UT Medical Foundation

Payroll & Benefits

1133 John Freeman Avenue Ste 301 Houston TX 77030 - (713) 500-5243 (713) 500-0699 Fax Numbers ms.medfoundation@uth.tmc.edu

Payroll Information

• Resident FICA Refund Information
• IRS Questions and answers about medical resident FICA refund claims
• ADP PayStubs
• Pay Schedule
• Direct Deposit of Pay
• Departing Employees
• HouseStaff Stipends
• Residents Cost Tables
• FAQ's

Payroll Forms

• W4
• Parking Agreement/Waiver
• Direct Deposits

Employee Assistance Program

• UTEAP Website

COBRA Applications

• PHCS PPO Cobra
• MHHNP EPO Cobra
• Delta Dental Cobra
• Dental COBRA Payment Authorization

TIAA Cref (403b Plan)

• Salary Agreement Form

Benefit Providers

• Health Insurance-MHealth
• Dental Insurance-Delta
• Vision Insurance-Superior
• Life & Disability-TMAIT
• Supp Disability-PRS/United
• 403b-TIAA Cref
• Flex Benefits-FBG
• FAQ's

Benefit Forms & Infos

 

Flexible Benefits-FBG

• Forms & Information

MHealth (EPO/PPO)

• Pre-Existing Conditions
• Open Enrollment LOGIN & Registration for ADP
• Enrollment-Health
• Change/Update-Health
• Claim-Health
• Continuity of Care Form
• Benefits Summary-EPO
• Benefits Summary-PPO
• Physicians Directory-Health
• Claim Prescription-Health

Dental Group ID 12173-00000 (DPO/Premiere)

• Dental Enrollment & Changes Form
• Dental Claim Form
• Dentist & Provider Directiory

Superior Vision

• SVContacts
• Vision Enrollment
• Vision Changes/Adjustment
• Schedule of Benefits
• Getting Started Guide

Texas Medical Association Insurance Trust

• Life, Disability, AD&D Enrollment
• Change of Beneficiary
• Change Form Payrol Authorization
• TMA Membership Application
• AD&D Summary of Benefits

Richard Cunningham-Physician's Resource Services (Supplemental Disability)

• Ameritas Life Summary of Benefits

Insurance Rates/Changes

• Cobra Rates
• Current Insurance Rates
• Qualifying Events

Mission Statement

The mission of the Office of Graduate Medical Education/UT System Medical Foundation is to support the UT Medical School in its education effort by enforcing the regulatory standards of the Accreditation Council for Graduate Medical Education and other appropriate agencies and by providing a high level of service to all graduate medical education programs, residents and fellows to ensure that residents and fellows receive the highest quality education and training in accredited programs and that residents and fellows receive the requisite financial support and benefits commensurate with their training.