North Carolina State Health Plan
All State Health Plan (SHP) benefits are accessible online 24/7 by accessing the link to the SHP eBenefits. There you can enroll if you are a new employee, make changes as an existing employee due to a Qualifying Life Event (QLE), find a doctor, view or change your Primary Care Provider (PCP) and view your current health benefits summary.
QLE (Qualifying Life Events)
Making changes to your coverage due to a QLE must be completed within 30 days of the QLE. Examples of QLEs are birth of a child, loss of other coverage, marriage, divorce, and now eligible for other coverage. Before these changes can be approved, documentation of the QLE must be provided within the 30 day restriction. Examples of approved documentation include a Certificate of Creditable Coverage from an employer, a copy of a new insurance card (must reflect coverage effective date), birth certificate, Verification of Facts from the NC Department of Health and Human Services Vital Records, and court ordered documents signed by a judge. Please refer to the following link for more information on required and acceptable documentation. SHP Required Documentation for QLE & Dependent Eligibility. These documents will need to be uploaded to the SHP “Document Center” of your landing page once your log into eBenefits or you can provide the documentation to Rockingham County Schools Health Benefits Representative (HBR) Kelly Vaughn at firstname.lastname@example.org.
If you will be adding a spouse and/or child to your coverage, you must provide Dependent Eligibility Documentation. Please refer to the following link that details the required documentation. SHP Required Documentation for QLE & Dependent Eligibility
Instructions on how to enroll or make changes to your coverage due to a QLE:
You will be prompted to enter your Login ID and Password
- Your Login ID is your first name, the first initial of your last name and the last 4 (or possibly last 5) digits of your Social Security Number
- If you cannot remember your password, click on “Reset your Account” located under the “Login” button. If you experience technical issues or have questions, please call 1-855-859-0966 for the Eligibility and Enrollment Support Center, Monday – Friday from 8am to 5pm.
If you have questions regarding eligibility, enrollment, login and site navigation, please call 1-855-859-0966 (Monday – Friday from 8am to 5pm).
If you have questions regarding benefits or claims, please contact the State Health Plan customer service at 1-888-234-2416.