Copies of the following forms should be placed in the
employee’s personnel file for future reference and proof of benefits.
State Health Plan
NC SmartChoice PPO (Preferred Provider Organization)
- NCFLEX Benefits
To participate in any of the NCFLEX benefits, the employee must complete the
NCFLEX Enrollment Form within 30 days of hire date. Coverage begins the first
day of the month following the date the enrollment form is signed by the employee.
Enrollment forms are sent to Keiger Printing Company, 3735 Kimwell Drive, Winston-Salem,
NC 27103. All NCFLEX payroll deductions are on a pre-tax basis. The NCFLEX benefits
package options are:
Voluntary Group Term-Life
Health Care Flexible Spending Account
Dependent Day Care Flexible Spending Account
Vision Care Plan
Accidental Death & Dismemberment Insurance
Critical Illness Plan
Core Accidental Death & Dismemberment Plan
Dental Plan (http://www.ncbenefits.com/benefits/Dental_Enrollment_Procedure_DHHS.htm)
To participate in this post-tax dental plan, the employee must complete
the enrollment application within 30 days of hire date. Coverage begins
the first day of the month following the first payroll deduction. The payroll
deduction authorization form is sent directly to DHHS payroll. A photo copy
of the payroll authorization form is sent with the enrollment application
to Advisors Financial Group, 8364 Six Forks Road, Raleigh, NC 27615.
Employee must complete the NCDHHS-ARAG enrollment application to participate
in this post-tax plan which provides legal advice/assistance. Applications
should be mailed to ARAG Group, attn: Eligibility Team, 400 Locust Street,
Suite 480, Des Moines, IA 50309
Group name: stateplan Password: stateplanltc
Employee must enroll within 60 days of hire date to be guaranteed issue.
Premiums are payroll deducted on a post-tax basis. Employee can enroll on-line
or mail enrollment application to The Prudential Insurance Company of America,
751 Broad Street, Newark, NJ 07102-3777.
(Pierce Insurance Agency, Inc. - http://www.pierceins.com)
This product is underwritten by ReliaStar Insurance Company, an ING Company.
Employee must enroll within 90 days of hire date to be covered with limited
health questions. Payroll authorization form is sent directly to DHHS payroll.
A photo copy of the payroll authorization form and the enrollment application
are sent to Pierce Insurance Agency, Inc., P.O. Drawer 727, 112 S. Main
Street, Farmville, NC 27828.
- Prudential 401(k)
This is a supplemental retirement plan in which an employee can voluntarily
enroll. Employee decides how much money to contribute each month on a pre-tax
basis and decides how those monies are invested. The State does not contribute
to this supplemental plan. An employee may enroll in this plan at any time.
Enrollment applications should be mailed to: NC 401(k) Processing Center
P.O. Box 5340 Scranton, PA 18505-5340.
Deferred Compensation 457
This is a supplemental retirement plan in which employee can voluntarily
enroll. Employee decides how much money to contribute each month on
a pre-tax basis and decides how those monies are invested. The State
does not contribute to this supplemental plan. Employees can enroll
in this plan at any time. Send a completed enrollment form to NC Plans Processing Center, P.O. Box 5340, Scranton, PA 18505 or fax it to 1-866-439-8602.
- WeSave Program
This is a discount savings program for public employees, there are
no membership fees required. Employees can log on to the web site
- NC National
College Savings Program 529
This college savings program allows employee to contribute money to
the account via payroll deduction. Employees can visit the web site
to enroll or call 1-800-600-3453 to speak with a representative or
request an enrollment packet.