Forms and Documents

You can download and complete the forms available through this website; you will need to submit them through the secure JBT member portal.

Change Your Address

Enrollment Forms


Non-1400 Hour (Traditional Seasonal) Benefits

Non-1400 Hour Summary Plan Description: Coming soon
Non-1400 Hour PPO Plan Summary of Benefits and Coverage
Non-1400 Hour Medical and Prescription Drug Benefits Comparison Chart

Hip and Knee Hospitals / Mammogram Providers

Hip and Knee Hospitals
Mammogram Network



Additional Documents