Life Events
Termination
Benefit Choices & Considerations for Your Recent Life Event
YOuR sTaTe BeneFiT deCisiOns
if You’re an nCFlex participant:
If you do not receive information on As your employment ends, you may need to make multiple changes to your benefits. The following chart lists considerations by
continuing your benefit plans in a timely benefit and action steps you should take.
manner, notify your Health Benefits
Representative (HBR) or benefits FOR: COnsideR These OpTiOns: Take These aCTiOns:
department immediately. sTaTe • Elect continuation of health care coverage for yourself and Your HBR will complete and submit a Change Form on behalf of
• Plans offering conversion or portability heaLTh pLan your eligible dependents through COBRA. you and your dependents.
of coverage require you to elect and • Bypass COBRA and convert directly to another plan. Continuation of Coverage:
pay for continuation within 31 days of • COBRA election forms will be mailed to you. Complete the
your termination date. You will not
important notes:
• Coverage for you and your dependents ends the last day COBRA election forms and return them within 60 days of the
automatically receive enrollment forms of the month for which premiums are paid. ineligibility event.
from the vendors, so you’ll need to
• You and your dependents may be eligible for continuation
print the forms from www.ncflex.org of coverage under COBRA or to convert to a non-employer
or contact each vendor. sponsored plan the first day of the month following the
– Under the portability/continuation ineligibility event.
feature, you may continue your • COBRA allows a temporary extension of coverage under your
AD&D or term life insurance health benefit plan to you and your dependents who are
coverage under the NCFlex Group covered under your health benefit plan and who would
Insurance policy if you terminate otherwise lose their health coverage due to an ineligibility
employment before age 70. You event. You and your eligible dependents continue to have the
same health coverage as before the ineligibility event; however,
pay the full cost of continued you must pay the entire cost of coverage.
coverage plus a small billing fee.
Premium rates for portable term life nCFLex • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors by
insurance are generally less denTaL month in which you are payroll deducted. completing the Family/Employment Status Change Form or
• COBRA continuation coverage is available. making this change online. Your signature is not required.
expensive than conversion rates.
important note: Continuation of Coverage:
continued inside The ending date may occur earlier if your payroll deductions • COBRA enrollment materials will be sent to your last
cannot cover your NCFlex benefit costs. known address. The cost is 102% of the monthly premium.
Instructions on where to send payments will be included in
the COBRA materials.
nCFLex • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors
VisiOn CaRe month in which you are payroll deducted. by completing the Family/Employment Status Change Form or
• COBRA continuation coverage is available. making this change online. Your signature is not required.
important note: Continuation of Coverage:
www.ncflex.org • The ending date may occur earlier if your payroll deductions
cannot cover your NCFlex benefit costs.
• COBRA enrollment materials will be sent to your last
known address. The cost is 102% of the monthly premium.
Instructions on where to send payments will be included in
the COBRA materials.
Life Events
Termination
Benefit Choices & Considerations for Your Recent Life Event
– Under the conversion feature, you
may convert your cancer, term FOR: COnsideR These OpTiOns: Take These aCTiOns:
life insurance, and supplemental nCFLex • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors by
medical (only after COBRA is suppLeMenTaL month in which you are payroll deducted. completing the Family/Employment Status Change Form or
exhausted) coverages to MediCaL • COBRA continuation and conversion coverages are available. making this change online. Your signature is not required.
individual policies. Term life important note: Continuation of Coverage:
insurance is converted to a whole • The ending date may occur earlier if your payroll deductions • COBRA enrollment materials will be sent to your last known
life policy, which has cash value, cannot cover your NCFlex benefit costs. address. The cost is 102% of the monthly premium.
and premiums do not change as Instructions on where to send payments will be included in the
you get older. You pay the full COBRA materials.
cost of individual policy coverage. • You may also convert the policy to an individual plan within
Premium rates for life insurance 60 days after COBRA coverage has been exhausted.
conversion are generally more nCFLex • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors by
expensive than portable life CanCeR month in which you are payroll deducted. completing the Family/Employment Status Change Form or
insurance rates. • COBRA continuation or conversion coverage is available. making this change online. Your signature is not required.
• If you and/or your family members important note: Continuation of Coverage:
were participating in the NCFlex • The ending date may occur earlier if your payroll deductions • COBRA enrollment materials will be sent to your last
dental, vision care, cancer, cannot cover your NCFlex benefit costs. known address. The cost is 100% of the monthly premium.
supplemental medical and health Instructions on where to send payments will be included in
care flexible spending account on the the COBRA materials.
date of your termination with the • You may also convert the benefit to an individual policy
State, you will receive COBRA provided your application and premium are received within
continuation enrollment materials 31 days of your termination date.
from each vendor. The materials will nCFLex • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors by
explain your options, enrollment aCCidenTaL month in which you are payroll deducted. completing the Family/Employment Status Change Form or
deadlines and premium costs. deaThand • You may continue the coverage through the portability option. making this change online. Your signature is not required.
disMeMBeRMenT Continuation of Coverage:
• When canceling benefits, coverage (ad&d) important note:
continues through the end of the • The ending date may occur earlier if your payroll deductions • You can contact the AD&D vendor for an application (or to
month, provided there are adequate cannot cover your NCFlex benefit costs. ask questions) or print the AD&D portability enrollment form
payroll deductions to cover the from www.ncflex.org under Resources, Forms.
premium costs. Flexible spending • If you are under 70, you may elect to continue all or any part
accounts end on the earlier of the of your dependent’s AD&D benefit.
termination/loss of coverage date, or • The vendor must receive your portability application and
the last month a contribution was premium within 31 days after your insurance terminates.
payroll deducted.
2
a Few ThinGs TO FOR: COnsideR These OpTiOns: Take These aCTiOns:
COnsideR: nCFLex GROup • Coverage will terminate automatically as of the last day of the Your HBR is responsible for notifying the appropriate vendors
• Do you need to turn in any employer- TeRM LiFe month in which you are payroll deducted. by completing the Family/Employment Status Change Form or
owned property? Contact your HBR making this change online. Your signature is not required.
and/or supervisor for instructions. • You may continue or convert the coverage.
• Do you want to change your mailing important note: Continuation of Coverage:
address? Contact your HBR and/or • The ending date may occur earlier if your payroll deductions • Continuation:
payroll office. Remember to notify cannot cover your NCFlex benefit costs. – If you are under 70, you may elect to continue any or all
your local post office about your of your group term life benefit.
new address. – You can contact the group term life vendor for an
• Do you want to know the status of application (or to ask questions) or print the continuation
unused vacation and/or sick time? form from www.ncflex.org under Resources, Forms.
Contact your HBR and/or payroll office. – Your HBR should complete the employer portion of the
• Do you have questions about your continuation form.
last paycheck? Contact your HBR and/ • Conversion:
or payroll office.
– If you are age 70 or above, you can convert the benefit to
• Does your spouse have benefits a more expensive individual policy.
coverage through his/her employer?
You may want to compare your • You can contact the group term life vendor for an application
spouse’s plans to your COBRA-eligible or to ask questions.
plans to decide which coverage is best • The vendor must receive your continuation or conversion
for your family. application and premium within 31 days after your insurance
• Do you want to know the options terminates.
available for your State retirement nCFLex • Contributions will stop automatically as of your Your HBR is responsible for notifying the appropriate vendors by
benefits, or the pros and cons of heaLTh CaRe termination date. completing the Family/Employment Status Change Form. You
taking your money out versus leaving FLexiBLe • COBRA continuation coverage is available. are not required to sign or date this form.
it in the plan until retirement age? spendinG
Contact your HBR for more aCCOunT important note: Continuation of Coverage:
information. (hCFsa) • If you stop contributing to your HCFSA, you may use the • COBRA enrollment materials will be sent to your last known
balance remaining in your account to reimburse claims address. The cost is 102% of your monthly premium. You
• If you participate in any other plans make payments by sending an after-tax check to Aon Consulting
sponsored by your employer (such as incurred before your termination date or your last payroll
deduction, whichever is earlier. by the first day of each month. Instructions on where to send
dental, life or cancer), check with the payments will be included in the COBRA materials.
plan administrator to see what your
options are and what steps you need nCFLex • Contributions will stop automatically as of your Your HBR is responsible for notifying the appropriate vendors
to take. dependenT termination date. by completing the Family/Employment Status Change Form or
• Please check if your agency, university daY CaRe important note:
making this change online. Your signature is not required.
or community college sponsors any FLexiBLe • You may use any balance remaining in your DDCFSA to Continuation of Coverage:
additional benefit plans that may be spendinG reimburse claims incurred before your termination date or • This coverage cannot be continued.
impacted by your recent life event. aCCOunT your last payroll deduction, whichever is earlier.
(ddCFsa)
sTaTe • Review beneficiaries. 1. Contact the Retirement System to review your beneficiaries.
ReTiReMenT • Review your retirement benefits. 2. If you wish to change your beneficiary(ies), complete Change
• Review your retirement service credit. If you have five years of Beneficiary Form 2C found on www.myncretirement.com
of membership service, you will be eligible at a later date or obtain by calling 1-877-627-3287 (toll free) or
to apply for monthly retirement benefits and retiree 1-919-807-3050 in Raleigh.
health coverage. 3. Download your retirement benefits handbook located at
www.myncretirement.com to find out what benefits are
available to you.
4. Contact the Retirement System to review your service credit
by calling 1-877-672-3287 (toll free) or in Raleigh at
1-919-807-3050.
www.ncflex.org
3
Life Events
Termination
Benefit Choices & Considerations for Your Recent Life Event
North Carolina
State Health Plan
Teachers’ and State Employees’ Comprehensive Major Medical Plan
www.ncflex.org
4
30