NC State Health Plan Enrollment Instructions for New Employees

  • Eligible employees are permanent full-time employees working 30 or more hours per week.

    Link to Navigating the October 15th - 31st, 2020 Online Open Enrollment Process Video for 2021 Benefits: 2021 Online Open Enrollment Instructions Video

    Link to 2021 State Health Plan Comparison for Active and Non-Medicare Subscribers: 2021 Plan Comparisons: 70/30 and 80/20

    Link to 2021 State Health Plan Decision Guide for October 15th - 31st, 2020 Open Enrollment for 2021 Benefits : 2021 Open Enrollment Decision Guide

    Link to 2021 State Health Plan Video Overview: 2021 State Health Plan Highlights Video

    High Deductible Health Plan (HDHP previously known as Bronze Plan) for Newly Eligible 

    The North Carolina General Assembly recently approved legislation to create a new health benefit to comply with the federal Affordable Care Act (ACA). The HDHP benefit option is available only to employees eligible for coverage under G.S. §135 48.40(e). The High Deductible Health Plan (HDHP) is direct bill with self-pay only (this plan premium will not be payroll deducted, employees will be direct billed and make direct premium payments to iTedium).  

    Insurance Premiums

    Your cost will depend on the plan and coverage you choose. Coverages include employee only, employee + child(ren), employee spouse and employee family. Eligibility does not guarantee employer contribution towards your premiums. Payroll deduction are made on a pre-tax basis. To view rates, visit the NC State Health Plan at or call (855) 442-6272.


    Eligible employees and dependents may enroll within 30 days of their actual hire date or qualifying life event. Elections may be changed during Open Enrollment; however, outside of the Open Enrollment period, only a qualifying life event will allow any change to be made. Open Enrollment is available as determined by the NC State Health Plan and is generally held during the month of October each year.