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UT System Administration Policy Library -- Policy UTS127
Office of Employee Benefits
Administrative Manual |
Responsible Officer: Associate Vice Chancellor for Employee Services
Sponsoring Office: Office of Employee Benefits
Effective Date: August 6, 2003
Last Reviewed: September 1, 2008
Next Scheduled Review: September 1, 2012
Errors or changes to: policyoffice@utsystem.edu
CONTENTS
Policy Statement
Rationale
Scope
Website Address For This Policy
Related Statutes, Policies, Requirements Or Standards
Contacts
Definitions
Responsibilities
Procedures
Forms Tools/Online Processes
Appendix
POLICY STATEMENT
Mission Statement:
The Office of Employee Benefits will lead in designing, implementing, and administering high quality, cost effective benefit programs for active and retired employees to support the mission of The University of Texas System.
Introduction:
The University of Texas System Employee Group Insurance Program is authorized by Chapter 1601 of the Texas Insurance Code. This Administrative Manual contains the policies and procedures that The University of Texas System is required to adopt in order to implement Chapter 1601. It also contains the policies and procedures for administration of System retirement programs and plans. It has been prepared by the Office of Employee Benefits to ensure that Program coverage and access to System retirement programs and plans is uniformly provided to eligible employees at the fifteen (15) University of Texas System institutions and System Administration.
This manual is available at: http://www.utsystem.edu/benefits/policies/Policy_Manual_Table_of_Contents.pdf
and on OEB’s Web site at http://www.utsystem.edu/benefits/ on the “Forms and Publications” page.
RATIONALE
Primary Objective
The primary objective of The University of Texas System (U.T. System) Office of Employee Benefits is to maximize the benefits and services that active and retired employees of (U.T. System) receive for each dollar spent on benefits. In doing so, the Office of Employee Benefits, while working within the limitations of the marketplace, must weigh the needs and desires of active and retired employees and their eligible dependents who participate in the benefit plans through the U.T. System’s 16 institutions, including U.T. System Administration.
SCOPE
All institutions and UT System Administration
WEBSITE ADDRESS FOR THIS POLICY
http://www.utsystem.edu/policy/policies/uts127.html
RELATED STATUTES, POLICIES, REQUIREMENTS OR STANDARDS
UT System Administration Policies & Standards |
Other Statutes, Policies & Standards |
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- Texas Insurance Code, Chapter 1601
- Texas Government Code (as applicable)
- Texas Family Code (as applicable)
- General Appropriations Act, Texas Legislature
- Texas Higher Education Code, Chapter 51, Subchapter C
- Consolidated Omnibus Budget Reconciliation Act of 1985, (COBRA), as amended
- Uniformed Services Employment and Reemployment Rights Act of 1994, 38 U.S.C. §4301
- Health Insurance Portability and Accountability Act of 1974 and applicable regulations
- Internal Revenue Code and applicable regulations
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CONTACTS
If you have any questions about UT System Administration Policy UTS 127, Office of Employee Benefits Administrative Manual, contact the following offices:
Subject |
Office Name |
Telephone Number |
Email/URL |
Laura Chambers, Manager of Insurance Benefits
Robert L. Westmoreland,
Senior Benefits Analyst |
Office of Employee Benefits
Office of Employee Benefits |
Phone: (512) 499-4624
Fax: (512) 499-4620
Phone: (512) 499-4796
Fax: (512) 499-4620 |
E-mail: lchambers@utsystem.edu
E-mail: rwestmore@utsystem.edu |
DEFINITIONS
Office of Employee Benefits Terms and Definitions
RESPONSIBILITIES
http://www.utsystem.edu/benefits/policies/Policy_Manual_Table_of_Contents.pdf
Office of Employee Benefits
- Administration of an actuarially sound uniform group insurance program for the benefit of The University of Texas System;
- Administration of the System retirement programs and plans;
- Maximization of quality group insurance benefits and services offered to Program participants for each dollar available for the Program;
- Monitoring Program activities to ensure that Program benefits are provided in compliance with applicable state and federal law, System policies and contractual requirements;
- Procurement, selection and administration of contractual relationships with carriers and other vendors providing services to and on behalf of the Program;
- Oversight of the administrative functions performed by System institution benefit managers and staff on behalf of the Program;
- Creation and oversight of the Program enrollment process and maintenance of the eligibility database for all Program participants;
- Processing and reconciliation of Program financial transactions including plan premium payments from System institutions to carriers and third party administrators;
- Provision of training to System institution benefit managers and staff concerning the Program;
- Assistance to participants in the resolution of member complaints; and
- Communication of Program plan information to institutions.
OEB works closely with, and receives invaluable assistance from the Human Resource Departments of each institution.
PROCEDURES
Office of Employee Benefits
Administrative Manual
Table of Contents
100. General Information
111. Uniform Insurance Benefits Act for Employees of The University of Texas System
and The Texas A&M University System
- Chapter 1601, Texas Insurance Code (effective 06/01/03, revised June 20, 2003 and September 1, 2003)
120. Office of Employee Benefits Administration
130. Office of Employee Benefits Terms and Definitions
140. Funding for Group Insurance Coverage
141. Waiting Period for Group Insurance Benefits
142. Premium Sharing for Graduate Student Employees and Part-Time Employees
200. Eligibility & Enrollment for Group Insurance
210. Employees
220. Retired Employees
230. Dependents
231. Special Dependent Application Process
240. Surviving Dependents (NEW)
250. COBRA Participants
260. Health Insurance Premium Payment Reimbursement Program
270. Evidence of Insurability (EOI)
300. Benefit Status Changes
310. Change In Status
320. Active Military Duty (Removed 09/08 – Under Review)
400. Health Insurance Portability and Accountability Act (HIPAA)
- The University of Texas System Administration HIPAA PrivacyCompliance Manual
- Appendix
o UT SELECT, UT DENTAL SELECT AND UT FLEX Notice of Privacy Practices
o HIPAA Forms
500. Benefit Plan Descriptions
570. UT FLEX Program
571. UT FLEX Contribution Reporting
600. Information Systems
700. Finance
701. Premium Billing & Reconciliation
702. Billing of Postage to Components
705. Employee Assistance Program
706. BCBS Eligibility Audit
707. Retroactive Eligibility Adjustments
800. Retirement Programs
810. Optional Retirement Program
820. UTSaver Tax-Sheltered Annuity Program
830. UTSaver Deferred Compensation Plan
FORMS AND TOOLS/ONLINE PROCESSES
APPENDIX
None
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