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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.

October 2018
TitlePublishedOfficeFile(s)Page
UT Benefits Billing Direct Payment/Debit Authorization Agreement Employee Benefits Direct Payment/Debit Authorization AgreementMore Info on UT Benefits Billing Direct Payment/Debit Authorization Agreement
UT Benefits Billing for COBRA Direct Payment/Debit Authorization Agreement Employee Benefits UT Benefits Billing for COBRA Direct Payment/Debit Authorization AgreementMore Info on UT Benefits Billing for COBRA Direct Payment/Debit Authorization Agreement
September 2018
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UT SELECT DENTAL Benefits Guide Employee Benefits UT SELECT DENTAL Benefits Guide 2017-2018
UT SELECT DENTAL Benefits Guide 2018-2019		More Info on UT SELECT DENTAL Benefits Guide
UT FLEX Benefits Guide Employee Benefits UT FLEX Benefits Guide 2017-2018
UT FLEX Benefits Guide 2018-2019		More Info on UT FLEX Benefits Guide
UT SELECT DENTAL Plus Benefits Guide Employee Benefits UT SELECT DENTAL Plus Benefits Guide 2017-2018
UT SELECT DENTAL Plus Benefits Guide 2018-2019		More Info on UT SELECT DENTAL Plus Benefits Guide
COBRA Rates Employee Benefits COBRA Rates 2018-2019More Info on COBRA Rates
COBRA Application FAQs Employee Benefits COBRA Application FAQsMore Info on COBRA Application FAQs
701. Premium Billing & Remittance Employee Benefits Premium Billing & RemittanceMore Info on 701. Premium Billing & Remittance
COBRA General Notice Employee Benefits COBRA General Notice for the 2017-2018 Plan Year
COBRA General Notice for the 2018-2019 Plan Year		More Info on COBRA General Notice
UT Health Network Flyer Employee Benefits UT Health Network Flyer 2017-2018
UT Health Network Flyer 2018-2019		More Info on UT Health Network Flyer
Record of Revisions Employee Benefits Record of RevisionsMore Info on Record of Revisions
August 2018
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Operating Budget Rules Controller FY 2019
FY 2018
FY 2017
FY 2016 Revised		More Info on Operating Budget Rules
DCP Purchase Agreement Employee Benefits DCP Purchase AgreementMore Info on DCP Purchase Agreement
July 2018
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Legal Notices Employee Benefits UT Benefits - Legal Notices 2017
UT Benefits - Legal Notices 2018		More Info on Legal Notices
Medicaid and the Children's Health Insurance Program (CHIP) Notice Employee Benefits Medicaid and the Children's Health Insurance Program (CHIP) NoticeMore Info on Medicaid and the Children's Health Insurance Program (CHIP) Notice
Glossary of Health Coverage and Medical Terms Employee Benefits Glossary of Health Coverage and Medical TermsMore Info on Glossary of Health Coverage and Medical Terms
HIPAA Notice of Privacy Practices Employee Benefits HIPAA Notice of Privacy Practices 2017
HIPAA Notice of Privacy Practices 2018		More Info on HIPAA Notice of Privacy Practices
UT CONNECT ACO Medical Plan FAQs Employee Benefits UT CONNECT-faqs-2018-2019More Info on UT CONNECT ACO Medical Plan FAQs
PPO Network Summary of Benefits and Coverage Employee Benefits 2018-2019 Summary of Benefits Summary: PPO Plan
2018-2019 Summary of Benefits Summary: PPO Plan (Spanish/Español)		More Info on PPO Network Summary of Benefits and Coverage
Out-of-Area Network Summary of Benefits and Coverage Employee Benefits 2018-2019 Summary of Benefits and Coverage: Out-of-Area Plan
2018-2019 Summary of Benefits and Coverage: Out-of-Area Plan (Spanish/Español)		More Info on Out-of-Area Network Summary of Benefits and Coverage
MyEvive Registration Instructions Employee Benefits MyEvive Registration InstructionsMore Info on MyEvive Registration Instructions
MyEvive FAQs Employee Benefits MyEvive FAQsMore Info on MyEvive FAQs
Benefits Cost Worksheet for Employees 2018-2019 Employee Benefits Active Employee Cost Worksheet 2018-2019More Info on Benefits Cost Worksheet for Employees 2018-2019
Annual Enrollment & Resource Guide for Employees for 2018-2019 Employee Benefits 2018-2019 Annual Enrollment & Resource Guide for EmployeesMore Info on Annual Enrollment & Resource Guide for Employees for 2018-2019
Benefits Cost Worksheet for Retired Employees 2018-2019 Employee Benefits Retired Employee Cost Worksheet 2018-2019More Info on Benefits Cost Worksheet for Retired Employees 2018-2019
Annual Enrollment & Resource Guide for Retired Employees for 2018-2019 Employee Benefits 2018-2019 Annual Enrollment & Resource Guide for Retired EmployeesMore Info on Annual Enrollment & Resource Guide for Retired Employees for 2018-2019
June 2018
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121. Benefits Advisory Committee Employee Benefits Benefits Advisory CommitteeMore Info on 121. Benefits Advisory Committee
April 2018
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UT System SmartBook Strategic Initiatives SmartBook-April2018.pdfMore Info on UT System SmartBook
HUB Annual Report 2017 & Supplemental Letter Historically Underutilized Business FY 2017 720_cons (2).pdf
FY 2017 SL 720.pdf		More Info on HUB Annual Report 2017 & Supplemental Letter
Annual Eligibility Notice for Retirement Plans Employee Benefits Annual Eligibility Notice for Retirement PlansMore Info on Annual Eligibility Notice for Retirement Plans
UT System Administration Standards of Conduct Guide Systemwide Compliance UT System Administration Standards of Conduct GuideMore Info on UT System Administration Standards of Conduct Guide
March 2018
TitlePublishedOfficeFile(s)Page
574. Institution-based Voluntary Plans Employee Benefits Institution-based Voluntary PlansMore Info on 574. Institution-based Voluntary Plans
February 2018
TitlePublishedOfficeFile(s)Page
Budget Preparation Policies Controller FY 2019
FY 2018
FY 2017
FY 2016		More Info on Budget Preparation Policies
UT Benefits Enrollment Guide for Retiring Employees 2017-2018 Employee Benefits UT Benefits Enrollment Guide for Retiring Employees 2017-2018More Info on UT Benefits Enrollment Guide for Retiring Employees 2017-2018
January 2018
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ACORD Automobile Loss Notice Risk Management 2017 Auto Loss NoticeMore Info on ACORD Automobile Loss Notice
December 2017
TitlePublishedOfficeFile(s)Page
Summary of Retirement Programs Employee Benefits Retirement Programs SummaryMore Info on Summary of Retirement Programs
Comparison of Traditional, Roth 403(b), and Roth IRA Contributions Employee Benefits Comparison of Traditional, Roth 403(b), and Roth IRA ContributionsMore 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
Retirement Eligibility Flowchart Employee Benefits Retirement Eligibility FlowchartMore Info on Retirement Eligibility Flowchart
UT Benefits Enrollment Guide for Employees 2017-2018 Employee Benefits UT Benefits Enrollment Guide for Employees 2017-2018More Info on UT Benefits Enrollment Guide for Employees 2017-2018
November 2017
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Voluntary Retirement Programs Loan and Hardship Options Employee Benefits Voluntary Retirement Programs Loan and Hardship OptionsMore Info on Voluntary Retirement Programs Loan and Hardship Options
September 2017
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STD Benefit Highlights Employee Benefits STD Benefit HighlightsMore Info on STD Benefit Highlights
Long-Term Disability Benefit Highlights Employee Benefits LTD Benefit Highlights 2017.pdfMore Info on Long-Term Disability Benefit Highlights
Affordable Care Act - Marketplace Notices Employee Benefits 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 Northeast 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
220. Retired Employees Employee Benefits Retired Employee Eligibility and EnrollmentMore Info on 220. Retired Employees
210. Employees Employee Benefits Employee Eligibility and EnrollmentMore Info on 210. Employees
UT SELECT Benefits Summary Chart Employee Benefits UT SELECT Benefits Summary Chart 2017-2018More Info on UT SELECT Benefits Summary Chart
111. Uniform Insurance Benefits Act Employee Benefits Uniform Insurance Benefits ActMore Info on 111. Uniform Insurance Benefits Act
August 2017
TitlePublishedOfficeFile(s)Page
Superior Vision Plus Benefits Guide Employee Benefits Superior Vision Plus Plan Certificate
Superior Vision Plan Amendment (eff. 9/1/2017)		More Info on Superior Vision Plus Benefits Guide
Superior Vision Standard Benefits Guide Employee Benefits Superior Vision Standard Plan Certificate
Superior Vision Plan Amendment (eff. 9/1/2017)		More Info on Superior Vision Standard Benefits Guide
July 2017
TitlePublishedOfficeFile(s)Page
Annual Enrollment & Resource Guide for Employees 2017-2018 Employee Benefits 2017-2018 Annual Enrollment & Resources Guide for EmployeesMore Info on Annual Enrollment & Resource Guide for Employees 2017-2018
Annual Enrollment & Resource Guide for Retirees 2017-2018 Employee Benefits 2017-2018 Annual Enrollment & Resources Guide for RetireesMore Info on Annual Enrollment & Resource Guide for Retirees 2017-2018
Benefits Cost Worksheet for Employees 2017-2018 Employee Benefits Active Employee Cost Worksheet 2017-2018More Info on Benefits Cost Worksheet for Employees 2017-2018
Benefits Cost Worksheet for Retired Employees 2017-2018 Employee Benefits Retired Employee Cost Worksheet 2017-2018More Info on Benefits Cost Worksheet for Retired Employees 2017-2018
June 2017
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Nondiscrimination and Accessibility Notice Employee Benefits Nondiscrimination and Accessibility NoticeMore Info on Nondiscrimination and Accessibility Notice
May 2017
TitlePublishedOfficeFile(s)Page
FY2017-2022_CIP_Quarterly_Update_May_2017 Facilities Planning and Construction FY2017-2022_CIP_Quarterly_Update_May_2017.pdfMore Info on FY2017-2022_CIP_Quarterly_Update_May_2017
Full_FY2017-2022_Capital_Improvement_Program_Approved_May_10_2017 Facilities Planning and Construction Full_FY2017-2022_Capital_Improvement_Program_Approved_May_10_2017.pdfMore Info on Full_FY2017-2022_Capital_Improvement_Program_Approved_May_10_2017
The University of Texas System Police Annual Report. 2016 Police Annual ReportMore Info on The University of Texas System Police Annual Report. 2016
The UT System Police Department Annual Contact Report - 2016 Police Racial Profiling Report 2016More Info on The UT System Police Department Annual Contact Report - 2016
April 2017
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Quality LASIK for Texas Members Employee Benefits Quality LASIK for Texas MembersMore Info on Quality LASIK for Texas Members
SVContacts.com - Online Contact Lens Ordering Employee Benefits Online Contact Lens OrderingMore Info on SVContacts.com - Online Contact Lens Ordering
Superior Vision Plan Brochure Employee Benefits Superior Vision Plan BrochureMore Info on Superior Vision Plan Brochure
March 2017
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BAC By-Laws Employee Benefits BAC By-lawsMore Info on BAC By-Laws
February 2017
TitlePublishedOfficeFile(s)Page
Fast Facts 2016 Strategic Initiatives Fast Facts 2016
Fast Facts 2016 - Winter Update, Feb 2017		More Info on Fast Facts 2016
HIPAA General Authorization Form Employee Benefits HIPAA General Authorization FormMore Info on HIPAA General Authorization Form
HIPAA Revocation of Authorization Employee Benefits HIPAA Revocation of Authorization FormMore Info on HIPAA Revocation of Authorization
HIPAA Privacy Officer Designation Employee Benefits HIPAA Privacy Officer DesignationMore Info on HIPAA Privacy Officer Designation
HIPAA Policy Section 4.2: Access to System PHI Employee Benefits HIPAA Policy Section 4.2: Access to System PHIMore Info on HIPAA Policy Section 4.2: Access to System PHI
HIPAA Request for Access to Protected Health Information Employee Benefits Request for Access FormMore Info on HIPAA Request for Access to Protected Health Information
HIPAA Request for Accounting of Disclosures Employee Benefits HIPAA Request for Accounting of Disclosues FormMore Info on HIPAA Request for Accounting of Disclosures
HIPAA Complaint Form Employee Benefits HIPAA Complaint FormMore Info on HIPAA Complaint Form
HIPAA Staff Assistance Authorization Employee Benefits HIPAA Staff Assistance AuthorizationMore Info on HIPAA Staff Assistance Authorization
HIPAA Hybrid Entity Designation Employee Benefits HIPAA Hybrid Entity DesignationMore Info on HIPAA Hybrid Entity Designation
January 2017
TitlePublishedOfficeFile(s)Page
HIPAA Policy Section 7.8: Right to Breach Notifications Employee Benefits HIPAA Policy Section 7.8: Right to Breach NotificationsMore Info on HIPAA Policy Section 7.8: Right to Breach Notifications
HIPAA Policy 3.0: Breach Notification Policy Employee Benefits HIPAA Policy 3.0: Breach Notification Policy More Info on HIPAA Policy 3.0: Breach Notification Policy
December 2016
TitlePublishedOfficeFile(s)Page
International Travel Quick Reference Sheet Employee Benefits ut-system-foreign-coverage-quick-reference-sheet-12-2016.pdfMore Info on International Travel Quick Reference Sheet
UT ACE ID Card Risk Management UT ACE ID CardMore Info on UT ACE ID Card
November 2016
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HUB Annual Report 2016 & Supplemental Letter Annual Report
Supplemental Letter		More Info on HUB Annual Report 2016 & Supplemental Letter
Section 55.03: FY 2015 Annual Report Report Summary
Report Detail
Report Contract Counts		More Info on Section 55.03: FY 2015 Annual Report
HUB Annual Report 2015 & Supplemental Letter Annual Report
Supplemental Letter		More Info on HUB Annual Report 2015 & Supplemental Letter