Title Published Office File(s) Page HIPAA Staff Assistance Authorization Feb 1st, 2017 Employee Benefits HIPAA Staff Assistance Authorization More Info about HIPAA Staff Assistance Authorization HIPAA General Authorization Form Feb 1st, 2017 Employee Benefits HIPAA General Authorization Form More Info about HIPAA General Authorization Form HIPAA Request for Accounting of Disclosures Feb 1st, 2017 Employee Benefits HIPAA Request for Accounting of Disclosues Form More Info about HIPAA Request for Accounting of Disclosures HIPAA Request for Amendment of Protected Health Information Sep 23rd, 2013 Employee Benefits HIPAA Request for Amendment of Protected Health Information Form More Info about HIPAA Request for Amendment of Protected Health Information HIPAA Request for Confidential Communications of Medical Information Sep 23rd, 2013 Employee Benefits HIPAA Request for Confidential Communications of Medical Information Form More Info about HIPAA Request for Confidential Communications of Medical Information Tobacco Premium Program Declaration Form Sep 1st, 2023 Employee Benefits Tobacco Premium Program Declaration Form More Info about Tobacco Premium Program Declaration Form HIPAA Request for Restriction on Use or Disclosure of Protected Health Information Sep 23rd, 2013 Employee Benefits HIPAA Request for Restriction Form More Info about HIPAA Request for Restriction on Use or Disclosure of Protected Health Information HIPAA Revocation of Authorization Feb 1st, 2017 Employee Benefits HIPAA Revocation of Authorization Form More Info about HIPAA Revocation of Authorization HIPAA Complaint Form Feb 1st, 2017 Employee Benefits HIPAA Complaint Form More Info about HIPAA Complaint Form HIPAA Breach Log Sep 23rd, 2013 Employee Benefits HIPAA Breach Log More Info about HIPAA Breach Log Executive Order RP-49 - January 2014 Jan 21st, 2014 Capital Projects UT System Annual Executive Order RP-49 January 2014 FY 2013 UT System Metered Utilities More Info about Executive Order RP-49 - January 2014 Agreement to Negotiate a License Jul 15th, 2009 General Counsel Agreement to Negotiate a License (UTAUS) Agreement to Negotiate a License (UTSMCDAL) More Info about Agreement to Negotiate a License Amendment to Research Agreement Jul 15th, 2009 General Counsel Amendment to Research Agreement More Info about Amendment to Research Agreement Consortium Agreement Jul 15th, 2009 General Counsel Consortium Agreement More Info about Consortium Agreement Consulting Agreement Jul 15th, 2009 General Counsel Consulting Agreement More Info about Consulting Agreement Contract for Services Jul 15th, 2009 General Counsel Contract for Services (UTSMCDAL) More Info about Contract for Services Contract Research Organization Agreement Jul 15th, 2009 General Counsel Contract Research Organization Agreement More Info about Contract Research Organization Agreement Task Force on Engineering Education for Texas in the 21st Century Dec 12th, 2013 Board of Regents Task Force on Engineering Education for Texas in the 21st Century Engineering & Computer Science Initiative Summary More Info about Task Force on Engineering Education for Texas in the 21st Century Non-Disclosure Agreement Sep 20th, 2013 General Counsel Non-Disclosure Agreement (University Disclosing) Non-Disclosure Agreement (University Receiving) Non-Disclosure Agreement (Mutual) More Info about Non-Disclosure Agreement Material Transfer Agreement Jul 15th, 2009 General Counsel Biologicals Supply and License Agreement Material Transfer Agreement (Uniform Biological) Material Transfer Agreement (University Materials) More Info about Material Transfer Agreement Patent License Agreements Mar 2nd, 2010 General Counsel Exclusive Patent License Agreement (UTSMCDAL) Exclusive Patent License Agreement (UTMDACC) Patent License Agreement Patent License Agreement (UTMDACC) Patent License Agreement - Life Science (All-In-One) Patent License Agreement - Life Science (Two Part) Patent License Agreement - Life Science (UTMDACC) Patent License Agreement - Physical Science (All-In-One) Patent License Agreement - Physical Science (Two Part) More Info about Patent License Agreements Sponsored Research Agreements Jul 15th, 2009 General Counsel Department of Health and Human Services Subcontract Sponsored Laboratory Study Agreement Sponsored Research Agreement - No IP Sponsored Research Agreement - Univ. Owns IP Sponsored Research Agreement - Joint IP Short Form Sponsored Research Agreement - Joint IP Long Form Sponsored Laboratory Study Agreement or Testing Agreement (Revise Accordingly) Three Party Multiple Sponsor Study Coordination Agreement Visiting Scientist Agreement More Info about Sponsored Research Agreements Clinical Trial Agreements Jul 15th, 2009 General Counsel Memorandum of Understanding between Multiple Sponsors on a Clinical Trial Agreement Non-Governmental Clinical Study Agreement More Info about Clinical Trial Agreements Technology Transfer Agreements Jul 15th, 2009 General Counsel Inter-Institutional Joint Invention Management Agreement (All-In-One) Inter-Institutional Joint Invention Management Agreement (Agreement Only) Inter-Institutional Joint Invention Management Agreement (Exhibit A Only) Inter-Institutional Royalty Sharing Agreement Inter-Institutional Royalty Sharing Agreement (UTSMCDAL) Joint Ownership Agreement Joint Ownership Agreement (UTSMCDAL) Option Agreement Royalty Sharing Agreement Royalty Sharing Agreement (UTSMCDAL) Small Business Technology Transfer Program Model Agreement Teaming Agreement Technology License Agreement More Info about Technology Transfer Agreements Beta Test Site Agreement Jul 15th, 2009 General Counsel Beta Test Site Agreement More Info about Beta Test Site Agreement Salary Reimbursement Agreement Jul 15th, 2009 General Counsel Salary Reimbursement Agreement More Info about Salary Reimbursement Agreement Copyright Agreements Jan 7th, 2009 General Counsel Cease and Desist Letter (Copyright Infringement) Contribution to Publication Agreement Copyright Assignment Copyright License Agreement Electronic Journal Publication Agreement Print Publication Agreement Talent Release Agreement Video Distribution Agreement More Info about Copyright Agreements Courseware Agreements Jul 20th, 2020 General Counsel Online Course Development Agreement - Joint Ownership Online Course Development Agreement - Work Made for Hire Educational Research Agreement Faculty Sole Ownership Agreement General Joint Creation and Ownership Agreement Parental Consent Form (Internet) Permission Letter General Work for Hire Agreement More Info about Courseware Agreements Software Standard Agreements May 25th, 2010 General Counsel Beta Test Site Agreement Software Development Agreement - University Developing Software Distribution Agreement Software License Agreement - End User Software License Agreement - Source Code More Info about Software Standard Agreements Patents: Released Inventions Reports May 28th, 2011 General Counsel Calendar Year 2005 Report Calendar Year 2004 Report Calendar Year 2003 Report Calendar Year 2002 Report Calendar Year 2001 Report Calendar Year 2000 Report More Info about Patents: Released Inventions Reports Procedure for Managing Conflicts of Interest Mar 12th, 2014 General Counsel Form Plan to Manage Conflicts Sample Plans to Manage Conflicts More Info about Procedure for Managing Conflicts of Interest UT System Research Impact Report May 6th, 2011 General Counsel UT System Research Impact Report More Info about UT System Research Impact Report Faculty Health Appointment Forms UT Health Science Center at Houston Jul 18th, 2007 General Counsel UT Health Science Center School of Medicine Combined Faculty and Administrative Appointment (FORM 30) More Info about Faculty Health Appointment Forms UT Health Science Center at Houston Framework for Advancing Excellence: 2013 Update Apr 11th, 2014 Chancellor UT System Framework 2013 Update More Info about Framework for Advancing Excellence: 2013 Update Recommendations for Drafting Delegation Memoranda May 30th, 2013 General Counsel Recommendations for Drafting Delegation Memoranda More Info about Recommendations for Drafting Delegation Memoranda Recommendations from the Task Force on Hazing and Alcohol Apr 1st, 2014 Academic Affairs Recommendations from the Task Force on Hazing and Alcohol More Info about Recommendations from the Task Force on Hazing and Alcohol U.T. Austin Admissions Inquiry Mar 15th, 2014 Academic Affairs Admissions Report Attachments More Info about U.T. Austin Admissions Inquiry UT Benefits Billing Reference Guide Sep 1st, 2013 Employee Benefits UT Benefits Billing Reference Guide More Info about UT Benefits Billing Reference Guide UT Benefits Billing Direct Payment/Debit Authorization Agreement Apr 24th, 2024 Employee Benefits Direct Payment/Debit Authorization Agreement More Info about UT Benefits Billing Direct Payment/Debit Authorization Agreement Helpful Hints for Completing the Direct Payment Agreement Sep 1st, 2013 Employee Benefits Helpful Hints for Completing the Direct Payment Agreement More Info about Helpful Hints for Completing the Direct Payment Agreement UT SELECT Medical Plan Guide with Prescription Drug Coverage Sep 1st, 2024 Employee Benefits NEW! 2024-2025 UT SELECT Benefits Guide 2023-2024 UT SELECT Benefits Guide More Info about UT SELECT Medical Plan Guide with Prescription Drug Coverage HIPAA Policy Section 7.8: Right to Breach Notifications Jan 20th, 2017 Employee Benefits HIPAA Policy Section 7.8: Right to Breach Notifications More Info about HIPAA Policy Section 7.8: Right to Breach Notifications HIPAA Disclosure Log Sep 23rd, 2013 Employee Benefits HIPAA Disclosure Log More Info about HIPAA Disclosure Log HIPAA Hybrid Entity Designation Feb 1st, 2017 Employee Benefits HIPAA Hybrid Entity Designation More Info about HIPAA Hybrid Entity Designation HIPAA Privacy Officer Designation Feb 1st, 2017 Employee Benefits HIPAA Privacy Officer Designation More Info about HIPAA Privacy Officer Designation Annual Eligibility Notice for Retirement Plans Mar 25th, 2023 Employee Benefits Annual Eligibility Notice for Retirement Plans More Info about Annual Eligibility Notice for Retirement Plans Record of Revisions Nov 1st, 2021 Employee Benefits Record of Revisions More Info about Record of Revisions Introduction Sep 1st, 2017 Employee Benefits Introduction to OEB Administrative Manual More Info about Introduction 111. Uniform Insurance Benefits Act Sep 1st, 2017 Employee Benefits Uniform Insurance Benefits Act More Info about 111. Uniform Insurance Benefits Act 120. Office of Employee Benefits Administration Sep 1st, 2017 Employee Benefits Office of Employee Benefits Administration More Info about 120. Office of Employee Benefits Administration 130. Office of Employee Benefits Terms and Definitions Sep 1st, 2017 Employee Benefits Office of Employee Benefits Terms and Definitions More Info about 130. Office of Employee Benefits Terms and Definitions 140. Funding for Group Insurance Coverage Sep 1st, 2020 Employee Benefits Funding for Group Insurance Coverage More Info about 140. Funding for Group Insurance Coverage 141. Waiting Period for Group Insurance Benefits Sep 1st, 2014 Employee Benefits Waiting Period for Group Insurance Benefits More Info about 141. Waiting Period for Group Insurance Benefits 142. Premium Sharing for Graduate Students and Part-Time Employees Sep 1st, 2015 Employee Benefits Premium Sharing for Graduate Students and Part-Time Employees More Info about 142. Premium Sharing for Graduate Students and Part-Time Employees 150. Program to Prevent, Detect & Mitigate Identity Theft Aug 1st, 2009 Employee Benefits Program to Prevent, Detect & Mitigate Identity Theft More Info about 150. Program to Prevent, Detect & Mitigate Identity Theft 160. Tobacco Premium Program Sep 1st, 2018 Employee Benefits Policy 160 Tobacco Premium Program More Info about 160. Tobacco Premium Program 210. Employees Sep 1st, 2020 Employee Benefits Employee Eligibility and Enrollment More Info about 210. Employees 211. Certain Non-Employees Sep 1st, 2017 Employee Benefits Certain Non-Employees More Info about 211. Certain Non-Employees 220. Retired Employees Sep 1st, 2020 Employee Benefits Retired Employee Eligibility and Enrollment More Info about 220. Retired Employees Retirement Eligibility Flowchart Dec 18th, 2017 Employee Benefits Retirement Eligibility Flowchart More Info about Retirement Eligibility Flowchart 230. Dependents Sep 1st, 2021 Employee Benefits Dependents More Info about 230. Dependents Required Documentation for Eligible Dependents Chart Sep 1st, 2021 Employee Benefits Chart - Required Documentation for Eligible Dependents More Info about Required Documentation for Eligible Dependents Chart Grandchild Certification Form Oct 28th, 2020 Employee Benefits Dependent Grandchild Certification Form More Info about Grandchild Certification Form 240. Surviving Dependents Sep 1st, 2020 Employee Benefits Surviving Dependents More Info about 240. Surviving Dependents 250. COBRA Participants Sep 1st, 2020 Employee Benefits COBRA More Info about 250. COBRA Participants 260. Health Insurance Premium Payment (HIPP) Reimbursement Program Sep 1st, 2008 Employee Benefits 260hipp.pdf More Info about 260. Health Insurance Premium Payment (HIPP) Reimbursement Program 270. Evidence of Insurability (EOI) Sep 1st, 2017 Employee Benefits Evidence of Insurability (EOI) More Info about 270. Evidence of Insurability (EOI) 310. Qualified Status Change Events Dec 15th, 2022 Employee Benefits Change in Status More Info about 310. Qualified Status Change Events 320. Active Military Duty Jul 1st, 2010 Employee Benefits 320activemilitaryduty.pdf More Info about 320. Active Military Duty 400. Health Insurance Portability and Accountability Act (HIPAA) Sep 23rd, 2013 Employee Benefits Health Insurance Portability and Accountability Act (HIPAA) More Info about 400. Health Insurance Portability and Accountability Act (HIPAA) 570. UT FLEX Program Nov 1st, 2021 Employee Benefits UT FLEX Program More Info about 570. UT FLEX Program 571. UT FLEX Contribution Reporting Aug 1st, 2013 Employee Benefits UT FLEX Contribution Reporting More Info about 571. UT FLEX Contribution Reporting 572. Address Change Procedures for UT FLEX Debit Card Participants Sep 1st, 2009 Employee Benefits 572flexaddresschange.pdf More Info about 572. Address Change Procedures for UT FLEX Debit Card Participants 573. Annual Base Benefit Rate (ABBR) Calculation Sep 1st, 2013 Employee Benefits Policy 573 ABBR Calcuation More Info about 573. Annual Base Benefit Rate (ABBR) Calculation 701. Premium Billing & Remittance Sep 1st, 2018 Employee Benefits Premium Billing & Remittance More Info about 701. Premium Billing & Remittance 702. Billing of Postage to Components Sep 1st, 2002 Employee Benefits 702postagebilling.pdf More Info about 702. Billing of Postage to Components 705. Employee Assistance Program Sep 1st, 2004 Employee Benefits 705eapcredit.pdf More Info about 705. Employee Assistance Program 706. BCBS Eligibility Audit Apr 1st, 2014 Employee Benefits 706bcbseligaudit.pdf More Info about 706. BCBS Eligibility Audit 707. Retroactive Eligibility Adjustments Sep 1st, 2020 Employee Benefits Retroactive Eligibility Adjustments More Info about 707. Retroactive Eligibility Adjustments 810. Optional Retirement Program Apr 1st, 2006 Employee Benefits 810orp.pdf More Info about 810. Optional Retirement Program Pagination « « First ‹ ‹ Previous 1 2 3 4 5 6 7 8 9 … › Next › » Last »