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Policy............................................................................................................................................................. 61
COBRA Official Notification ................................................................................................................... 62
Privacy Practices / HIPAA ...................................................................................................................... 67
Family Medical Leave.Act ...................................................................................................................... 68
Rates .............................................................................................................................................................. 69
Medical ................................................................................................................................................... 71
Dental ..................................................................................................................................................... 73
Vision ..................................................................................................................................................... 73
Optional Life ........................................................................................................................................... 74
Accidental Death & Dismemberment .................................................................................................... 74
Short-Term Disability and Long-Term Disability ..................................................................................... 74
Forms ............................................................................................................................................................. 75
ERS Sign-On Instructions......................................................................................................................... 77
Calculation Sheet Sample ...................................................................................................................... 79
ERS Benefits Election Form .................................................................................................................... 81
Texas Optional Retirement Plan Enrollment Form ................................................................................. 85
Notification of Employee Responsibilities Under Texas ORP ................................................................. 87
ORP Verification Form ............................................................................................................................ 91
Privacy PHI Notification .......................................................................................................................... 93
Alamo Colleges District Beneficiary Designation Form .......................................................................... 95
Benefits Orientation Outline .................................................................................................................. 97
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