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State Health Plan

Highlights for 2023

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Back to Open Enrollment

The State Health Plan offers two health insurance plan options for state employees. Traditionally, those plans have been referred to as the 70/30 and 80/20 plans. This year, the State Health Plan is changing the names of these plans:

  • The 70/30 Plan is now called the Base PPO Plan (70/30).
  • The 80/20 Plan is now called the Enhanced PPO Plan (80/20).

For the fifth year in a row, health premiums for these plans are not increasing.

If you are currently enrolled in health coverage under the State Health Plan and don’t take action, you and your covered dependents will be enrolled in the Base (70/30) plan for 2023.

If you want to participate in the Enhanced (80/20) plan for 2023, be sure to select that plan option in the State Enrollment Portal during Open Enrollment.

The Clear Pricing Project (CPC) is continuing for 2023, so you’ll have a $0 copay and reduced specialist copays if you select a CCP provider as your Primary Care Provider.

 
For more information about the State Health Plan:

 


NEW for 2023

Joint Replacement Program

The State Health Plan is working with select high-quality orthopedic specialists to offer a joint replacement program for eligible employees in need of knee, hip, or shoulder replacement surgery.

Normally these surgeries would have an out-of-pocket cost to you of over $6,000, but if eligible, all the costs associated with your surgery will be bundled together and you will pay only a copay (no deductible or coinsurance):

  • Base (70/30) plan copay is $900.
  • Enhanced (80/20) plan is $600.

 
For more information about this new program, see the Joint Replacement Program page of the State Health Plan website.
 


Tobacco Attestation

If you want to reduce your monthly premium by $60 in either plan, you must complete the tobacco attestation during the Open Enrollment period. If you complete the tobacco attestation:

  • The Base (70/30) plan will have a $25/month premium (instead of $85/month).
  • The Enhanced (80/20) plan will have a $50/month premium (instead of $110/month).

 
For more information, see the Tobacco Attestation page of the HR at UNC Open Enrollment website.
 


Take note!

A few things to keep in mind as you make your benefits elections:

  • You cannot be covered as an employee and a dependent when electing coverage under the State Health Plan and NCFlex plans.
  • If you and your spouse are both covered as state employees, only one of you may cover your eligible dependent children.
  • If you are not changing any benefits and you only need to complete your tobacco attestation and change your health plan to the Enhanced (80/20) plan, then you only need to go into the State Enrollment Portal. Again, if you do not wish to enroll in any UNC System Benefits, you only need to complete enrollment in the State Enrollment Portal. However, if you wish to elect for coverage of some type with UNC System Benefits, then BOTH portals must be completed for your Open Enrollment to be considered complete.
  • Options for life insurance, AD&D, cancer, and critical illness plans are no longer in the same portal as the options for health plans. Health plan selections will take place in the State Enrollment Portal, and life insurance, AD&D, cancer, and critical illness plan selections will take place in the UNC System Enrollment Portal.

 


Webinars

The State Health Plan offers several convenient Open Enrollment webinars to help you get the information you need to make the best choice for your 2023 health plan benefits. Register soon as space is limited!

State Health Plan 101: Open Enrollment 2023 webinar dates & times

 


Questions?

If you have questions about the State Health Plan or need help with the State Enrollment Portal, call the State Eligibility and Enrollment Support Center at 855-859-0966, Monday-Friday, 8 a.m.-10 p.m., and Saturday, 8 a.m.–5 p.m.
 


 

For more information about the State Health Plan, see the State Health Plan Open Enrollment site and the State Health Plan Open Enrollment Summary Guide from the Office of State Human Resources.

 

This information applies only to UNC-Chapel Hill benefits-eligible permanent employees (permanent full- and part-time SHRA, EHRA Non-Faculty and Faculty working a minimum of 20 hours a week). For more information about benefits eligibility, please visit hr.unc.edu/benefits/eligibility.