits Legal Ease LawAssure ENGLISH 2026
Legal Ease LawAssure SPANISH 2026
Legal Ease TurnSignl Employee Benefits Legal Ease TurnSignl ENGLISH 2026
Legal Ease TurnSignl SPANISH 2026
Legal Ease TurnSignl Immigration Employee Benefits Legal Ease TurnSignl Immigration ENGLISH 2026
Legal Ease TurnSignl Immigration SPANISH 2026
Living Well Resources Guide Employee Benefits NEW! Living Well Resources Guide 2026-2027
Living Well Resources Guide 2025-2026
MetLife Exotic Pet Benefit Overview Employee Benefits MetLife Exotic Pet Benefit Overview
MetLife Pet Benefit Overview Employee Benefits MetLife Pet Benefit Overview 2026
MetLife Pet Get A Quote Employee Benefits MetLife Pet Get A Quote 2026
MetLife Pet Insurance FAQ Employee Benefits MetLife Pet Insurance FAQ 2026
MetLife Pet Webinar Flyer Employee Benefits MetLife Pet Webinar Flyer 2026
Office of Employee Benefits Organizational Chart Employee Benefits Office of Employee Benefits Organizational Chart
Securian Financial Accident Plan Summary Employee Benefits Securian Financial Accident Plan Summary 2026
Securian Financial BenefitBump Employee Benefits Securian Financial BenefitBump 2026
Securian Financial Critical Illness Employee Benefits Securian Financial Critical Illness 2026
Securian Financial FAQ Employee Benefits Securian Financial Supplemental Health Insurance FAQ
Securian Financial Health and Wellness Screening List Employee Benefits Securian Financial Health and Wellness Screening List 2026
Securian Financial Hospital Indemnity Insurance Employee Benefits Securian Financial Hospital Indemnity Insurance 2026
Securian Financial How to File a Supplemental Health Claim Employee Benefits Securian Financial How to File a Supplemental Health Claim 2026
Securian Financial Unexpected Events Employee Benefits Securian Financial Unexpected Events 2026
SFA Benefits Comparison Employee Benefits SFA Benefits Comparison for Employees and Retirees
SilverSneakers Fitness Program Employee Benefits SilverSneakers Fitness Program for Retirees
SilverSneakers Tuition Rewards Flyer Employee Benefits SilverSneakers Tuition Rewards Flyer
Surviving Dependent Premium Rates Employee Benefits NEW! 2026-2027 Surviving Dependent Premium Rates
2025-2026 Surviving Dependent Premium Rates
UPDATED Living Well Platform How to Guide Employee Benefits Living Well Platform How to Guide 2026
UT Living Well FAQs for Stephen F. Austin State University Employee Benefits UT Living Well FAQs for SFA University Members
UT Retirement FAQs for Stephen F. Austin State University Employee Benefits UT Retirement FAQs for SFA University Members
UT System Cafeteria Plan Document Employee Benefits UT System Cafeteria Plan Document
Welcome Letter for SFA Members Employee Benefits Welcome Letter for SFA Members (June 9, 2023)
Wondr Health Program Employee Benefits Wondr Health Program (formerly Naturally Slim)
Wondr Open Enrollment Employee Benefits Wondr Open Enrollment Flyer 2026

Retirement Plan Publications
Document Office Publish Date File
Corebridge Financial Retirement Services Information Employee Benefits Corebridge Retirement Services Brochure 2025
Corebridge: How to Make Changes
Pursue a Stellar Retirement
What Plan is Right for You? TRS vs ORP
Fidelity Investments Information Employee Benefits How to Balance Debt, Saving, and Investing
Create Your Budget: Understanding Your Spending Activity Sheet
Enroll in UT Retirement with Fidelity Investments
Fidelity Investments Fact Sheet
Getting Started with your Fidelity Account
Just 1% More Can Make a Big Difference
Life Events: Make Good Decisions
Fidelity Investments Mobile App 2025
Ways to Work with Fidelity Investments: Call, Click, or Visit
Financial Wellness Dashboard 2026
Put Your Benefits to Work Infographic 2026
Financial Wellness Checkup Tool 2026
Fidelity NetBenefits Mobile App 2026
The Power of Small Contributions 2026
Lincoln Financial Information Employee Benefits 2024 Lincoln Financial Group Brochure
Lincoln Financial: Register for online account access
Understanding the UT Optional Retirement Program (ORP)
Lincoln Financial: Review your Beneficiaries Today
Lincoln Financial Wellness Tools
Get on the Path to Financial Wellness
Morningstar Retirement Manager
2025 Lincoln Financial Group Plan Representative & Support
Self-directed Brokerage Account 2026
Lincoln Representatives 2026
Lincoln Enrollment Guide 2026
Why Lincoln Brochure 2026
Pretax or Roth: Understanding Roth Contributions 2026
Logging Into Retirement Manager Employee Benefits Logging Into Retirement Manager
TIAA Information Employee Benefits TIAA Benefit of Starting Now
TIAA Benefits of One Percent
Retirement Planning for New Hires
TIAA: Enroll Today
Stay Connected with TIAA
Essentials by TIAA
TIAA New Hire 2026
Set Up a Meeting with TIAA 2026
TIAA Enroll Today 2026
TIAA Mobile App 2026
TIAA Spanish Resource 2026
UT CARES Act Employee Benefits UT CARES Act
UT Retirement Vendor Engagement Portfolio Employee Benefits UT Retirement Vendor Engagement Portfolio
UTSaver Retirement Plans Employee Benefits 2026 UTSaver Retirement Plans
Voya Financial Information Employee Benefits Investing Through Life's Stages
Voya Financial: Managing Key Risks to Make Your Retirement Income Last
Voya Financial: Weathering the Storm
Voya Financial: Brochure 2026
Voya Financial: UTSaver 457(b) Deferred Compensation Plan 2026
Voya Financial: Optional Retirement Program 2026
Voya Financial: Voluntary Retirement Programs 2026
Voya Financial: Financial Wellness Calendar 2026

Dental
Document Office Publish Date File
Delta Dental Go PPO Employee Benefits Delta Dental Go PPO: 6 great reasons to stay in-network
Delta Dental Grin E-Magazine Employee Benefits Delta Dental Grin! E-Magazine
Delta Dental Manage Your Plan Online Employee Benefits Delta Dental: Go online to manage your plan
Delta Dental Mouth and Body Connection Employee Benefits Delta Dental: The vital connection between oral health and overall health
Delta Dental Savings with BrushSmart Employee Benefits Delta Dental BrushSmart Savings
Delta Dental Support for Chronic Conditions Employee Benefits Delta Dental Support for Chronic Conditions with SmileWay
Delta Dental Support with LifePerks Employee Benefits Delta Dental Features with LifePerks
DeltaCare Benefits Guide Employee Benefits 2025-2026 DeltaCare Benefits Guide
DeltaCare Description of Benefits & Highlights Employee Benefits DeltaCare Description of Benefits & Highlights
DeltaCare Highlights Employee Benefits DeltaCare Highlights 2026
UT SELECT DENTAL Benefits Guide Employee Benefits NEW! 2025-2026 UT SELECT DENTAL Benefits Guide
2024-2025 UT SELECT DENTAL Benefits Guide
UT SELECT DENTAL Claim Form Employee Benefits UT SELECT DENTAL Claim Form
UT SELECT DENTAL Highlights Employee Benefits UT SELECT DENTAL Highlights 2026
UT SELECT DENTAL Plus Benefits Guide Employee Benefits NEW! 2025-2026 UT SELECT DENTAL Plus Benefits Guide
2024-2025 UT SELECT DENTAL Plus Benefits Guide
UT SELECT DENTAL Plus Highlights Employee Benefits UT SELECT DENTAL Plus Highlights 2026
Your Dental Plan Options Employee Benefits Dental Plan Options: Compare Our Plans

Vision
Document Office Publish Date File
Finding-In-Network Providers Employee Benefits Find an In-Network Eye Care Professional
Quality LASIK for Texas Members Employee Benefits Quality LASIK for Texas Members
Smart Alert - Partnering for Total Wellness Employee Benefits Superior Vision Smart Alert
Super Vision: Network of Retailers Employee Benefits Superior Vision: Network of Retailers 2026
Superior Vision Care Cost Estimator Employee Benefits Superior Vision Care Cost Estimator Tool
Superior Vision Member Discounts Employee Benefits Superior Vision Member Discounts
Superior Vision Member Hearing Network Discount
Superior Vision Member Portal Employee Benefits Superior Vision Create and Account in the Member Portal 2026
Superior Vision Mobile App Employee Benefits Superior Vision Creating an Account
Superior Vision Mobile App 2026
Superior Vision Plan Brochure Employee Benefits Superior Vision Plan Brochure
Superior Vision Plan Highlights Employee Benefits Superior Vision Highlights 2026-2027
Superior Vision Plus Benefits Guide Employee Benefits Superior Vision Plus Plan Certificate
Superior Vision Standard Benefits Guide Employee Benefits Superior Vision Standard Plan Certificate
Superior Vision: Getting Started with the Online Member Portal Employee Benefits Superior Vision Online Member Portal
Superior Vision: Laser Vision Correction (LASIK) Employee Benefits Superior Vision: Laser Vision Correction (LASIK) 2026
Superior Vison Claim Form Employee Benefits Superior Vison Claim Form
The Importance of an Eye Exam Employee Benefits Superior Vision: The Importance of an Eye Exam
Tips Caring for your Eyes Wearing Contacts Employee Benefits Tips for Caring for your Eyes While Wearing Contacts
Warby Parker through Superior Vision Employee Benefits Warby Parker through Superior Vision® 2026

Retirement Plan Documents
Document Office Publish Date File
Fund Performance Summary Employee Benefits Q4 2025 Fund Performance Report (.xlsx)
New Retirement Manager Admin Login Employee Benefits Guide to New Retirement Manager Admin Login
Optional Retirement Program (ORP) Plan Document Employee Benefits Optional Retirement Program (ORP) Plan Document
UT Retirement Provider Advisor Listing Employee Benefits UT Retirement Provider Advisor Listing (05/18/2026)
UT Saver Certification of Need Employee Benefits UT Saver Certification of Need
UTSaver DCP - 457(b) Plan Document Employee Benefits UTSaver DCP - 457(b) Plan Document
UTSaver TSA - 403(b) Plan Document Employee Benefits UTSaver TSA - 403(b) Plan Document

UT Benefits Billing
Document Office Publish Date File
Helpful Hints for Completing the Direct Payment Agreement Employee Benefits Helpful Hints for Completing the Direct Payment Agreement
Personal Information and Emergency Contact Form Employee Benefits Personal Information and Emergency Contact Form
TRS Annuity Deduction Form Employee Benefits TRS Annuity Deduction Form
UT Benefits Billing Direct Payment/Debit Authorization Agreement Employee Benefits Direct Payment/Debit Authorization Agreement
UT Benefits Billing Reference Guide Employee Benefits UT Benefits Billing Reference Guide
UT Benefits Billing Sample Monthly Statement Employee Benefits UT Benefits Billing Sample Monthly Statement

Long-Term Disability (LTD)
Document Office Publish Date File
Long-Term Disability Benefit Highlights Employee Benefits NEW! 2021-2022 Long Term Disability Brochure
2020-2021 Long Term Disability Brochure
Long-Term Disability Certificate Employee Benefits UT Benefits - Long Term Disability Certificate

Short-Term Disability (STD)
Document Office Publish Date File
Short Term Disability Brochure Employee Benefits NEW! 2021-2022 Short Term Disability Brochure
2020-2021 Short Term Disability Brochure
Short-Term Disability Certificate Employee Benefits UT Benefits - Short Term Disability Certificate

Flexible Spending Accounts
Document Office Publish Date File
UT FLEX Benefits Guide Employee Benefits NEW! 2025-2026 UT FLEX Benefits Guide
2024-2025 UT FLEX Benefits Guide
UT FLEX COBRA Application Employee Benefits 2025-2026 UT FLEX COBRA Application
2026-2027 UT FLEX COBRA Application (not for use before 9/1/2026)
UT FLEX How to Use Your Flexible Spending Account Employee Benefits UT FLEX How to Use Your Flexible Spending Account
UT FLEX Letter of Medical Necessity Form Employee Benefits Letter of Medical Necessity
UT FLEX Reimbursement Accounts Employee Benefits NEW! UT FLEX Inspira Keep your Card Active 2024
UT FLEX Inspira Dependent Care Reimbursement Account 2024
UT FLEX Inspira Mobile App 2026
UT FLEX Inspira Overview 2026
UT FLEX Inspira Quick Guide 2026
UT FLEX Inspira Enrollment Basics 2026
UT FLEX Reimbursement Claim Form Employee Benefits UT FLEX Claim Form