About Us

Welcome to the State Health Plan for Teachers and State Employees!

The Plan provides health care coverage to more than 678,000 teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, state hospital staff and their dependents. Our membership includes:

  • More than 475,000 active employees and dependents. Dependents include spouses and children up to age 26.
  • More than 700 COBRA participants and their dependents.
  • More than 199,000 retirees and their dependents.

The Plan is self-insured and exempt from the Employee Retirement Income Security Act as a government-sponsored plan. The Plan offers three Preferred Provider Organization (PPO) plans. PPO plans offer the freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Two of the plans, the Consumer-Directed Health Plan (CDHP) and the Enhanced 80/20 Plan, offer financial incentives for taking steps to improve your health.

Through healthy living initiatives, such as NC HealthSmart, the Plan seeks to empower members to make healthier lifestyle choices and to become partners in addressing their health care needs.

For our retirees, the Plan offers five health plan options. These plans include four Group Medicare Advantage Plan options that feature benefits and services such as access to the SilverSneakers® Fitness Program, a nurse help line and disease and case management. Retirees may also choose the Traditional 70/30 Plan, which is the same plan available to active members.

Mission

Our mission is to improve the health and health care of North Carolina teachers, state employees, retirees, and their dependents, in a financially sustainable manner, thereby serving as a model to the people of North Carolina for improving their health and well-being.

Goals

  • Maintain quality, accessible and affordable health care
  • Ensure fiscal responsibility and transparency
  • Enhance health and wellness
  • Provide high-level customer service
  • Foster a high-performing organization

Values

  • Openness
  • Quality
  • Innovation
  • Collaboration
  • Integrity
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