The General Assembly passed legislation to create a new eligibility
category for non-permanent full-time employees to comply with the
Affordable Care Act (ACA). This legislation, North Carolina General
Statute 135-48.40(e), directs:
- The State Health Plan to offer
a health benefit for non-permanent full-time employees that is not
greater than the “bronze level” as defined under the ACA.
- The High Deductible Health Plan (HDHP) meets the bronze level requirements.
- Employing units to determine eligibility for the plan.
- This includes non-permanent employees who work at least 30 hours per week.
units (state agencies or participating local governments, public
schools, universities, or community colleges) are required to cover
rehired state retirees as active employees if they are determined to
meet the definition of full-time employee.
- Eligible rehired retirees are NOT eligible for retiree health benefit coverage through the State Retirement Systems.
units are responsible for determining if rehired state retirees are
eligible to be covered under health benefits options for Active
Employees (Traditional 70/30 Plan; Enhanced 80/20 Plan;
Consumer-Directed Health Plan [CDHP]) or will only offer the HDHP.
- Retiree is not required to enroll in HDHP but is no longer eligible for the State Health Plan under the Retirement Systems.
- The State Health Plan will terminate the retiree from retiree group coverage under Retirement Systems.
you leave employment or otherwise become no longer eligible for the
High Deductible Health Plan, you will once again be eligible for
coverage under the State Retirement Systems.Loss of eligibility is a
qualifying life event under the State Health Plan enrollment rules and
you will have 30 days to re-enroll in State Health Plan coverage under
the Retirement Systems. You can re-enroll online via the ORBIT system
or by calling 855-859-0966. If you fail to re-enroll within the 30 days,
you will be unable to come back on the Plan under the Retirement
Systems until the next Open Enrollment period.
To learn more about
the High Deductible Health Plan click here
For more information on preparing for retirement, click here.