Nc State Health Plan Rules

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Policies and Procedures NC State Health Plan

(5 days ago) WEBState Health Plan rules, policies, procedures and notices help protect the rights of members and outline member responsibilities. North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. …

https://www.shpnc.org/policies-and-procedures

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Enrollment Information NC State Health Plan

(9 days ago) WEBEnrollment Information. Enrollment and termination rules are governed by North Carolina General Statute 135 Article B and protect members and provide consistency in administering the State Health Plan. Enrollment inconsistency and terminations can lead to retroactive premium adjustments, reconciliation issues and claims paid for members …

https://www.shpnc.org/hbrs/enrollment-information

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STATE HEALTH PLAN RULES - files.nc.gov

(6 days ago) WEBSTATE HEALTH PLAN RULES Rule Citation: 20 NCAC 12 .0101(b) Page 3 of 1 Rule Title: SHP Rule on Member Terminations and Reinstatements Current Effective Date: March 15, 2019 In the event of a targeted audit, the Plan will notify Members and Employing Units in advance about the audit and any deadlines associated.

https://files.nc.gov/ncshp/documents/shp-rules/0101b.pdf

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Your NORTH CAROLINA STATE HEALTH PLAN

(7 days ago) WEB2021 HIGH DEDUCTIBLE HEALTH PLAN ENROLLMENT GUIDE JAN. 1 - DEC. 31, 2021 Your Our mission is to improve the health and health care of North Carolina teachers, …

https://files.nc.gov/ncshp/documents/open-enrollment-documents/SHP-HDHP-Enrollment-Guide-2021.pdf

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STATE HEALTH PLAN RULES - NC

(6 days ago) WEBRule. This rule provides the North Carolina State Health Plan for Teachers and State Employees’ (“Plan”) criteria and process for the review of enrollment exception requests …

https://files.nc.gov/ncshp/documents/shp-rules/0101a.pdf

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STATE HEALTH PLAN RULES - NC

(2 days ago) WEBSTATE HEALTH PLAN RULES . DST Reference: SHP-RULE-3005-MUL Page 1 of 4 Title: SHP Rule on Arrears Chapter: Operations of the North Carolina provisions General …

https://files.nc.gov/ncshp/documents/shp-rules/SHPRULE3005.pdf

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Resource Center NC State Health Plan

(7 days ago) WEBThe State Health Plan Resource Center helps you navigate your Plan benefits with the tools and resources you need to most effectively manage your benefits. North …

https://www.shpnc.org/resource-center

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Your Health & Wellness Resources NC State Health Plan

(1 days ago) WEBThe State Health Plan is committed to helping you reach your best health. All of the resources offered are provided as part of your State Health North Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 …

https://www.shpnc.org/wellness/your-health-wellness-resources

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STATE HEALTH PLAN RULES - NC

(2 days ago) WEBFederal reporting: The North Carolina State Health Plan for Teachers and State Employees(“Plan”) is required to provide periodic Member specific reports, known as …

https://files.nc.gov/ncshp/documents/shp-rules/SHPRULE3009.pdf

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NC OSHR: State Health Plan

(1 days ago) WEBThe Plan provides health care coverage to more than 700,000 teachers, state employees, retirees and their dependents. The Plan contracts with a Third Party Administrator, …

https://oshr.nc.gov/state-employee-resources/benefits/state-health-plan

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Subrogation and Recovery NC State Health Plan

(4 days ago) WEBThe North Carolina State Health Plan’s (Plan) lien is established in statute. Pursuant to N.C.G.S. § 135-48.37, the Plan’s lien calculation is made independent of the existence …

https://www.shpnc.org/employee-benefits/subrogation-and-recovery

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COBRA Plan Overview NC State Health Plan - shpnc.org

(Just Now) WEBNorth Carolina State Health Plan. 3200 Atlantic Ave Raleigh, NC 27604 Map It [email protected] 855-859-0966. About Us. Who We Are. Board of …

https://www.shpnc.org/individual-members/cobra-plan-overview

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State Health Plan Health Benefits Representative Quick Guide

(Just Now) WEBThe State Health Plan is governed by North Carolina GeneralStatute (NCGS) 135 Article B. Groups must adhere to the rules established for the Plan. To view the legal statute, visit …

https://files.nc.gov/ncshp/documents/hbr-documents/HBR_Quick_Guide.pdf

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2024 - NC State Human Resources

(3 days ago) WEBThe mission of the Plan is to improve the health and health care of North Carolina teachers, state employees, retirees, and their dependents, in a financially …

https://oshr.nc.gov/ncflex-2024-benefits-summary/open

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Affordable Care Act NC Office of Human Resources - NC State …

(3 days ago) WEBState Agencies. The Affordable Care Act was passed in March 2010 in an effort to expand insurance coverage to all Americans. For agency temporary employees who are eligible …

https://oshr.nc.gov/state-employee-resources/benefits/affordable-care-act

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Retiree Health Benefits My NC Retirement

(3 days ago) WEBIn addition to your State Health Plan benefits, the State Health Plan strongly recommends you enroll in Medicare Part B coverage, as well as Part A, when you become eligible as …

https://www.myncretirement.com/retirees/retiree-health-benefits

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The State Health Plan of North Carolina

(7 days ago) WEBThe State Health Plan offers freedom of choice among in-network and out-of-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. There …

https://benefits.hr.ncsu.edu/state-health-plan/

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Health Benefits My NC Retirement

(6 days ago) WEBState Health Plan retiree group coverage begins on the first day of the month after your effective date of retirement. Raleigh, NC 27604 Email: …

https://www.myncretirement.com/non-retirees/current-employees/nearing-retirement/health-benefits

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STATE HEALTH PLAN RULES

(2 days ago) WEBRelated Statutes, Rules, and Policies North Carolina General Statutes, Chapter 135, Article 3B The Public Health Services Act, 42 U.S.C. § 300bb-1, et seq. Section 125 of the …

https://www.shpnc.org/media/3345/download?attachment

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What North Carolina FQHCs Need to Know About New State …

(1 days ago) WEBHealth Plans (PHPs) under Managed Care. •However, under current rules for Managed Care, PHPs are required to reimburse 340B drugs at actual acquisition cost and the state fee-for-service minimum dispensing fee. State Health Plan •The Act does not apply to the North Carolina State Health Plan, which covers over 700,000 teachers, state

https://www.ncchca.org/wp-content/uploads/2021/12/NCCHCA-Memo-What-FQHCs-Need-to-Know-About-New-State-340B-Protections-DEC-2021.pdf

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NC OSHR: Reduction-In-Force Guide - NC State Human Resources

(1 days ago) WEBState Health Plan website. If you have 12 months of service in a position subject to the State Human Resources Act and are a participating member of the health plan at the time of separation because of reduction in force, the State of North Carolina will pay the employer portion of your health coverage for up to twelve months following your …

https://oshr.nc.gov/state-employee-resources/employee-relations/reduction-force/employees/reduction-force-guide

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What Does the Law Mandate? NC HIEA

(1 days ago) WEBDeadline to Connect Has Passed. The mandate to connect to the state-designated health information exchange, NC HealthConnex, required that those …

https://hiea.nc.gov/providers/what-does-law-mandate

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Telehealth NCDHHS

(2 days ago) WEBTelehealth is an important tool in providing access to health care for all North Carolinians. NC DHHS is invested in providing resources to health-care providers and all consumers …

https://www.ncdhhs.gov/about/department-initiatives/telehealth

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FAQs About Health Insurance NC DOI

(6 days ago) WEBNorth Carolina law provides consumers with a right to challenge or appeal your carrier's decision through an appeal and/or grievance. The Department can review your benefit determination notice with you and discuss your rights under North Carolina law as well as assist you with the appeal process. Call 855-408-1212 for assistance.

https://www.ncdoi.gov/consumers/health-insurance/faqs-about-health-insurance

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NC OSHR: FSA - NC State Human Resources

(7 days ago) WEBThe minimum is $120 per plan year. The maximum is $2,850 per plan year for 2023, and the maximum is $3,050 for the 2024 plan year. If you have a spouse who is also …

https://oshr.nc.gov/state-employee-resources/benefits/ncflex/flexible-spending-accounts

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NC Senate approves changes to state’s ban on public masking

(5 days ago) WEBRALEIGH. The North Carolina Senate voted to repeal a health and safety exception to the state’s longstanding ban on wearing masks in public, and enhance penalties for wearing a mask while

https://www.newsobserver.com/news/politics-government/article288504881.html

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Bill to ban most public mask wearing, including for health reasons

(9 days ago) WEBU.S. to stop accepting orders for free COVID tests 03:42. Republican lawmakers in North Carolina are pushing forward with their plan to repeal a pandemic …

https://www.cbsnews.com/news/north-carolina-masking-bill-pandemic-coronavirus-crime-campus-protest/

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