NCFlex is the program of pre-tax benefit plans available to state agency, university and select community college employees. You may cover your eligible dependants under certain plans through NCFlex. The NCFlex Program is administered by the Office of State Human Resources. NCFlex offers the following benefits:
A High Option and a Low Option are available. Both options allow you to select the dentist of your choice. The High Option pays a higher percentage of costs and covers preventive, basic, major and orthodontia services. The Low Option pays a smaller percentage of costs and covers preventive and basic services only.
Vision Care Plan
Two plan options are available. The Basic Plan is a full service plan covering examinations and materials. It offers an allowance for frames every two years. The Enhanced Plan offers a higher allowance for frames and offers the allowance annually, as well as some other differences in reimbursements and copays. Both plans offer in-network and non-network benefits. Using an in-network provider will result in less expense for you. The plan also offers a Core Wellness Exam available to employees (only) at no cost except for a $20 copay.
Critical Illness Plan
Critical Illness is the newest addition to the NC Flex Program. This insurance plan is administered by Metlife and complements your existing medical coverage, but does not replace it. The coverage pays a lump-sum payment when a covered person experiences a covered condition. You may use the lump-sum payment as you see fit to help keep your finances on track if you experience a covered condition.
This particular plan now includes three plan options and two coverage levels to choose from depending on how much coverage you need. You can choose the - High Option, Low Option, or Premium Option. These plans help pay for expenses related to cancer and 29 other specified diseases. All three options offer the same type of benefits and/or services. However, in most cases, the Premium Option pays a higher percentage of benefits as compared to the Low Option, and High Option plans.
Core Accidental Death and Dismemberment (AD&D)
Coverage in the amount of $10,000 is provided at no cost to employees. It can pay a benefit if you suffer a loss as the result of a covered accident while you are insured under the plan. It also pays a benefit if you suffer certain disabling injuries while covered. It includes accidents on or off the job. The coverage is in addition to any other coverage your may have under any other insurance policy. While it is provided at no cost, employees must enroll to receive the coverage.
Voluntary Accidental Death & Dismemberment (AD&D Insurance)
This coverage pays a benefit if you suffer a loss as the result of a covered accident while you are insured under the plan. It also pays a benefit if you suffer certain dismemberment injuries while covered. You select the amount of coverage you want up to $500,000. The coverage is effective 24 hours a day, 365 days a year. It includes accidents on or off the job.
Voluntary Group Term Life Insurance
This coverage pays a benefit to your beneficiary(ies) if you die while covered under the policy. This is strictly a term life insurance policy that provides a benefit if you die. There is no accumulated cash value. Your monthly premium is based on your age and the coverage amount you elect - from $20,000 to $500,000.
Health Care Flexible Spending Account (HCFSA)
With this account, you are reimbursed with the pre-tax dollars you set aside to pay for eligible medical, dental or other health care expenses not covered by your insurance plan. You may contribute up to $2,500 per year in this account.
Dependent Day Care Flexible Spending Account (DDCFSA)
Similar to the HCFSA, you are reimbursed for child care or dependent adult care expenses that allow you to continue to work. If you're married, DDCFSA expenses are reimbursed if you and your spouse work or attend school full-time. You may contribute up to $5,000 per year in this account.
TRICARE Supplement Plan
TRICARE Supplement is a plan that pays a benefit for costs not covered by TRICARE. If you currently have TRICARE Standard/Extra, Prime, or TRICARE Reserve Select (TRS) offered to the Military Community, you may be eligible for the TRICARE Supplement Plan. The plans work together to maximize benefits and minimize out of pocket expenses. There is no waiting period for pre-existing conditions and there are no deductibles.