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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July 2021
Title Published Office File(s) Page
UT SELECT Hinge Health Overview Employee Benefits Hinge Health FAQs 2021-2022
Hinge Health Highlights 2021-2022
Hinge Health Brochure 2020
Hinge Health Enrollment 2020 		More Info on UT SELECT Hinge Health Overview
MDLIVE Overview and Registration Info Employee Benefits MDLIVE Overview and Registration Flyer More Info on MDLIVE Overview and Registration Info
Vision Plans Annual Enrollment Overview Employee Benefits Vision Plans Annual Enrollment Overview 2021-2022 More Info on Vision Plans Annual Enrollment Overview
December 2020
Title Published Office File(s) Page
UT CARE Part D Contacts Employee Benefits UT CARE Part D Contacts More Info on UT CARE Part D Contacts
UT Benefits Billing Sample Monthly Statement Employee Benefits UT Benefits Billing Sample Monthly Statement More Info on UT Benefits Billing Sample Monthly Statement
UT CARES Act Employee Benefits UT CARES Act More Info on UT CARES Act
October 2020
Title Published Office File(s) Page
Section 55.03 FY 2020 Annual Report Historically Underutilized Business FY 2020-55.03 Report More Info on Section 55.03 FY 2020 Annual Report
Grandchild Certification Form Employee Benefits Dependent Grandchild Certification Form More Info on Grandchild Certification Form
September 2020
Title Published Office File(s) Page
240. Surviving Dependents Employee Benefits Surviving Dependents More Info on 240. Surviving Dependents
250. COBRA Participants Employee Benefits COBRA More Info on 250. COBRA Participants
210. Employees Employee Benefits Employee Eligibility and Enrollment More Info on 210. Employees
140. Funding for Group Insurance Coverage Employee Benefits Funding for Group Insurance Coverage More Info on 140. Funding for Group Insurance Coverage
220. Retired Employees Employee Benefits Retired Employee Eligibility and Enrollment More Info on 220. Retired Employees
707. Retroactive Eligibility Adjustments Employee Benefits Retroactive Eligibility Adjustments More Info on 707. Retroactive Eligibility Adjustments
August 2020
Title Published Office File(s) Page
HUB Annual Report 2020 and Supplemental Letter Historically Underutilized Business Annual Report
Supplemental Letter 		More Info on HUB Annual Report 2020 and Supplemental Letter
UT ISOS ID Card Risk Management UT ISOS Card 2020 More Info on UT ISOS ID Card
July 2020
Title Published Office File(s) Page
UT System Cafeteria Plan Document Employee Benefits UT System Cafeteria Plan Document More Info on UT System Cafeteria Plan Document
June 2020
Title Published Office File(s) Page
Retirement Program Sales Solicitation Agreement Employee Benefits Retirement Program Sales Solicitation Agreement More Info on Retirement Program Sales Solicitation Agreement
April 2020
Title Published Office File(s) Page
Section 55.03: FY 2017 Annual Report Historically Underutilized Business Report Summary
Report Detail
Report Contract Counts 		More Info on Section 55.03: FY 2017 Annual Report
HUB Subcontracting Plan (HSP) Prime Contractor Progress Assessment Report Historically Underutilized Business Instruction for Prime Contractor Progress Assessment Report
Progress Assessment Report (PAR) 		More Info on HUB Subcontracting Plan (HSP) Prime Contractor Progress Assessment Report
March 2020
Title Published Office File(s) Page
Long-Term Disability Conversion Kit Employee Benefits Long Term Disability Conversion Kit More Info on Long-Term Disability Conversion Kit
LTD Employer Claim Form Employee Benefits LTD Employer Claim Form More Info on LTD Employer Claim Form
Death Claim Form Employee Benefits Death Claim Form More Info on Death Claim Form
LTD Employee Claim Form Employee Benefits LTD Employee Claim Form More Info on LTD Employee Claim Form
Life Portability Application Employee Benefits Life Portability Application More Info on Life Portability Application
Accidental Dismemberment Claim Form Employee Benefits Accidental Dismemberment Claim Form More Info on Accidental Dismemberment Claim Form
Life Conversion Application Employee Benefits Application to Convert Group Life Insurance More Info on Life Conversion Application
Beneficiary Designation Form Employee Benefits Beneficiary Designation Form More Info on Beneficiary Designation Form
December 2019
Title Published Office File(s) Page
Trip Cancellation Claim Form Risk Management 2020 Trip Cancellation Claim Form More Info on Trip Cancellation Claim Form
Claim Reporting Instructions Risk Management CHUBB USA Claim Reporting Instructions 2020 More Info on Claim Reporting Instructions
Medical Claim Form Risk Management 2020 Medical Claim Form More Info on Medical Claim Form
October 2019
Title Published Office File(s) Page
TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund) Employee Benefits TRS Form 28 (Oct 2019) More Info on TRS Form 28 (Notice to Elect to Participate in Optional Retirement Program and/or Refund)
September 2019
Title Published Office File(s) Page
Personal Information and Emergency Contact Form Employee Benefits Personal Information and Emergency Contact Form More Info on Personal Information and Emergency Contact Form
December 2018
Title Published Office File(s) Page
UT System Population Health Strategic Plan Population Health Population Health Strategic Plan More Info on UT System Population Health Strategic Plan
September 2018
Title Published Office File(s) Page
160. Tobacco Premium Program Employee Benefits Policy 160 Tobacco Premium Program More Info on 160. Tobacco Premium Program
Fast Facts Institutional Research and Analysis Fast Facts September 2018 More Info on Fast Facts
701. Premium Billing & Remittance Employee Benefits Premium Billing & Remittance More Info on 701. Premium Billing & Remittance
July 2018
Title Published Office File(s) Page
Medicaid and the Children's Health Insurance Program (CHIP) Notice Employee Benefits Medicaid and the Children's Health Insurance Program (CHIP) Notice More Info on Medicaid and the Children's Health Insurance Program (CHIP) Notice
June 2018
Title Published Office File(s) Page
121. Benefits Advisory Committee Employee Benefits Benefits Advisory Committee More Info on 121. Benefits Advisory Committee
April 2018
Title Published Office File(s) Page
HUB Annual Report 2017 & Supplemental Letter Historically Underutilized Business Annual Report
Supplemental Letter 		More Info on HUB Annual Report 2017 & Supplemental Letter
March 2018
Title Published Office File(s) Page
574. Institution-based Voluntary Plans Employee Benefits Institution-based Voluntary Plans More Info on 574. Institution-based Voluntary Plans
December 2017
Title Published Office File(s) Page
Retirement Eligibility Flowchart Employee Benefits Retirement Eligibility Flowchart More Info on Retirement Eligibility Flowchart
September 2017
Title Published Office File(s) Page
120. Office of Employee Benefits Administration Employee Benefits Office of Employee Benefits Administration More Info on 120. Office of Employee Benefits Administration
211. Certain Non-Employees Employee Benefits Certain Non-Employees More Info on 211. Certain Non-Employees
130. Office of Employee Benefits Terms and Definitions Employee Benefits Office of Employee Benefits Terms and Definitions More Info on 130. Office of Employee Benefits Terms and Definitions
Introduction Employee Benefits Introduction to OEB Administrative Manual More Info on Introduction
111. Uniform Insurance Benefits Act Employee Benefits Uniform Insurance Benefits Act More Info on 111. Uniform Insurance Benefits Act
270. Evidence of Insurability (EOI) Employee Benefits Evidence of Insurability (EOI) More Info on 270. Evidence of Insurability (EOI)
June 2017
Title Published Office File(s) Page
Nondiscrimination and Accessibility Notice Employee Benefits Nondiscrimination and Accessibility Notice More Info on Nondiscrimination and Accessibility Notice
May 2017
Title Published Office File(s) Page
The University of Texas System Police Annual Report. 2016 Police Annual Report More Info on The University of Texas System Police Annual Report. 2016
The UT System Police Department Annual Contact Report - 2016 Police Racial Profiling Report 2016 More Info on The UT System Police Department Annual Contact Report - 2016
April 2017
Title Published Office File(s) Page
Quality LASIK for Texas Members Employee Benefits Quality LASIK for Texas Members More Info on Quality LASIK for Texas Members
Superior Vision Plan Brochure Employee Benefits Superior Vision Plan Brochure More Info on Superior Vision Plan Brochure
March 2017
Title Published Office File(s) Page
BAC By-Laws Employee Benefits BAC By-laws More Info on BAC By-Laws
February 2017
Title Published Office File(s) Page
Fast Facts 2016 Institutional Research and Analysis Fast Facts 2016
Fast Facts 2016 - Winter Update, Feb 2017 		More Info on Fast Facts 2016
HIPAA Request for Access to Protected Health Information Employee Benefits Request for Access Form More Info on HIPAA Request for Access to Protected Health Information
HIPAA Request for Accounting of Disclosures Employee Benefits HIPAA Request for Accounting of Disclosues Form More Info on HIPAA Request for Accounting of Disclosures
HIPAA Hybrid Entity Designation Employee Benefits HIPAA Hybrid Entity Designation More Info on HIPAA Hybrid Entity Designation
HIPAA Staff Assistance Authorization Employee Benefits HIPAA Staff Assistance Authorization More Info on HIPAA Staff Assistance Authorization
HIPAA Revocation of Authorization Employee Benefits HIPAA Revocation of Authorization Form More Info on HIPAA Revocation of Authorization
HIPAA Policy Section 4.2: Access to System PHI Employee Benefits HIPAA Policy Section 4.2: Access to System PHI More Info on HIPAA Policy Section 4.2: Access to System PHI
HIPAA Privacy Officer Designation Employee Benefits HIPAA Privacy Officer Designation More Info on HIPAA Privacy Officer Designation
HIPAA General Authorization Form Employee Benefits HIPAA General Authorization Form More Info on HIPAA General Authorization Form
HIPAA Complaint Form Employee Benefits HIPAA Complaint Form More Info on HIPAA Complaint Form
January 2017
Title Published Office File(s) Page
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
HIPAA Policy Section 7.8: Right to Breach Notifications Employee Benefits HIPAA Policy Section 7.8: Right to Breach Notifications More Info on HIPAA Policy Section 7.8: Right to Breach Notifications
November 2016
Title Published Office File(s) Page
HUB Annual Report 2015 & Supplemental Letter Annual Report
Supplemental Letter 		More Info on HUB Annual Report 2015 & Supplemental Letter
Section 55.03: FY 2016 Annual Report Report Summary
Report Detail
Report Contract Counts 		More Info on Section 55.03: FY 2016 Annual Report
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
UT SELECT Part D Language Services UT SELECT Part D Language Services More Info on UT SELECT Part D Language Services
UT SELECT Part D Mail Order Form UT SELECT Part D Mail Order Form More Info on UT SELECT Part D Mail Order Form
UT SELECT Part D Presentation UT SELECT Part D Presentation More Info on UT SELECT Part D Presentation
September 2016
Title Published Office File(s) Page
Federal Tax Limitations on Private Business Use Finance Private Business Use Memo More Info on Federal Tax Limitations on Private Business Use
August 2016
Title Published Office File(s) Page
The Health Status of Northeast Texas Health Affairs The Health Status of Northeast Texas 2016 More Info on The Health Status of Northeast Texas
May 2016
Title Published Office File(s) Page
UT Benefits Enrollment Guide for Retired Employees 2015-2016 Employee Benefits UT Benefits Enrollment Guide for Retired Employees 2015-2016 More Info on UT Benefits Enrollment Guide for Retired Employees 2015-2016
January 2016
Title Published Office File(s) Page
Memorandum: Recommendations Regarding Concealed Carry on Campuses Chancellor Recommendations Regarding Concealed Carry on Campuses More Info on Memorandum: Recommendations Regarding Concealed Carry on Campuses
December 2015
Title Published Office File(s) Page
Vesting/Termination Status Form Employee Benefits Vesting/Termination Status Form More Info on Vesting/Termination Status Form
November 2015
Title Published Office File(s) Page
Leading in a Complex World: Chancellor William H. McRaven's Vision and Quantum Leaps Chancellor Chancellor's Vision and Quantum Leaps More Info on Leading in a Complex World: Chancellor William H. McRaven's Vision and Quantum Leaps
September 2015
Title Published Office File(s) Page
142. Premium Sharing for Graduate Students and Part-Time Employees Employee Benefits Premium Sharing for Graduate Students and Part-Time Employees More Info on 142. Premium Sharing for Graduate Students and Part-Time Employees