Rates
For current and past Health and Life insurance rates click here.
Health Insurance Benefits Summaries, Forms and Resources
- 2010 Blue Options PPO Benefit Summary
- 2010 Retiree Benefit Summary
- BCBS Member Guide - for Retirees over age 65 (5 mb)
- BCBS Member Guide – for Active Participants
- Health Benefits Enrollment Form
- MetLife Life Insurance Enrollment Form
- NC Conference Life Insurance Benefit Summary
- BCBS Member Authorization Form
- BCBS Coverage Declination Form
- HIPPA Privacy Notice
- NC Conference W.I.N Rebate Form - $150 per covered participant!
- NC Conference/Blue Cross Blue Shield website
- Monthly Insurance Billing Flyer - included with the NC Conference insurance billings each month to keep participants up-to-date regarding their insurance benefits
- BCBS Blue Options Quick Reference
- BCBS Member Services Guide
- Member Health Partnership Brochure
- Medco Mail Order Pharmacy Enrollment Form – for assistance with this form contact Medco Customer Service at 1-800-711-5672
Medical and Dental Claim Forms
Check the status of your claims by visiting the Blue Cross website. You will need to register under “My Member Services” – located on the right-hand side of the screen.
- Prescription Drug Claim Form
- Flex Spending Claim Form (Fill-in PDF Form)
- Flex Spending Claim Form (PDF)
- Dental Claim FormNote: Dental claims should be submitted to BCBS of NC,P O Box 2100, Winston-Salem, NC 27102.
- Medical and Diabetic Claim Form
Electronic Payments
To begin making your insurance payments electronically through an electronic draft of your checking or savings account, please complete the Insurance EFT Enrollment Form and mail it to the Treasurer’s Office for enrollment. You can choose to have a set amount drafted each month automatically or to initiate payments electronically on the On-line Data Collection System. Contact Caroline Thornton or Kelly Young for more information!
Payments By Mail
Please send insurance premium payments by mail to:
NC Conference/Insurance Payments
PO Box 60395
Charlotte, NC 28260-0395
For More Information
If you need more information, please contact Caroline Thornton in the Treasurer’s Office.
