Health Insurance and NCFlex Benefits

State Health Plan Third-Party Administrator Switch to Aetna in 2025

In January 2023, Aetna was awarded a three-year contract to become the Third-Party Administrator (TPA) for North Carolina’s state employees. The contract begins Jan. 1, 2025, and open enrollment will begin in Fall 2024. The North Carolina State Health Plan website is the official source about the upcoming transition, and has the most accurate, up-to-date information for members seeking details about the switch from Blue Cross NC to Aetna. Any additional updates on the transition will be shared with the campus community as they become available. Click here to access the official North Carolina State Health Plan website.

Published: Mar 6, 2023 8:38am


State Health Plan

  • The State Health Plan offers eligible employees two Preferred Provider Organization (PPO) plan options, the 70/30 and 80/20. These plans offer coverage for both in-network and out-of-network providers. However, visiting an in-network provider lowers deductibles, copays, and coinsurance.


  • NCFlex provides a wide variety of supplemental pre-tax benefits to meet the needs of an employee and their qualifying dependents. Eligible employees have the option to enroll in any of the following NCFlex supplemental benefit plans.

UNC Group Term Life Insurance 

  • The UNC System Securian Life Insurance & Accidental Death and Dismemberment (AD&D) plan is offered to all eligible Appalachian State University employees. 

NC529 College Savings Plan 

  • The NC 529® Plan gives you a tax-advantaged, straightforward way to start putting money aside for your child’s college future right now.