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Policies and Procedures


State Health Plan rules, policies, procedures and notices help protect the rights of members and outline member responsibilities.

State Health Plan Rules

  • Rule on Enrollment Exceptions and Appeals
  • Rule on Arrears
  • Rule on Member Terminations and Reinstatements
  • Rule on Retiree Health Benefit Enrollment and Premium Payments

State Health Plan Policies

  • Section 1557 Grievance Procedure
  • Extended Short-Term and Long-term Disability
  • Policy and Procedure on Reinstatement Rules for Disability Suspensions
  • Evaluation of Employing Unit Settlement Agreements
  • Setting Up a New Group (Employing Unit) on the Plan
  • Employing Unit Debt Recovery Policy
  • Evaluating Continued Coverage for Dependents with a Disability
  • Medication Extended Day Supply Request Policy
  • Local Government Unit Participation in the State Health Plan
  • Procedure to Request Benefit Changes

State Health Plan Notices

  • State Health Plan Privacy Policy
  • Enrollment in the Flexible Benefit Plan
  • HIPAA Special Enrollment
  • Mastectomy-Related Services
  • Children’s Health Insurance Program (CHIP) Notice
  • Online Security
  • SMS Texting Terms and Conditions
  • Notice Regarding Your Rights and Protections Against Surprise Medical Bills
  • Notice Regarding Availability of Health Insurance Marketplace Coverage Options
  • Notice of Patient Protections for Non-Grandfathered Plans

Contact Us

North Carolina State Health Plan

3200 Atlantic Ave
Raleigh, NC 27604 Map It
ppo.inquiries@nctreasurer.com
855-859-0966

About Us

Who We Are

Board of Trustees

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Pharmacy and Therapeutics Committee

State Health Plan Policies and Procedures

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