Retiree/Surviving Dependent Insurance Billing Information

BILLING SCHEDULE

Bills are issued quarterly during the fiscal year (September – August). Payments are due by the 10th of the month.

Quarter	Bills Mailed	1st Installment or Full Payment Due Date	2nd Installment Due Date	3rd Installment Due Date
1st Sep – Nov	9/19/2011	10/10/2011	10/10/2011	11/10/2011
2nd Dec – Feb	11/15/2011	12/10/2011	1/10/2012	2/10/2012
3rd Mar – May	2/15/2012	3/10/2012	4/10/2012	5/11/2012
4th Jun – Aug	5/15/2012	6/10/2012	7/10/2012	8/10/2012

PAYMENT OPTIONS

The following table explains your payment options. Remember to use the coupon provided with your bill to ensure proper credit for your payments. Credit card payments cannot be accepted by phone.

AutoPay:	Automatic Payment via Electronic Funds Transfer (EFT) from your bank account is a convenient payment option and can be set up either online or by submitting a paper enrollment form. Your AutoPay enrollment remains in effect until updated or cancelled. You do not need to re-enroll each fiscal year. To complete your enrollment online, a high assurance UT EID is required to access the AutoPay website. To upgrade your UT EID, go to the ID Center, located on the 1st floor of the Flawn Academic Center (FAC), and bring a government issued photo id as proof of identity. In lieu of online enrollment, complete the Automatic Payment Request Authorization Form and mail it to the address on the back of the form. Please do not send the form with your payment. For questions about AutoPay, contact Payroll Services at (512) 471-5271.
Online:	What I Owe (high assurance UT EID required) allows you to make one time, online payments by credit card, electronic funds transfer (EFT), or electronic check. Go to What I Owe to view your insurance bill and follow the instructions on how to make payments.
U S Mail:	Mail payments to: The University of Texas at Austin P O Box 13177 Austin, TX 78711
Check or Money Order:	Make payments payable to: The University of Texas at Austin Include your UT EID (located on the retiree insurance bill next to your name) Write "Retiree Insurance" on the check or money order
Credit Card:	Provide your credit card number and expiration date* Specify the amount of your payment Sign the payment coupon *Only MasterCard and Discover are accepted. Credit card payments are not accepted by phone.
Monthly Installment Payments:	For proper credit on monthly installment payments, include a message with your payment indicating that you are paying for "University of Texas at Austin - Retiree Insurance" and provide: Your name UT EID (located on your bill next to your name) Check or credit card number, expiration date and amount to be charge

CANCELLATION POLICY

Payments may be made quarterly or in monthly installments. Insurance payments are due on the 10th of each month. If payment is not received by the due date, your insurance coverage could be cancelled. If the due date falls on a weekend or holiday, payment is due on the next business day.

ADDRESS CHANGES

Online:	Go to My Employee Information (high assurance UT EID required) Select "Addresses & E-mail" in the navigation bar on the left Update both the W-2 (permanent) and the U.S. (local) addresses
By Fax or US Mail:	Print and complete the Personal Information Update form (PDF) Fax or mail to the Human Resource Service Center as indicated on the form.
By E-mail:	E-mail the Human Resource Service Center with your name, UT EID, new address and any other changes, such as your phone number, e-mail address or emergency contact information.
By Phone:	Contact the Human Resource Service Center at 512-471-4772 (HRSC) or 1-800-687-4178 to request a Personal Information Update form be sent to you.

LONG TERM CARE FOR RETIREES

Long Term Care insurance is not administered by the University of Texas and is not included in your Retiree Insurance bill. Please contact Continental Casualty Company (CNA) at 1-888-825-0353 between 8:00 and 6:00 (EST) to notify them that you have retired and need to be billed at your home address.

CONTACT INFORMATION

For billing or payment questions, contact Payroll Services at (512) 471-5271.

For eligibility or enrollment questions, contact the Human Resource Service Center at 512-471-4772 or 1-800-687-4178.

For coverage or claims questions, please contact the insurance company. See Insurance Contacts for more information on contacting the insurance company directly.

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Retiree/Surviving Dependent Insurance Billing Information