Medical Insurance

Please visit the State Health Plan website for full details on the choice of plans

Choice of Traditional (70/30) or Enhanced (80/20)

Coverage Costs (per month, as of January 1, 2020):

Traditional 70/30 Plan

TOBACCO-FREE ATTESTATION COMPLETED NOT COMPLETED
Subscriber Only $25/month $85/month
Subscriber + Child(ren) $218/month $278/month
Subscriber + Spouse $590/month $650/month
Subscriber + Family $598/month $658/month

 

Enhanced 80/20 Plan

TOBACCO-FREE ATTESTATION COMPLETED NOT COMPLETED
Subscriber Only $50/month $110/month
Subscriber + Child(ren) $305/month $365/month
Subscriber + Spouse $700/month $760/month
Subscriber + Family $720/month $780/month

Notes:

  • If your employment contract is for less than 12 months, contact the Payroll office for monthly rates
  • If you are actively employed and you or your dependent(s) are Medicare eligible, the State Health Plan is the primary insurer and the Non-Medicare rates apply. An exception to this would be if you or your dependent(s) are Medicare primary due to end-of-stage renal disease (ESRD)
  • The college share for Active Subscribers is $532.36/month

NC Teachers’ and State Employees’ Retirement Benefits

  • Teachers’ and State Employees’ Retirement Handbook
  • Enrollment is automatic and also mandatory for full-time employees
  • Employee contributions are deducted on a pre-tax basis equaling 6% of salary
  • College contribution for the 2019-2020 fiscal year is 19.7%
  • Death benefit of not less than $25,000 or more than $50,000 based on the employees’ salary is available through the NC Retirement System after the employee has worked for the state for one year.
  • Disability benefits for short-term and long-term disability are available (service credit conditions apply)

Voluntary Dental Insurance Provided by MetLife

  • Register for MetLife voluntary dental insurance self-service. Once enrolled, you may take advantage of online self-service capabilities with MyBenefits.
  • $25 deductible per individual or $75 deductible per family per calendar year (applies to basic restorative and major restorative only)
  • Preventive care covered at 100% (includes exams, x-rays, and cleanings twice per calendar year)
  • Basic care at 80% (includes extractions, fillings, root canals, and other procedures)
  • Major and restorative care covered at 50% (includes crowns, dentures, bridges, oral surgery, and other procedures)
  • Orthodontia procedures for dependent children under age 19 coverage: $500 per child lifetime maximum (dependent children are eligible for all other benefits coverage until their 26th birthday)
  • Maximum benefit of $1,750 per person per calendar year

Premiums are paid for by employee:

COVERAGE COST TO EMPLOYEE
Employee Only $41.25/month
Employee & Spouse $89.05/month
Employee & Children $106.01/month
Family $145.29/month

 

Voluntary Vision Provided by Eye Med Vision Care

  • Enroll with EyeMed Vision Care
  • Preferred Provider Organization with many in-network providers to choose from
  • Two plans to choose from: Low Plan (hardware only) or High Plan (full service)

Cost to Employee

TIER LOW PLAN HIGH PLAN
Employee Only $6.28/month $8.56/month
Employee + 1 $10.94/month $15.05/month
Employee + Family $18.77/month $25.76/month

 

Coverage Low Plan

LOW PLAN IN NETWORK OUT OF NETWORK
Plan Frequencies Lenses Every 12 months
Frames every 24 months
Contacts every 12 months
Lenses Every 12 months
Frames every 24 months
Contacts every 12 months
Eye Exam - -
Frames - Retail Value $150; 20% off balance over $150 $105
Lenses (per pair) Single, bifocal, trifocal
and lenticular:
paid in full after $15 copay
Single - $40
Bifocal - $55
Trifocal or
Lenticular - $90
Contact Lenses
(in lieu of glasses)
$150
(medically necessary contacts
paid in full)
$105
(up to $210 for
medically necessary
contacts)

 

Cover High Plan

FULL SERVICE IN NETWORK OUT OF NETWORK
Plan Frequencies Exams every 12 months
Lenses every 12 months
Frames every 24 months
Contacts every 12 months
Exams every 12 months
Lenses every 12 months
Frames every 24 months
Contacts every 12 months
Eye Exam $15 copay Up to $40 copay
Frames - Retail Value Paid in full $105
Lenses (per pair) Single, bifocal,
trifocal
and lenticular:
paid in full after $15 copay
Single - $40
Bifocal - $55
Trifocal or
Lenticular - $90
Contact Lenses
(in lieu of glasses)
$150 includes
standard fitting paid
in full; up to $40 allowance
for specialty fitting
(medically necessary
contacts paid in full)
$40 allowance for
standard and specialty fitting
(up to $210 for medically
necessary contacts)

 

Medical and Childcare Flexible Spending Accounts

  • Plan year begins January 1 and ends December 31
  • Set money aside on pre-tax basis to pay for planned expenses
  • Medical flexible spending account ($2,700/year maximum)
  • Childcare Reimbursement ($5,000/year maximum)
  • Account access available online for monitoring balance

Deferred Compensation

  • NC 401k Plan – Available through Prudential Retirement to supplement retirement; plans are employee funded
  • NC 457b Plan – Available through Prudential Retirement to supplement retirement; plans are employee funded

Tricare Supplement

  • Contact Selman and Company
  • Coverage for military retirees and eligible dependents
  • Pays secondary to Tricare and reimburses member’s cost shares, deductibles, and excess charges
COVERAGE COST TO EMPLOYEE
Employee Only $60.50/month
Employee & Spouse $119.50/month
Employee & Children $119.50/month
Family $160.50/month

 

Employee Assistance Plan (EAP)

  • Contact McLaughlin Young Group
  • Available to address personal or work-related challenges
  • Confidential and free to employees
  • Help is available 24/7/365 at 800-633-3353

Annual Leave

Earned according to years of employment*/**:

SERVICE ANNUAL LEAVE
0-5 Years (9 hours, 20 minutes/month) 14 days
5-10 Years (11 hours, 20 minutes/month) 17 days
10-15 Years (13 hours, 20 minutes/month) 20 days
15-20 Years (15 hours, 20 minutes/month) 23 days
20 Years + (17 hours, 20 minutes/month) 26 days

*Faculty do not earn annual leave

**Annual leave in excess of 240 hours as of June 30 will be converted to sick leave

Sick Leave

  • Employees earn 8 hours per month
  • Sick leave is cumulative indefinitely

Petty Leave

  • Non-exempt employees earn 2 hours of petty leave per month

Other Optional Benefits

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