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Texas Income Protection Plan for State Employees, ERS

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Authorization to Obtain and Disclose Information Form

The Authorization to Obtain and Disclose Information Form (83k) allows your treating and other health care provider(s) to inform us about your disability claim. You must sign and date the Authorization Form and give a copy to your treating health care provider(s). The original form must be completed and faxed or mailed to TIPP Customer Care (fax number and address are shown on the form).


Questions?

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Call TIPP Customer Care toll-free at
(855) 604-6230 (TDD – 711),
Monday – Friday, 7 a.m. – 7 p.m. CT.

Learn more about why you need disability coverage.

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Disclaimer

The ERS Texas Income Protection Plan℠ (TIPP) website highlights disability benefit provisions offered to participants in the Texas Employees Group Benefits Program (GBP). This website doesn't imply eligibility or participation in the disability benefit plans, and it is not intended to affect the plans' eligibility rules, benefits, conditions, or limitations. It doesn't cover every detail, and it's not a contract between you and ERS.

The Master Benefit Plan Document (MBPD Plan Year 2025 Effective 9/1/24) (548KB) supersedes all other print and electronic documentation about the TIPP disability program. If the content of this website differs from the plan documents, the terms of the plan documents will control. We expect to continue to provide the benefits described; however, ERS reserves the right to modify, amend, suspend, or terminate these benefits at any time.