To ensure consistency and adherence to
both state and federal legislation, it is important that all
transactions for new hire enrollments, adding or dropping dependents due
to a qualifying life event, and the processing of terminations are
completed in a timely manner. For more information, visit the Enrollment Rules webpage.
The exceptions process allows HBRs to submit
requests to make changes that are outside of the State Health Plan's
rules and regulations due to:
an administrative change to
correct a member's health coverage that is not the fault of the member.
For example, the member was provided with incorrect information by the
employer and did not enroll within the required time period or the HBR
made an error in processing the transaction.
a member wishes to request a
variance to an established rule due to extenuating circumstance. For
example, the member missed the enrollment period because he/she was out
of the country.
The exceptions request process is not
intended for arbitrary requests and will be handled on a case-by-case
basis. The Plan will take into consideration the reason for the request,
if the request is submitted within a reasonable amount of time, and
whether or not granting an approval will be in conflict with state and
How to Submit an Exception Request
An exception request form
is required to process your request. Completed forms should be sent to the HBR Inquiry box by
using the secure file exchange "Leapfile." All of the transfers are
confidential and encrypted. Click here for instructions on how to securely upload your completed exception forms to the HBR Inquiry box.
PLEASE NOTE: When you open the document, save it to your computer and then fill it out completely, including the member’s name and street address. If you don’t save the form to your computer first, and just start filling it in, there is a possibility that the form will come to us blank.
Whenever you need to request an exception, you will simply go to http://nctreasurer.shp.leapfile.net/
and click on "secure upload" and check the HBR Inquiry box. You will be
able to send your document along with any message or special
instructions. The Plan will then receive a notice that we have a secure
message waiting to be retrieved and be able to download your exception
request with no risk to the employee's personal information.
For quick access to the secure website, you may find it helpful to save the Leapfile link as a favorite on your desktop.
Only completed forms will be processed. Forms missing required information will be returned.
Download the Exception Form
SHP Enrollment Exceptions and Appeals
SHP Policy on Arrears