Your Benefits Links

There are only two occasions allowing an employee to change their benefits, which are during Annual Enrollment and a qualifying Change of Status, during the year. You have 31 days from the date of the Change in Status event to notify your institution and submit your benefit elections. If you do not make your changes during the 31-day period, your changes cannot be made until the next Annual Enrollment in July, to be effective the following September 1st.

+ Marital Changes

Marriage Divorce and Declaration of Informal Marraige (Common-Law).

With a copy of a court issued document (State of Texas recognized marriage license, signed final divorce decree or declaration of informal marriage).

Click here to view the form.

+ Dependent Changes

Birth, Adoption, Legal Guardianship, Dis-qualification or Re-qualification of a Dependent Qualified Medical Support Order. With a copy of a court issued document, certification of birth, adoption determination, documentation support dependent eligibility or ineligibility or State issued medical support order.

Click here to view the form.

If the Dependent is a grandchild, stepchild or adopted child please complete the Special Dependent Application as well.

If you are Grandparent adding children please complete the Grandchild Certification as well.

+ Other Changes

Involuntary loss of Another Group Coverage, Loss or Gain of Spousal Employment and Death of a covered member or Dependent. With a copy of an original death certificate or documentation supporting the loss or gain of coverage and/or employment.

Click here to view the form.

Office of Employee Benefit Policy 310

Benefits Cost Worksheet

Preparing to Leave UTMB

Post Employment FAQ's

Benefits FAQs

Retirement FAQs

Accruals FAQs

Leave of Absence FAQs

2008 Retirement Handbook

Benefits' Exit Information

Employees leaving or retiring from UTMB can contact Benefits Services at benefits.services@utmb.edu. Please provide your name, employee ID number, last day worked and contact number or email address. This information is used to review and determine benefit related eligibility after employment. To review the covered information for separated employees such as COBRA, TRS and benefit related plans click here. COBRA information will be mailed two weeks after your separation process.

To those employees retiring, congratulations and we appreciate your years of service and dedication in reaching this milestone. We recommend you schedule a consultation with Benefits Services @ (409) 772-2630 or email benefits.services@utmb.edu. Please provide your employee ID number, Retirement Plan and proposed retirement date. This will assist us in serving you.

Now if you would take a few minutes to complete the Exit Feedback Questionnaire! Thank you in advance.

Please complete a brief questionnaire to tell Human Resources about your work experience at UTMB by clicking on the Exit Feedback Questionnaire link listed above. You may print the survey and mail to Employee Relations at mail route #0141 or if you prefer complete electronically, save/scan and email to lmhirsch@utmb.edu , to fax, please use this number: (409) 747-0333.