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February 4, 2013

For Immediate Release

State Health Plan Board Passes Plan To Expand Choices and Improve Stability

Raleigh, NC – Today, the North Carolina State Health Plan’s Board of Trustees approved a proposal to offer new health plan options for teachers and state employees. Beginning January 1, 2014, State Health Plan members will have new choices for their health care benefits. The approved proposal also improves long-term financial stability of the State Health Plan.

“I travelled across the state early last year to collect feedback from our teachers, state employees, and retirees about the Plan,” said State Treasurer Janet Cowell, Chair of the Plan’s Board of Trustees. “They expressed the desire for more options and incentives for healthy choices.”

Active employees and retirees will have the option to remain on the current premium-free 70/30 plan or select an option that comes with a premium, but allows members to reduce their premium and out-of-pocket costs by completing healthy activities. 

Below is an overview of the approved plan options:

Active and Non-Medicare Primary Retiree Options

Traditional 70/30 Plan

Buy-Up Plan  80/20

Consumer Driven Health Plan  85/15

Employee Premium Credits

NA

Smoker Surcharge  $20

Employee and Spouse must attest to not smoking

Smoker Surcharge  $20

Employee and Spouse must attest to not smoking

NA

Primary Care Physician Election  $15

Each family member must elect a Primary Care Physician

Primary Care Physician Election  $10

Each family member must elect a Primary Care Physician

NA

Health Assessment  (HA) $15Subscriber must complete HA

Health Assessment  (HA) $10

Subscriber must complete HA

Incentive Rewards

NA

100% Preventive Coverage $15PCP Copay Reductions Copay waivers/reductions

for Blue Select Network

100% Preventive CoverageAdditional HRA Funds for PCP Visits and Blue Select Network Access

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In addition to providing more options, this new plan focuses on helping members understand and improve their health.  A healthy and engaged member population leads to cost savings in the long run.

“Today’s vote by the Board of Trustees is a significant step in addressing the long-term financial stability of the Plan,” stated Cowell. “I am proud of their hard work and dedication to creating better outcomes for our members.”

The Plan provides health care coverage to more than 668,000 teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, state hospital staff and their dependents.

The Plan became a division of the Department of State Treasurer Jan. 1, 2012. Previously, the Plan was managed by a legislative oversight committee within the General Assembly, which lacked the resources to provide day-to-day oversight of Plan operations.

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