Documents by Office

Documents by Office

Documents by Office

Employee Benefits
Document Publish Date File
Portability and Conversion of Life Insurance September 1, 2013
Prescription Drug Co-payments at a Glance September 1, 2013
Prescription Drug Reimbursement Form September 1, 2013
Privacy Officer Designation September 23, 2013
Provider Nomination Form September 1, 2013
Purchase/Change form for TSA (Traditional or Roth)-ORP changes September 1, 2013
Quality LASIK for Texas Members September 1, 2013
Reasons to Consider Long Term Care September 1, 2013
Recommend Your Dentist September 1, 2013
Section 4.10: Verification of Requestor’s Identity and Authority September 23, 2013
Section 4.11: Obtaining and Relying Upon an Authorization September 23, 2013
Section 4.12: Personal Representatives September 23, 2013
Section 4.13: De-identified Information September 23, 2013
Section 4.14: Documentation of Disclosures September 23, 2013
Section 4.1: Requests for PHI September 23, 2013
Section 4.2: Access to System PHI September 23, 2013
Section 4.3: Uses and Disclosures Required by Law September 23, 2013
Section 4.4: Discretionary Uses and Disclosures Without An Authorization September 23, 2013
Section 4.5: Conducting Underwriting Activities September 23, 2013
Section 4.6: Research Disclosures and Uses September 23, 2013
Section 4.7: Making Notification Disclosures September 23, 2013
Section 4.8: Review of Requests for Use or Disclosure Requiring Approval by the Privacy Officer September 23, 2013
Section 4.9: Minimum Necessary Standard for Uses and Disclosures of PHI September 23, 2013
Section 6.1: Contracts With Business Associates Involving Office of Employment Benefits PHI September 23, 2013
Section 6.2: Contracts Involving PHI Entered into by System Offices that are Business Associates of OEB or other Covered Entities. September 23, 2013
Section 6.3: Carriers Providing Group Health Plan Coverage September 23, 2013
Section 6.4: Agreements With Recipients of a Limited Data Set September 23, 2013
Section 7.1: Notice of Individual Rights Concerning PHI September 23, 2013
Section 7.2: Right to Access Protected Health Information September 23, 2013
Section 7.3: Requests to Amend PHI September 23, 2013
Section 7.4: Right to Receive an Accounting of Disclosures September 23, 2013
Section 7.5: Requests for Restrictions on Use and Disclosure September 23, 2013
Section 7.6: Requests for Confidential Communications September 23, 2013
Section 7.7: Right to Make A Complaint September 23, 2013
Section 8.1: Cooperation With the Secretary’s Investigation September 23, 2013
Section 8.2: Training September 23, 2013
Section 8.3: Safeguarding PHI September 23, 2013
Section 8.4: Mitigation of Known Privacy Violations September 23, 2013
Section 8.5: Sanctions for Personnel Violations of Privacy September 23, 2013
Section 9.1: Changes to Privacy Policies and Procedures September 23, 2013
Section 9.2: Retention of Privacy Documentation September 23, 2013
Short-Term Disability Benefits Guide September 1, 2013
Smart Alert - Partnering for Total Wellness September 1, 2013
SmileWaySM Wellness Program: Take the Challenge September 1, 2013
STD Benefit Highlights September 1, 2013
Summary of Retirement Programs September 1, 2013
Summary of Retirement Programs September 1, 2013
Superior Vision Benefits Guide September 1, 2013
Superior Vision Plan Brochure September 1, 2013
Superior Vision Plan Highlights September 1, 2013
Superior Vision Plan Highlights September 1, 2013
Superior Vision Plus Benefits Guide September 1, 2013
Superior Vison Claim Form September 1, 2013
SVContacts.com - Online Contact Lens Ordering September 1, 2013
SWIAC By-Laws October 30, 2012
The Connection Between Your Oral and Overall Health September 1, 2013
The PayFlex Card Flyer September 1, 2013
Tobacco Premium Program Declaration Form September 1, 2013
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) September 1, 2013
UT Benefits Billing Direct Payment/Debit Authorization Agreement September 1, 2013
UT Benefits Billing Reference Guide September 1, 2013
UT Benefits Handbook for Employees September 1, 2013
UT Benefits Handbook for Retired Employees September 1, 2013
UT FLEX Benefits Guide September 1, 2013
UT FLEX Claim Form September 1, 2013
UT FLEX Direct Deposit Authorization Form September 1, 2013
UT FLEX Letter of Medical Necessity Form September 1, 2013
UT SELECT Benefits Summary Chart September 1, 2013
UT SELECT DENTAL - Getting the Most from Your DPO Network September 1, 2013
UT SELECT DENTAL Benefits Guide September 1, 2013
UT SELECT DENTAL Claim Form September 1, 2013
UT SELECT DENTAL Highlights September 1, 2013
UT SELECT DENTAL Plus Highlights September 1, 2013
UT SELECT DENTAL Plus Plan - ADDENDUM September 1, 2012
UT SELECT Health Benefits Guide September 1, 2013
UT SELECT Highlights September 1, 2013
UT SELECT Medical Claim Form September 1, 2013
UT SELECT Medical Health Resources and Tools September 1, 2013
UT SELECT Tobacco Cessation Program September 1, 2013
UT System Cafeteria Plan Document September 1, 2013
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