State Health Plan

July 25, 2017 | State Health Plan Board Approves Premium Increases For 2018

The Board of Trustees of the North Carolina State Health Plan met yesterday and unanimously approved premium increases for 2018. The full powerpoint used during the meeting, which outlines all premium increases and changes can be found here.  Highlights include:

  • ​Active employees will be charged employee-only premiums of $50/month for the 80/20 plan (previously $15.04) and $25/month for the 70/30 plan (previously $0)
  • ​Non-Medicare retirees and disabled members will be charged a base premium of $50/month for the 80/20 plan. No charge under the 70/30 plan.
  • Premiums in the subscriber+family and subscriber+children tiers are frozen at the 2017 levels.
  • Premiums in the subscriber+spouse tiers increase by 2-5%.
  • Subscribers who use tobacco and who do not participate in a tobacco cessation program will pay an additional $60/month
  • Small increases under the High Deductible Health plan ranging from 8 cents to around $20
  • 4% increase in employer contributions as authorized by this year's budget.

March 23, 2017 | State Health Plan Board Votes to Establish Employee Premiums; Eliminates CDHP Plan

Adam Pridemore | NCASA - The State Health Plan Board of Trustees met on Wednesday afternoon, and by a 5-3 vote, voted to make the following changes to the State Health Plan effective January 1, 2018:

  • Eliminate the CDHP 85/15 plan offering.
  • Reduce the number of wellness premiums/credits from three to one, by retaining only the tobacco attestation requirement on the 70/30* and 80/20 plans.
    • Subscribers who are not tobacco users or enroll in a Plan-approved tobacco cessation program will receive a $60 credit toward their monthly premium.
  • Charge the following monthly premiums to subscribers:
    • 70/30 Plan = $25
    • 80/20 Plan = $50
  • Freeze premium rates for the family coverage tier on the 70/30 and 80/20 plans at the 2017 level.
  • Discontinue enrollment in the Stork Rewards Program March 31, 2017, to phase out the program by the end of 2017.

There were also no changes to plan deductibles or co-pays. However, premiums for employee + spouse and employees + children plans would see a 6.96% increase.

Newly elected State Treasurer Dale Folwell stated his hope that implementing the above premium increases and plan changes would yield significant savings for the State Health Plan. He provided the following stated goals for the use of those savings:

  • No additional increases to the employee and dependent premium rates through 2021
  • No increases to member cost sharing (i.e., copays, deductibles, coinsurance maximums) through 2021
  • Increase the subsidy for family premiums
  • Reduce the unfunded liability for retiree health benefits

The full presentation describing these benefit changes can be found 

To read more, please find an article by Raleigh’s News & Observer