Individual Members | NC State Health Plan

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Explore your 2025 Plan benefits!

Individual members are a special category under the State Health Plan that includes surviving spouses, surviving dependents, Reduction in Force (RIF) members and former legislators. Find out more below!

COBRA

COBRA is an acronym for the Consolidated Omnibus Budget Reconciliation Act of 1985. It allows certain employees and their dependents that would otherwise lose group coverage to temporarily continue coverage with the same plan.

Directly Invoiced Members

Directly Invoiced Members are a special category under the State Health Plan that includes surviving spouses, surviving dependents, Reduction in Force (RIF) members and former legislators. These members are not part of an employment group and must enroll, make payments and maintain coverage status individually.

Subrogation/Recovery

The State Health Plan has the right of subrogation upon its injured members' right to recover from liable third parties. The Plan's objective is to recover medical expenditures incurred by the Plan where a third party is liable for the care.

Important Forms

Click here to find several forms you may need regarding your State Health Plan benefits.