Charter Schools Application for Election to Participate In SHBP (or Withdraw Participation in SHBP)

Charter Schools must submit this Application for election to participate in the State Health Benefit Plan (“SHBP”) upon initial approval of their charter in order for their teachers and other personnel to participate in SHBP. See O.C.G.A. § 20-2-880(4) and O.C.G.A. § 20-2-910(3). Applications submitted by Charter Schools more than six (6) months after their initial charter is approved are not eligible to participate in the SHBP. Failure to provide information and/or documents requested may result in denial of this Application.

If Charter School Application for Election to Participate in SHBP is approved, the Effective Date of Coverage for the Charter School must occur no later than one (1) year from the date SHBP approves the Application. Any additional costs that may result are the responsibility of the Charter School.  The Charter School will not be afforded another opportunity to re-enroll.