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Bcbs nc state continuation 2025

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The document outlines the process for Continuation of Coverage Requests for health insurance policies when certain qualifying events occur, such as the death of the primary insured, divorce, or a dependent reaching age 25. It details the notification process, required forms, and instructions for continuing coverage, including premium rates and conditions for maintaining existing benefits. The document emphasizes the need for timely submission of forms within 30 days of a qualifying event to ensure coverage continuation.

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Click ‘Get Form’ to open the bcbs nc state continuation form in the editor.
Begin by entering the Continued Policyholder Name and ID Number at the top of the form. This identifies who is continuing coverage.
Fill in the Original Subscriber Group Number, along with the Original Subscriber Name and Certificate Number. This information links your new policy to your existing one.
List the names and ID numbers of dependents who will continue coverage under the new policy. Ensure accuracy to avoid any issues with processing.
Review the section regarding deductible credits and maternity benefits. Confirm that you understand how these will carry over to your new policy.
Sign and date the form at the bottom, ensuring that it is completed within 30 days of a qualifying event for timely processing.
Submit your completed form by returning it to the address provided at the bottom of the document.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the four types of Medicaid in NC?

Standard Plan. Tailored Plan. EBCI Tribal Option. NC Medicaid Direct.

Is Blue Cross Blue Shield leaving NC?

The State Health Plan ( SHP ) is transitioning from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to a new third-party administrator ( TPA ) effective January 1, 2025.

What does state continuation mean?

In California, the state continuation rule is referred to as Cal-COBRA and allows enrollees to continue their coverage for between 18 and 36 months, depending on the qualifying event that would have otherwise ended their healthcare coverage. Coverage can also be extended for qualifying family members.

Did Blue Cross NC lose the state health plan?

In January 2025, for the first time in more than 30 years, North Carolinas state employees wont receive their health insurance benefits through Blue Cross and Blue Shield of North Carolina (Blue Cross NC ). Thats disappointing for Blue Cross NC , for state employees and their families, and for North Carolina.

What is the state continuation law in NC?

State Continuation - Our state continuation laws allow terminated employees and members to continue coverage under their employers group health plan when they terminate employment or lose their eligibility under the plan.

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What is the meaning of continuation of coverage?

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.

What is state continuation coverage NC?

State Continuation applies to fully insured plans purchased in North Carolina. Under State Continuation guidelines, employees who terminate employment for any reason, or whose hours are reduced, or loses eligible employee status may continue their basic health insurance coverage for up to 18 months.