{"id":5555,"date":"2026-07-10T12:05:08","date_gmt":"2026-07-10T12:05:08","guid":{"rendered":"https:\/\/raleighmovingnews.com\/?p=5555"},"modified":"2026-07-10T12:05:08","modified_gmt":"2026-07-10T12:05:08","slug":"nc-state-health-plan-board-to-vote-on-premiums-benefit-changes-affecting-750000-members","status":"publish","type":"post","link":"https:\/\/raleighmovingnews.com\/?p=5555","title":{"rendered":"NC State Health Plan board to vote on premiums, benefit changes affecting 750,000+ members"},"content":{"rendered":"<div>\n<p>RALEIGH, N.C. (<strong>WNCN<\/strong>) \u2014 More than 750,000 North Carolina state employees, retirees and their family members could soon learn how much they will pay for health insurance \u2014 and whether changing doctors could save them money \u2014 as <strong>leaders overseeing the State Health Plan prepare to vote Friday<\/strong> on a sweeping package of changes scheduled to take effect in 2027.<\/p>\n<p>Read more <a href=\"https:\/\/raleighmovingnews.com\/?p=5553\">Woman injured after late-night shooting in Durham; no suspect announced, police say<\/a><\/p>\n<p>The State Health Plan Board of Trustees is expected to consider and vote on 2027 premium rates, benefit changes, provider contracts and new contracts for the plan\u2019s third-party administrator and pharmacy benefit manager during its meeting on Friday morning, according to the <strong>Friday meeting agenda<\/strong>.<\/p>\n<p>N.C. State Treasurer Brad Briner underscored the significance of Friday\u2019s meeting during the board\u2019s June session, calling it \u201cperhaps the most consequential meeting this board has ever had.\u201d<\/p>\n<p>Among the most significant proposals is a new provider network that would reward members who receive care from designated \u201cpreferred\u201d hospitals, physician groups and clinics with lower deductibles, copays and other out-of-pocket costs. Members who continue receiving care from providers placed in a \u201cnon-preferred\u201d tier could instead see their costs increase.<\/p>\n<p>Briner has previously said the proposal is designed to reduce overall healthcare spending while encouraging providers to compete for State Health Plan members by offering lower prices. During the board\u2019s June meeting, Briner estimated the changes could save the State Health Plan roughly $54 million while also lowering costs for many members who choose preferred providers.<\/p>\n<p>\u201cEvery one of our active members on this plan should have the opportunity to save material amounts of money under this new strategy,\u201d Briner said during the June meeting.<\/p>\n<p>Under the proposed system, providers would fall into one of four categories:<\/p>\n<ul>\n<li><strong>Preferred providers<\/strong>, offering members the lowest copays, deductibles and out-of-pocket costs.<\/li>\n<li><strong>Access providers<\/strong>, where costs would generally remain similar to today\u2019s benefit structure while maintaining access in rural communities and areas with fewer provider options.<\/li>\n<li><strong>Non-preferred providers<\/strong>, where members would pay significantly more out of pocket.<\/li>\n<li><strong>Out-of-network providers<\/strong>, where officials have said members would see relatively little change because of the State Health Plan\u2019s broad national network through Aetna.<\/li>\n<\/ul>\n<p>State Health Plan leaders have said every major health system in North Carolina was invited to participate in the preferred provider program.<\/p>\n<p>Briner has said members who choose preferred providers could see substantial savings.<\/p>\n<p>\u201cBy choosing preferred providers, you will be able to cut your out-of-pocket costs by a third or more,\u201d he said.<\/p>\n<p>Read more <a href=\"https:\/\/raleighmovingnews.com\/?p=5552\">Mysterious airstrikes target Iran after US attacks, raising questions of who launched them<\/a><\/p>\n<p>Officials have also said members undergoing cancer treatment, transplant care or pregnancy-related care would receive transition-of-care protections, allowing them to continue treatment without immediately losing their current benefit levels if their provider is placed outside the preferred tier.<\/p>\n<p>\u201cWe want to be very, very careful about changing benefits on folks that are undergoing active cancer treatment, transplant treatment or pregnant,\u201d Briner said during the June meeting.<\/p>\n<p>Friday\u2019s meeting is also expected to include a vote on 2027 premium rates and other benefit changes.<\/p>\n<p>While trustees have not yet publicly approved final premium amounts, Briner has previously proposed tying premium increases for active employees to annual pay raises. Under that proposal, an employee paying $50 per month whose salary increased by 5% would see their monthly premium rise to $52.50.<\/p>\n<p>The timing is notable because <strong>Gov. Josh Stein signed North Carolina\u2019s new $34.4 billion state budget<\/strong> into law earlier this week. The budget includes salary increases for many state employees and teachers, making Friday\u2019s discussion especially significant if trustees move forward with a premium structure linked to future pay raises.<\/p>\n<p>State Health Plan officials have said the proposed changes are intended to improve the plan\u2019s long-term financial sustainability as health care costs continue to rise, while reducing reliance on larger premium increases in future years.<\/p>\n<p>In addition to premiums and benefits, trustees are expected to vote on provider contracts before considering contracts for the State Health Plan\u2019s third-party administrator and pharmacy benefit manager, both of which are scheduled to begin in 2028.<\/p>\n<p>The Board of Trustees is scheduled to convene at 9:30 a.m. Friday.<\/p>\n<p>If approved, the premium, benefit and provider network changes would take effect in 2027.<\/p>\n<p>Read more <a href=\"https:\/\/raleighmovingnews.com\/?p=5550\">New York construction scare highlights the challenges of converting offices into housing<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>RALEIGH, N.C. (WNCN) \u2014 More than 750,000 North Carolina state employees, retirees and their family members could soon learn how much they will pay for health insurance \u2014 and whether changing doctors could save them money \u2014 as leaders overseeing the State Health Plan prepare to vote Friday on a sweeping package of changes scheduled [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5554,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-5555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>NC State Health Plan board to vote on premiums, benefit changes affecting 750,000+ members - Raleigh Moving News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/raleighmovingnews.com\/?p=5555\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NC State Health Plan board to vote on premiums, benefit changes affecting 750,000+ members - Raleigh Moving News\" \/>\n<meta property=\"og:description\" content=\"RALEIGH, N.C. (WNCN) \u2014 More than 750,000 North Carolina state employees, retirees and their family members could soon learn how much they will pay for health insurance \u2014 and whether changing doctors could save them money \u2014 as leaders overseeing the State Health Plan prepare to vote Friday on a sweeping package of changes scheduled [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/raleighmovingnews.com\/?p=5555\" \/>\n<meta property=\"og:site_name\" content=\"Raleigh Moving News\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-10T12:05:08+00:00\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/#\\\/schema\\\/person\\\/eda87157c0d9ccdbb002a999547a6a60\"},\"headline\":\"NC State Health Plan board to vote on premiums, benefit changes affecting 750,000+ members\",\"datePublished\":\"2026-07-10T12:05:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555\"},\"wordCount\":736,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/raleighmovingnews.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/62bc4fe8c3e3afbc925371984a6ef160.webp\",\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555\",\"url\":\"https:\\\/\\\/raleighmovingnews.com\\\/?p=5555\",\"name\":\"NC State Health Plan board to vote on premiums, benefit changes affecting 750,000+ members - 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