Health Insurance

  • The State Health Plan offers health benefits to all eligible teachers, state employees, retirees and other individuals identified in the North Carolina General Statutes. The Plan's mission is to improve the health and health care of North Carolina teachers, state employees, retirees, and their dependents, in a financially sustainable manner, thereby serving as a model to the people of North Carolina for improving their health and well-being.

    The Plan offers three Preferred Provider Organization (PPO) plans. PPO plans offer the freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Two of the plans, the Consumer-Directed Health Plan (CDHP) and the Enhanced 80/20 Plan, offer financial incentives for taking steps to improve your health.

    The available plans are:  

    • Traditional 70/30
    • Enhanced 80/20
    • Consumer-Directed Health Plan 

    Eligible employees are permanent full-time employees working 30 or more hours per week.

     

    Insurance Premiums

    Your cost will depend on the plan and coverage you chose. Coverages include employee only, employee + child(ren), employee spouse and employee family.  Payroll deductions are made on a pre-tax basis. To view rates, visit the NC State Health Plan at www.shpnc.org or call (888) 234-2416.

     

    Enrollment

    Eligible employees and dependents may enroll within 30 days of hire or qualifying life event. Elections may not be changed after Open Enrollment without a qualifying life event. Open Enrollment is available as determined by the NC State Health Plan and is generally held each fall

     

    DENTAL INSURANCE

    We provide a self-funded dental plan that is administered by Ameritas  and available to employees enrolled in the Teachers' and State Employees' Retirement System, permanent full-time employees working 30 or more hours per week and employees in a job-share position. Review a summary of the dental plan athttp://www.markiiibrokerage.com/dpsnc/

    Insurance premiums- Your cost depends on the coverage you choose. Coverages levels vary. Payroll deduction available on a pre-tax basis. For more information on cost, or to review a summary of the dental plan visit the Ameritas website at http://www.ameritas.com/  or call 800-776-9446.

    Enrollment- Eligible employees and dependents can enroll with 30 days of hire or qualifying life event. Annual enrollment is offered.


    VISION INSURANCE

    Vision Insurance is administered by Community Eye Care and available to permanent part- time and full-time employees working 30 or more hours per week. Review a summary of the dental plan at http://www.markiiibrokerage.com/dpsnc/

    Insurance premiums Your cost depends on the coverage you chose. Coverages include employee only, employee plus 1, employee family.  Payroll deduction available on a pre-tax basis. For more information, visit Community Eye Care website at www.communityeyecare.net or call (888) 254-4290.

    Enrollment- Eligible employees and dependents may enroll within 30 days of hire or qualifying life event. Annual enrollment is offered.