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Home | Benefits Coverage | 1400 Hour Employees | Enrollment

Enrollment

This section covers when you can enroll in plan benefits:

Open Enrollment

Each year in December, the JBT sponsors an open enrollment for medical coverage. You can elect one of the medical plans during this time—the JBT Medical plan or one of the JBT-sponsored HMO plans. You can also add or drop coverage for your dependents during open enrollment.

You will receive open enrollment information each year, which describes changes to the plans (if any). The changes you make during open enrollment are effective as of January 1 of the following year. For example, changes you elect during the 2010 annual enrollment period are effective on January 1, 2011.

Newly Eligible

When you become eligible as a 1400 Hour employee, you need to:

Step One: Complete and return the Joint Benefit Trust 1400 Hour Employee Request for Benefits Package (32 KB PDF). The JBT Administrative Office mails this to employees when they become eligible. Or, you can contact the JBT Administrative Office at 1-800-JBT-HELP (1-800-528-4357) to request a copy.

Step Two: You need to make your medical plan choice. You can choose between the JBT Medical PPO plan or a JBT-sponsored HMO plan. Your medical plan election applies to all of your family members. If you do not choose a medical plan, you will automatically be enrolled in the JBT Medical PPO plan. You can change your medical plan election during each year’s open enrollment period.

Step Three: Once you receive your Benefits Package, complete and return the Joint Benefit Trust Enrollment Form (352 KB PDF). The form asks for your personal information (name, address, social security number, gender, date of birth, etc.) and your dependent information, which you need to provide if you decide to cover your dependents. You’ll also use the form to designate a beneficiary for your death benefits.

To cover your dependents, you will need to provide the following required documentation with your Joint Benefit Trust Enrollment Form:

Dependent

Spouse

Documentation Required

Marriage certificate

Child under age 19

Birth certificate

Child over age 19

Birth certificate and JBT Student Status Form (67 KB PDF)

Adopted child, child for whom you are the court-appointed guardian, child covered under QMSCO

Adoption papers, court papers estabilishing legal guardianship or Qualified Medical Child Support Order (QMSCO)

Disabled child over age 19

JBT Request for Continuation of Coverage for Totally Disabled Children (106 KB PDF)

Registered domestic partner

Notarized Declaration of Domestic Partnership

Registered domestic partner's dependents

Notarized Declaration of Domestic Partnership plus dependent documentation outlined above

You can download the forms through the Forms & Documents section of this website. Or, you can contact the Joint Benefit Trust Administrative Office at 1-800-JBT-HELP (1-800-528-4357) to request a copy.

Step Four: If you decide to enroll in a JBT-sponsored HMO plan, complete the enrollment form for the HMO you choose in addition to the applicable forms above and return them to the JBT Administrative Office with your enrollment form. The HMO forms are included with your Benefits Package.

Mid-Year Changes

If you have changes to your eligible dependents or change your address during the year, you need to complete and return the Joint Benefit Trust Enrollment Form (233 KB PDF) to the JBT Administrative Office within 31 days of the change. You can also change your beneficiary for your JBT death benefit at any time.

Here’s what’s required, depending on the type of change.

If you move

Complete and return the Joint Benefit Trust Enrollment Form or Joint Benefit Trust Change of Address Form (53 KB PDF).

If you get married

To enroll your new spouse, furnish a copy of your marriage certificate with the Joint Benefit Trust Enrollment Form.

If you divorce

If you and your spouse divorce, your spouse and any stepchildren by your divorced spouse lose coverage when the divorce is final.

To disenroll these dependents, furnish a copy of the divorce decree with the revised Joint Benefit Trust Enrollment Form. that excludes your former spouse your stepchildren.

If you have a newly eligible dependent child

To enroll a new dependent child you must furnish a copy of the birth certificate, adoption papers or the Qualified Medical Child Support Order (QMSCO), whichever applies, along with the Joint Benefit Trust Enrollment Form.

When your dependent child turns 19 (or 25 if full-time student)

A dependent child loses coverage upon attaining age 19 unless enrolled in an accredited school or college as a full-time student. Students are covered while attending school. Students are also covered during the summer if they attended the previous spring and are registered for the following fall. The extension of coverage to students ends when your child reaches age 25.

To cover your child over age 19, submit the JBT Student Status Form (67 KB PDF) and proof of full-time student status to the JBT Administrative Office. Proof of the student's full-time status can usually be obtained from the registrar’s office.

If you want to change your beneficiary

Complete and return the Joint Benefit Trust Enrollment Form.

Note: If you are enrolled in an HMO and want to add a new spouse or dependent child to your HMO coverage, you must notify the HMO directly within 31 days of the date of marriage or birth, adoption or placement for adoption. If you drop dependents because of divorce, you must also notify the HMO directly.

Frequently Asked Questions

Let the JBT know when your address changes. Learn more »

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The information on this website is intended only to provide highlights of the benefits available under the Joint Benefit Trust. Complete information about the Plan is contained in the governing Plan documents and any applicable insurance contracts. In the event of any inconsistency between the information on this website and the official Plan documents, the terms of the official Plan documents will govern. The Joint Benefit Trust reserves the right to amend, modify, or terminate all or part of the Plan at any time.

Page modified on 7/12/11 12:09 PM