Publications

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.

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January 2025
Title Published Office File(s) Page
Express Scripts UT SELECT Formulary Employee Benefits 2025 ESI National Preferred Formulary for UT SELECT More Info on Express Scripts UT SELECT Formulary
UT CARE Part D Formulary Employee Benefits 2025 UT CARE Part D Formulary More Info on UT CARE Part D Formulary
UT CARE Part D Benefit Overview Employee Benefits 2025 UT CARE Part D Benefit Overview More Info on UT CARE Part D Benefit Overview
UTSaver DCP - 457(b) Plan Document Employee Benefits UTSaver DCP - 457(b) Plan Document More Info on UTSaver DCP - 457(b) Plan Document
UTSaver TSA - 403(b) Plan Document Employee Benefits UTSaver TSA - 403(b) Plan Document More Info on UTSaver TSA - 403(b) Plan Document
Optional Retirement Program (ORP) Plan Document Employee Benefits Optional Retirement Program (ORP) Plan Document More Info on Optional Retirement Program (ORP) Plan Document
December 2024
Title Published Office File(s) Page
Summary of Retirement Programs Employee Benefits Retirement Programs Summary More Info on Summary of Retirement Programs
UT SELECT Tobacco Cessation Program Employee Benefits UT SELECT Tobacco Cessation Program More Info on UT SELECT Tobacco Cessation Program
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions Employee Benefits Comparison of Traditional, Roth 403(b), and Roth IRA Contributions More Info on Comparison of Traditional, Roth 403(b), and Roth IRA Contributions
Voluntary Retirement Programs At a Glance Employee Benefits Voluntary Retirement Programs More Info on Voluntary Retirement Programs At a Glance
Group Term Life Certificate Employee Benefits Group Term Life Certificate (effective 09/01/2024) More Info on Group Term Life Certificate
November 2024
Title Published Office File(s) Page
UT SELECT Where to Go for Care Employee Benefits UT SELECT Where to Go for Care More Info on UT SELECT Where to Go for Care
October 2024
Title Published Office File(s) Page
Superior Vison Claim Form Employee Benefits Superior Vison Claim Form More Info on Superior Vison Claim Form
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) 		More Info on UT CARE Medicare Sample Enrollment Kit
UT CARE Medicare Welcome Letter Employee Benefits UT CARE Medicare Welcome Letter More Info on UT CARE Medicare Welcome Letter
UT CARE Medicare Enrollment Brochure Employee Benefits UT CARE Medicare Enrollment Brochure (effective January 1, 2024)
UT CARE Medicare Enrollment Brochure (effective January 1, 2025)
UT CARE Medicare Health & Wellness Benefits 		More Info on UT CARE Medicare Enrollment Brochure
September 2024
Title Published Office File(s) Page
WR_San_Antonio Capital Projects final-ut-san-antonio-update-prevailing-wage-survey-2024-appendix.pdf More Info on WR_San_Antonio
UT SELECT Benefits Summary Chart Employee Benefits UT SELECT Benefits Summary Chart 2024-2025 More Info on UT SELECT Benefits Summary Chart
DeltaCare Benefits Guide Employee Benefits 2024-2025 DeltaCare Benefits Guide More Info on DeltaCare Benefits Guide
UT FLEX Reimbursement Claim Form Employee Benefits UT FLEX Claim Form More Info on UT FLEX Reimbursement Claim 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
Group Term Life Brochure for Retired Employees Employee Benefits Group Term Life Brochure for Retired Employees More Info on Group Term Life Brochure for Retired Employees
August 2024
Title Published Office File(s) Page
UT FLEX Letter of Medical Necessity Form Employee Benefits Letter of Medical Necessity More Info on UT FLEX Letter of Medical Necessity Form
UT Benefits Enrollment Guide for Retiring Employees Employee Benefits NEW! 2024-2025 UT Benefits Enrollment Guide for Retiring Employees
2023-2024 UT Benefits Enrollment Guide for Retiring Employees 		More Info on UT Benefits Enrollment Guide for Retiring Employees
HIPAA Notice of Privacy Practices Employee Benefits HIPAA Notice of Privacy Practices 2024 (effective September 1, 2024)
HIPAA Notice of Privacy Practices 2023 		More Info on HIPAA Notice of Privacy Practices
July 2024
Title Published Office File(s) Page
BCBSTX Annual Wellness Checklist Employee Benefits BCBSTX Annual Wellness Checklist for UT Benefits Members More Info on BCBSTX Annual Wellness Checklist
J-Visa Summary of Benefits and Coverage Employee Benefits NEW! 2024-2025 Summary of Benefits: J-Visa Plan
2023-2024 Summary of Benefits: J-Visa Plan
2023-2024 Summary of Benefits: J-Visa Plan (Spanish/Español) 		More Info on J-Visa Summary of Benefits and Coverage
Delta Dental Grin E-Magazine Employee Benefits Delta Dental Grin! E-Magazine More Info on Delta Dental Grin E-Magazine
Delta Dental Savings with BrushSmart Employee Benefits Delta Dental BrushSmart Savings More Info on Delta Dental Savings with BrushSmart
Delta Dental Go PPO Employee Benefits Delta Dental Go PPO: 6 great reasons to stay in-network More Info on Delta Dental Go PPO
Delta Dental Mouth and Body Connection Employee Benefits Delta Dental: The vital connection between oral health and overall health More Info on Delta Dental Mouth and Body Connection
Delta Dental Support for Chronic Conditions Employee Benefits Delta Dental Support for Chronic Conditions with SmileWay More Info on Delta Dental Support for Chronic Conditions
Accidental Death & Dismemberment Certificate Employee Benefits Accidental Death & Dismemberment Certificate (effective 09/01/2024)
Accidental Death & Dismemberment Certificate (expires 09/01/2024) 		More Info on Accidental Death & Dismemberment Certificate
Seasons of Life Employee Benefits UT SELECT Seasons of Life Brochure
UT SELECT Seasons of Life Presentation 		More Info on Seasons of Life
Living Well Platform How to Guide Employee Benefits Living Well Platform How to Guide More Info on Living Well Platform How to Guide
Superior Vision: Laser Vision Correction (LASIK) Employee Benefits Superior Vision: Laser Vision Correction (LASIK) More Info on Superior Vision: Laser Vision Correction (LASIK)
Progyny Fertility Benefits Brochure & Member Guide Employee Benefits Progyny Fertility Benefits Overview More Info on Progyny Fertility Benefits Brochure & Member Guide
The Importance of an Eye Exam Employee Benefits Superior Vision: The Importance of an Eye Exam More Info on The Importance of an Eye Exam
Employee Enrollment Form - UT Benefits Employee Benefits 2024-2025 Employee Enrollment Form for UT Benefits (PDF)
2024-2025 Employee Enrollment Form for UT Benefits (fillable PDF)
2023-2024 Employee Enrollment Form for UT Benefits (PDF)
2023-2024 Employee Enrollment Form for UT Benefits (fillable PDF) 		More Info on Employee Enrollment Form - UT Benefits
UT SELECT MDLIVE Overview Employee Benefits UT SELECT MDLIVE Brochure 2024 More Info on UT SELECT MDLIVE Overview
Superior Vision Online Retailers Employee Benefits NEW! Introducing Warby Parker through MetLife® Vision
Superior Vision Online Contacts and Lenses Retailers 		More Info on Superior Vision Online Retailers
How to Log into the Mobile App - My UT Benefits Employee Benefits Logging Into the Benefitplace App to Access My UT Benefits More Info on How to Log into the Mobile App - My UT Benefits
April 2024
Title Published Office File(s) Page
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
February 2024
Title Published Office File(s) Page
Debt Overview Finance UT Debt Overview February 2025 More Info on Debt Overview
Perinatal Wellness Guidelines Employee Benefits Recommendations for a Healthy Pregnancy More Info on Perinatal Wellness Guidelines
Preventive Services for Children Employee Benefits Wellness Guidelines for Children More Info on Preventive Services for Children
Preventive Services for Adults Employee Benefits Adult Wellness Guidelines More Info on Preventive Services for Adults
January 2024
Title Published Office File(s) Page
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 		More Info on Affordable Care Act - Marketplace Notices
UT CARE Part D Welcome Kit Letter Employee Benefits 2024 UT CARE Part D Welcome Kit Letter More Info on UT CARE Part D Welcome Kit Letter
November 2023
Title Published Office File(s) Page
Vendor Services Employee Benefits Vendor Services for Retirement Participants More Info on Vendor Services
TRS Annuity Deduction Form Employee Benefits TRS Annuity Deduction Form More Info on TRS Annuity Deduction Form
October 2023
Title Published Office File(s) Page
Enrolling as a New Hire During Annual Enrollment Employee Benefits Enrolling as a New Hire During Annual Enrollment More Info on Enrolling as a New Hire During Annual Enrollment
September 2023
Title Published Office File(s) Page
SB17 Guidance Academic Affairs, General Counsel UT System SB17 Guidance More Info on SB17 Guidance
Adding A Beneficiary Employee Benefits How to Add a Beneficiary through My UT Benefits More Info on Adding A Beneficiary
Superior Vision Standard Benefits Guide Employee Benefits Superior Vision Standard Plan Certificate More Info on Superior Vision Standard Benefits Guide
Superior Vision Plus Benefits Guide Employee Benefits Superior Vision Plus Plan Certificate More Info on Superior Vision Plus Benefits Guide
Short-Term Disability Certificate Employee Benefits Short Term Disability Certificate 2023-2024 More Info on Short-Term Disability Certificate
Long-Term Disability Certificate Employee Benefits 2023-2024 Long Term Disability Certificate More Info on Long-Term Disability Certificate
Tobacco Premium Program Declaration Form Employee Benefits Tobacco Premium Program Declaration Form More Info on Tobacco Premium Program Declaration Form
Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program Employee Benefits Tobacco Cessation Program Physician Statement More Info on Physician Statement Concerning Tobacco Usage and Fitness to Participate in a Tobacco Cessation Program
August 2023
Title Published Office File(s) Page
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
July 2023
Title Published Office File(s) Page
Benefits Coverage Mapping for SFA Employees & Retirees Employee Benefits Benefits Coverage Mapping for SFA Employees
Benefits Coverage Mapping for SFA Retirees 		More Info on Benefits Coverage Mapping for SFA Employees & Retirees
Prescription Drug Annual Enrollment Overviews Employee Benefits UT SELECT Prescription Drug Overview 2023-2024 More Info on Prescription Drug Annual Enrollment Overviews
Superior Vision: Getting Started with the Online Member Portal Employee Benefits Superior Vision Online Member Portal More Info on Superior Vision: Getting Started with the Online Member Portal
Getting Started with Home Delivery from Express Scripts Pharmacy Employee Benefits Getting Started with Home Delivery from Express Scripts Pharmacy More Info on Getting Started with Home Delivery from Express Scripts Pharmacy
Express Scripts Print and Digital ID Cards Employee Benefits Express Scripts Print and Digital ID Cards More Info on Express Scripts Print and Digital ID Cards
Express Scripts: Manage Your Prescription Plan Employee Benefits Express Scripts: Manage Your Prescription Plan More Info on Express Scripts: Manage Your Prescription Plan
Express Scripts: How to Register Online Employee Benefits Express Scripts: How to Register Online More Info on Express Scripts: How to Register Online
SFA Benefits Comparison Employee Benefits SFA Benefits Comparison for Employees and Retirees More Info on SFA Benefits Comparison
UT FLEX How to Use Your Flexible Spending Account Employee Benefits UT FLEX How to Use Your Flexible Spending Account More Info on UT FLEX How to Use Your Flexible Spending Account
UT SELECT Health Advocate Solutions Infographic Employee Benefits UT SELECT Health Advocate Solutions Infographic More Info on UT SELECT Health Advocate Solutions Infographic
UT SELECT Health Advocate Solutions FAQs Employee Benefits UT SELECT Health Advocate Solutions FAQs More Info on UT SELECT Health Advocate Solutions FAQs
February 2023
Title Published Office File(s) Page
UT CARE Quick Start Reference Sheet Employee Benefits UT CARE Quick Start Reference Sheet More Info on UT CARE Quick Start Reference Sheet
January 2023
Title Published Office File(s) Page
HUB Annual Report 2022 and Supplemental Letter Historically Underutilized Business FY2022-Annual Report
FY2022-Supplemental Report 		More Info on HUB Annual Report 2022 and Supplemental Letter
Fast Facts 2022 Institutional Research and Analysis Fast Facts 2022 More Info on Fast Facts 2022
UT CARE Part D Welcome Kit Employee Benefits 2023 UT CARE Part D Welcome Kit More Info on UT CARE Part D Welcome Kit
December 2022
Title Published Office File(s) Page
310. Qualified Status Change Events Employee Benefits Change in Status More Info on 310. Qualified Status Change Events
August 2022
Title Published Office File(s) Page
Contract Management Handbook Contracts and Procurement Contract Management Handbook More Info on Contract Management Handbook
July 2022
Title Published Office File(s) Page
Superior Vision Mobile App Employee Benefits Superior Vision Mobile App More Info on Superior Vision Mobile App
Tips Caring for your Eyes Wearing Contacts Employee Benefits Tips for Caring for your Eyes While Wearing Contacts More Info on Tips Caring for your Eyes Wearing Contacts