|
Enrollment and RenewalA school verified as eligible that has received a tiered rating, may enroll in JPET by submitted the following items BEFORE the desired effective date of coverage:
1. Group Submittal:
a. Employer Application: download here. Complete and signed with applicable writing broker information
b. Letter of Intent: download here
c. Wage & Tax: most current quarter
d. Employee Applications: download here, completed by each eligible employee, small groups with already completed applications need not complete again. Any group that would prefer to do a paperless spreadsheet enrollment may do so by completing the template available here.
e. Signed Trust Agreement: please request a copy
f. Ancillary enrollment forms: download here, for any individual electing for voluntary benefits
g. ALL participating entities in JPET must be members of the Arizona Charter Schools Association. Status will be verified before any documents are submitted to United for enrollment. Membership types are as follows, and applications are available online:
i. Charter School – prevailing rate, calculated based on student count
ii. Public or Private School – associate memberships are available at a rate of $200/year.
2. Remittance:
a. Policy numbers will be issued within seven business days and communicated to the applicable parties b. ID cards are generated when the policy number is issued i. JPET Acronym will precede school’s name ii. Allow 10-14 days for production and delivery iii. Dental cards are separate and will come in a different mailing iv. Vision cards are not issued, but the medical card should be used
3. Renewal:
a. Schools will receive rates within 60 days of renewal
b. Tier ratings will change based on utilization history, but are negotiable
c. All enrollment adjustments must be submitted using a new enrollment application.
d. Letter of intent must be complete and submitted 14 days in advance of the renewal date
|