State Health Plan of North Carolina
Two Preferred Provider Organization (PPO) plans are available to UNC Faculty and Staff. The State Health Plan of North Carolina administers these plans and they are underwritten by Blue Cross Blue Shield of North Carolina which offers coverage for in-network and/or out-of-network providers. The University contributes toward the monthly cost of coverage for regular full-time employees.
Enhanced 80/20 Plan is a traditional preferred provider organization (PPO) plan that offers freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Features include Affordable Care Act (ACA) preventive services covered at 100% if performed by an in-network provider and wellness premium credits that reduce your monthly cost.
Traditional 70/30 PPO Plan is a traditional preferred provider organization (PPO) plan that offers freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Affordable Care Act (ACA) preventive services and medications require the applicable co-pay.
The amount you pay depends on your selected plan level, who you cover and your completed wellness credits. If you are paid one time per month, the full monthly rate is deducted from your paycheck. If you are paid every two weeks, one half of the monthly rate is deducted from the first two paychecks in the month. Click here for current rates.
Part Time employees are responsible to pay the employer share of the active subscriber premium.
Health insurance premiums are paid one month in advance of coverage and premiums are deducted from your paycheck on a pre-tax basis. This means your premiums are taken from gross pay before Social Security, federal and state taxes are deducted, which reduces your taxable income.
If you are a new-hire or become eligible for coverage due to a qualifying life event and enroll in the plan, benefits begin on the first day of the month following your event date. You have 30 calendar days starting from your event date to enroll and coverage begins on the first day of the month following your event date.
The plan year is January through December. Your plan election is “locked in” for the entire calendar year and does not require re-enrollment during open enrollment. Your elected plan continues from year to year unless you decide to make changes.
If you experience a qualifying life event during the year, you may add or drop dependents but you may not change the benefit plan level. You may change your plan level and drop/add dependents during open enrollment and the changes become effective on January 1.
If an employee terminates between the 1st – 15th of the month their medical coverage will end on the last day of the month in which the employee’s employment ends.
Example: Employee termination date is 9/5/2018, medical coverage will end on 9/30/2018.
If the employee terminates between the 16th – the last day of the month their coverage will terminate on the last day of the month following the month their employment ends.
Example: Employee terminates on 9/20/2018, medical coverage will end on 10/31/2018.
High Deductible Health Plan
Both UNC and the enrolled employee share the monthly cost of coverage. The enrolled employee will receive a monthly bill for his/her portion of the monthly cost.
Review the ACA Guidelines Document
Please contact UNC Benefits & Leave Administration to see if you are eligible for this plan.
Postdoc Medical Insurance Plan
The Postdoc Medical Insurance Plan is administered by Hill, Chesson and Woody and is underwritten by Blue Cross and Blue Shield of North Carolina. A waiver form must be signed if the postdoctoral scholar decides he/she does not want to enroll for health coverage benefits.
Eligible Post-docs must be classified as rank code 27 or 28 and temporary full-time in ConnectCarolina. Monthly health insurance premiums for individual Post-docs are covered by the institution (dept. or funding source), NOT by the Postdoc.
The Postdoc should mail the completed campus health forms to:
Campus Health Services
James A. Taylor Building
Chapel Hill, NC 27599.
North Carolina Health Choice Plan
Families who make too much money to qualify for Medicaid but too little to afford rising health insurance premiums can get free or reduced-price comprehensive health care for their children through the North Carolina Health Choice for Children program.