Annual Insurance Enrollment

When is Evidence of Insurability Required?

Evidence of Insurability (EOI) is the record of a person's past and current health events and is used by the insurance company to verify if a person meets the definition of good health.

Insurance requests requiring EOI include:

Employees Retirees
Adding or increasing Term Life insurance for yourself or your spouse* Adding or increasing Term Life insurance for yourself or for your spouse*
Adding Long Term Care** Adding Long Term Care**
Adding Short-Term or Long-Term Disability  

 

Term Life and Disability EOIs should be completed online using the My UT Benefits (My UTB) online enrollment system, no later than August 15, 2011.

EOI is NOT needed if you are adding UT Select medical coverage for yourself or a dependent.  If you are newly adding a dependent, you must submit proof of relationship documents to the Human Resource Service Center by August 15, 2011.

*Please note: you must have voluntary term life insurance to apply for voluntary spouse term life insurance. Term Life EOIs should be completed online using the My UT Benefits (My UTB) online enrollment system, no later than August 15, 2011.

**The Long Term Care EOI form is available at www.ltcbenefits.com/uts or by calling the insurance company, CNA, at 1-888-825-0353. Mail the completed form directly to CNA at the address on the form, postmarked no later than August 15, 2011.

 

Required Proof of Relationship Documents and Forms

If you requested new coverage for an eligible dependent, you must submit the proof of relationship documents and forms listed below to the Human Resource Service Center (HRSC) by August 15. Submission instructions are included on the Proof of Relationship Cover Sheet. Please be aware that if documents are not received by the deadline,  your dependent will not be added to coverage.

Insurance Dependent Eligibility Required Proof of Relationship Documents Required Forms
Spouse

For all plans:  your legally married spouse or common-law spouse with whom you’ve filed a Declaration of Informal Marriage (Texas Law does not recognize a domestic partner of the same or opposite sex as a spouse)
  • Marriage Certificate, or
  • Declaration of Informal Marriage
Biological Child

For the health plan:  your child under age 26 regardless of marital status or military enlistment

For all other plans:  your unmarried child under age 25 who is not enlisted in the military
  • Birth Certificate of child
Adopted Child

For the health plan:  your child under age 26 regardless of marital status or military enlistment

For all other plans:  your unmarried child under age 25 who is not enlisted in the military
  • Birth Certificate of child, or
  • Valid court order of adoption, or
  • Valid pre-adoption placement order issued by a licensed child placement agency, or
  • Valid court order naming you as managing conservator of child
Stepchild

For the health plan:  your child under age 26 regardless of marital status or military enlistment

For all other plans:  your unmarried child under age 25 who is not enlisted in the military
  • Birth Certificate of child
  • Marriage certificate for you and the biological parent
Grandchild

For all plans:  your unmarried grandchild under age 25 if the child is your dependent for federal tax purposes
  • Birth Certificate of grandchild
  • Birth Certificate of biological parent
  • Most recent tax return indicating child is your financial dependent or school records in the absence of a tax return