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Changes are coming in 2018 for State Health Plan members. Open Enrollment will be conducted September 30-October 31, 2017.

The State Health Plan’s Board of Trustees, under the direction of Treasurer Dale R. Folwell, CPA, approved several changes for the 2018 benefit year. These changes are meant to reduce plan complexity for members while still maintaining quality health coverage and providing long-term financial stability for the State Health Plan.

This year, you’ll notice that what used to take 50 clicks to complete enrollment will now only take you around 10 clicks, making your enrollment experience simple and straightforward! And family premiums have been frozen for the 2018 benefit year! Please note the following:

Active Members:
All members will be automatically enrolled in the 70/30 Plan but YOU MUST TAKE ACTION to reduce your premium.  If you prefer the 80/20 Plan, YOU MUST TAKE ACTION! If you want to reduce your monthly premium on either plan, YOU MUST TAKE ACTION by completing the tobacco attestation! If you fail to take action during Open Enrollment, your monthly premiums will be considerably higher in 2018!

Non-Medicare Members:
All members will be automatically enrolled in the 70/30 Plan, which will remain premium free for retiree-only coverage. If you prefer the 80/20 Plan, YOU MUST TAKE ACTION! If you want to reduce your monthly premium in the 80/20 Plan, YOU MUST TAKE ACTION by completing the tobacco attestation! If you fail to take action during Open Enrollment, you and any eligible dependents will be enrolled in the 70/30 Plan for 2018.

For active members the 70/30 and 80/20 plans offer the opportunity to reduce your monthly premium by $60 each month by completing the tobacco attestation. For Non-Medicare members, the 80/20 Plan offers the opportunity to reduce your monthly premium by $60.  The tobacco attestation is attesting to being tobacco-free or committing to enroll in the QuitlineNC multiple-call program by the end of Open Enrollment. 

The multiple-call program requires all participants set a quit date within 30 days of enrolling in the program.  Members are not considered enrolled in the program until they complete their first call with a certified Quit Coach.  By enrolling in the program members will receive three follow-up calls from a Quit Coach around and after their quit date.  Participating members will be eligible to receive up to a 12-week supply of nicotine patches and have the opportunity to enroll in the Text 2 Quit program for added support via text messaging. All members who have participated in the program since April 1, 2017, will qualify for the credit, but will still need to complete the attestation. Don’t delay, enroll today at 800-QUIT-NOW (800-784-8669). Please note: The wellness premium credit does not apply to non-Medicare retirees in the 70/30 Plan.

You should watch your home mailboxes for Open Enrollment decision guides. Don't want to wait? You can view them below.

Be sure to READ all materials and not wait until the last minute to enroll. More information is available by clicking here.