2026 Benefits Annual Enrollment
This year’s Annual Enrollment (AE) period for benefit plan changes is Oct. 13-31, 2025. Changes made during the AE period will become effective Jan. 1, 2026, for the plan year Jan. 1, 2026 – Dec. 31, 2026.
Annual Enrollment is your opportunity to review and update your benefit elections and eligible dependents for the 2026 plan year. All members of the State Health Plan (SHP) must take action during Annual Enrollment.
Important: All SHP members will be defaulted into the Standard PPO Plan (current Base PPO 70/30 plan). Employee who wish to enroll in the Plus PPO Plan (current Enhanced PPO 80/20) must actively do so.
(This annual enrollment period does not apply to Postdocs and House Officers who are not eligible for the plans involved.)
What’s New for 2026
Be sure to review these important updates and new offerings for the 2026 plan year.
State Health Plan
- The State Health Plan will be introducing salary-based premiums for the 2026 benefit plan year. Salary-based premiums will apply to the employee-only premium and is based on the employee’s base salary. Dependent premiums will not be salary-based, and there will be a reduction in premiums for some dependent coverage tiers.
- New State Health Plan names will be introduced in an effort to move away from numerical/actuarial plan names.
- The Base PPO 70/30 Plan will be known as the Standard PPO Plan.
- The Enhanced PPO 80/20 Plan will be known as the Plus PPO Plan.
- Increases in out-of-pocket costs such as deductibles and coinsurance.
- The State HealthPlan will be partnering with Lantern, a trusted provider that helps connect plan members to a high-quality, carefully selected surgeon when you need a planned, non-emergency procedure. There will be no cost ($0) for the surgery for members who use a Lantern provider – no deductibles and no copays. Members will be getting more information directly from Lantern on this benefit. Medicare-primary members (retirees) are not eligible.
- The Clear Pricing Project (CPP) is ending Dec. 31, 2025. You may remain with your current CPP to continue receiving applicable benefits through the end of 2025. If you switch your primary care provider at any time throughout the rest of this calendar year and you select a provider who does not participate in the Clear Pricing Program, you won’t receive the discount the program offers. To receive the program discount, you must ensure the provider you pick is listed as a Clear Pricing Program provider. Your ID card listing your new provider will typically arrive seven to 10 days after you make the change.
During annual enrollment, the State Health Plan will make available a list of providers that will indicate which providers are part of the Preferred Providers program. If the primary care provider listed under your plan coverage is designated as a preferred provider, you won’t need to take any additional action. In 2026, members may select and see a Preferred Provider, and will receive the lowest copay if they do so.
(PCP changes are immediate. If changing providers for 2026, wait until after Jan. 1, 2026 to do so.) - No wellness credit, so there will no longer be a tobacco attestation.
- Teledoc Health will no longer be offered by the State Health Plan after Dec. 31, 2025. Other virtual care options such as telehealth or virtual services may be available if your provider offers these services.
- All members, regardless of action taken during Annual Enrollment, will receive a new ID card before 2026.
NCFlex Plans
- Increases in dental premiums.
- Health Care FSA 2026 Contribution Limit = $3,300.
- Dependent Day Care FSA 2026 Contribution Limit = $7,500.
UNC System Office Plans
- For 2026, a more robust MetLife Legal Plan will be offered by the UNC System Office, and the NC State MetLife legal plan will end Dec. 31, 2025.
- New enrollments in supplemental disability plans (Lincoln and The Standard) will be allowed during AE without answering any medical questions (EOI).
- For UNC System life insurance (Securian):
- Existing employee participants may increase coverage by 1x salary, not to exceed guaranteed issue, the lesser of three times salary or $500k.
- Existing spouse participants may increase one benefit level, not to exceed the guaranteed issue of $50k.
- Employees who are newly enrolling or were previously denied coverage may enroll in coverage at 1x salary without answering any medical questions (EOI).
Reminders
- Be sure your mailing address is current in MyPack to ensure you receive updated information via mail.
- Check/update beneficiaries as needed.
- Ensure dependents are enrolled in applicable plans.
Online Enrollment Process
As a University employee, there are two enrollment platforms you will use when enrolling in benefits for 2026, BenefitFocus and Empyrean.
You can link to both enrollment platforms via MyPack Employee Self Service. Enrollment instructions and applicable plans are as follows:
| “My State Health Plan” (BenefitFocus) | “My UNC & NCFlex Benefits” (Empyrean) |
|---|---|
You will need to log into the BenefitFocus platform to enroll/make changes to your elections for:
To make changes, go to MyPack Portal and log in. Under Employee Self Service click on the “Benefit Details” tile. Click on “My State Health Plan.” You will be logged into the online benefits enrollment portal. Select “Get Started” on the home page and follow the prompts. After you have made your choices, and they are displayed for you to review and print, you must scroll down to the bottom and click “Save Changes” or your choices will not be recorded. Don’t overlook this critical step! Be sure to save/print a copy of your Confirmation Statement to review and save for your records before logging out. You may also enroll via the BENEFITFOCUS Mobile App. (Note that the benefits enrollment portal contains SSNs, so by downloading the app, SSNs will show.) | You will need to log into the Empyrean platform to enroll/make changes to your elections for:
To make changes, go to MyPack Portal and log in. Under Employee Self Service click on the “Benefit Details” tile. Click on “My UNC & NC Flex Benefits.” You will be logged into a separate enrollment portal. After logging into the site, you will see a pending event (i.e., open enrollment). Click “Continue” and follow the prompts. After you have made your enrollment choices, and they are displayed for your review, you must scroll down and click “Submit My Elections.” One last pop-up message will appear and you must click “Accept” or your choices will not be recorded. Don’t overlook this critical step! Be sure to save/print a copy of your Confirmation Statement to review and save for your records before logging out. |
| Questions? Call the eligibility and enrollment call center at 855-859-0966, Monday – Friday, 8 a.m. - 10 p.m., and Saturday*, 8 a.m. – 5 p.m. *Remember that AE ends on Friday, Oct. 31. | Questions? Call the Empyrean University Benefits Service Center at 833-862-1490, Monday – Friday, 8 a.m. – 5 p.m. |
Be sure to attend an Annual Enrollment Information session and review the webinars posted detailing changes for next year. If you need help enrolling in your benefits, call the applicable enrollment vendor based upon the plan at 855-859-0966 (BenefitFocus) or 833-862-1490 (Empyrean) to enroll over the phone. Our goal is to ensure all staff and faculty complete the Annual Enrollment process correctly.
State Health Plan Updates
This section outlines the changes and updates to the State Health Plan for the 2026 plan year.
Plan Details
- The State Health Plan will be introducing salary-based premiums for the 2026 benefit year. Salary-based premiums will only apply to the employee-only premium and is based on the employee’s base pay. Dependent premiums will not be salary-based, and there will be a reduction in premiums for some dependent coverage tiers.
- New State Health Plan names will be introduced in an effort to move away from numerical/actuarial plan names.
- The 70/30 Plan will be known as the Standard PPO Plan.
- The 80/20 Plan will be known as the Plus PPO Plan.
- Increases in out-of-pocket costs such as deductibles and coinsurance.
- The Clear Pricing Project (CPP) is ending Dec. 31, 2025. Currently, if your PCP is a CPP, you see that provider at no charge. In 2026, members may select and see a Preferred Provider, and will receive the lowest copay if they do so. (PCP changes are immediate. If changing providers for 2026, wait until after Jan. 1, 2026 to do so.)
- No wellness credit, so there will no longer be a tobacco attestation.
- Teledoc Health will no longer be offered by the State Health Plan after Dec. 31, 2025. Other virtual care options such as telehealth or virtual services may be available if your specific provider offers these services.
- Lantern Surgery Benefit: Providers that connect plan members to a high-quality, carefully selected surgeon when you need a planned, non-emergency procedure.
- In 2026, members that meet certain criteria will have access to these new initiatives.
- Hinge Health: Physical therapy solutions that can reduce joint and muscle aches, pain, and tension at home
- Ventricle Health: Cardiology provider network that increases access to care, improves outcomes, and reduces cost for people with heart failure and other cardiac conditions.
- All members, regardless of action taken during Annual Enrollment, will receive a new ID card before 2026.
- The formulary (drug list), which determines what medications are covered and what tier they fall under, changes on a quarterly basis, so there is a possibility that you will have changes in your prescription coverage in 2026.
- Preventive services remain covered at 100% – no copay or deductible – on either plan.
Rate Information
- The State Health Plan will be introducing salary-based premiums for the 2026 benefit year. Salary-based premiums will apply to the employee-only premium (dependent premiums will be the same regardless of salary) and is based on the employee’s base pay.
- View 2026 rates here
Adding Dependents
During Annual Enrollment, employees may add or delete eligible dependents from their benefit plans. Just as with plan changes, any dependents added during Annual Enrollment have an effective date of Jan. 1, 2026. If you are adding dependents to your medical plan, the State Health Plan requires that you include SSNs and submit documentation verifying your dependents’ eligibility.
- Documentation requirements for dependents
- Instructions on how to upload documentation in the enrollment portal
You may upload dependent documentation using the BENEFITFOCUS Mobile App, BenefitPlace, for that platform. The app can be downloaded on the App store or Google Play. (Note that the benefits enrollment portal contains SSNs, so by downloading the app, SSNs will show.)
The deadline to upload documentation for AE is Oct. 31, 2025.
NCFlex Benefit Plan Updates
This section outlines the changes and updates to NCFlex plans for the 2026 plan year.
Dental Plan Updates
- Dental premiums are increasing beginning January 1, 2026.
- No waiting period will apply if you switch dental options for 2026.
FSA Plan Updates
- Remember to re-enroll in FSAs for the upcoming year!
- Health Care FSAs have a 2026 maximum annual election amount of $3,300.
- The rollover limit for 2026 is $660 (minimum amount is $25). Funds elected for 2026 must be used between Jan. 1, 2026 – Dec. 31, 2026, and claims for that time period filed no later than March 31, 2027.
- Dependent Daycare FSAs have a 2026 maximum annual election amount of $7,500.
- Funds elected for 2026 must be used between Jan. 1, 2026 – Dec. 31, 2026, with a grace period through March 31, 2027, and claims for that time period filed no later than March 31, 2027.
- View your FSA account
Adding Dependents
During Annual Enrollment, employees may add or delete eligible dependents from their benefit plans. Just as with plan changes, any dependents added during Annual Enrollment have an effective date of Jan. 1, 2026. If you are adding dependents to your UNC System and/or NCFlex plans, you are required to include SSNs and submit documentation verifying your dependents’ eligibility.
- Documentation requirements for dependents
- Instructions on how to upload documentation in the enrollment portal
The deadline to upload documentation for AE is Oct. 31, 2025.
UNC System Benefit Plans
This section outlines the changes and updates to UNC System plans for the 2026 plan year.
During the Annual Enrollment period, you may make changes to your UNC System benefit plans. These include:
Securian Life Insurance
During the Annual Enrollment period, Securian life insurance will allow enrolled employees and enrolled spouses to increase coverage by 1 multiple without EOI, provided they don’t exceed the guaranteed issue amount which is the lesser of 3 times base annual salary or $500k for employees and $50k for spouses. New enrollees and employees who were previously denied coverage may enroll in coverage at 1x salary without answering any medical questions (EOI).
- Review the Securian Life Insurance Plan webpage for more information.
MetLife Legal Plan
The NC State MetLife legal plan will end Dec. 31, 2025. For 2026, a more robust MetLife legal plan will be offered and administered by the UNC System at a cost of $13.66 per month. See a comparison of the plans. Enrollment for the new MetLife legal plan is housed in the “My UNC & NC Flex Benefits” enrollment portal for AE elections.
Those currently enrolled in the NC State MetLife legal plan will be automatically enrolled in the UNC System MetLife legal plan. You must cancel the legal plan during Annual Enrollment if you do not wish to be enrolled for 2026. You may enroll or cancel coverage in the MetLife legal plan for 2026 via the “My UNC & NC Flex Benefits” enrollment portal no later than Oct. 31, 2025.
See the current information on the MetLife Legal Plan web page. Information for 2026 will be updated after Annual Enrollment.
Long Term Disability
To change your enrollment in these plans, follow the applicable instructions for enrollment or cancellation no later than Oct. 31, 2025.
You may enroll or cancel coverage in long term disability for 2026 via the “My UNC & NC Flex Benefits” enrollment portal no later than Oct. 31, 2025.
- Review the Voluntary Long Term Disability webpage for more information.
Note: If you do not wish to make changes to these UNC System benefit plans for 2026, there is nothing you need to do.
Information Sessions
Get ready for Annual Enrollment by attending one of our information sessions.
Annual Enrollment presentations will be conducted in-person across campus* and via Zoom. You are cordially invited to attend sessions to learn about benefit plan changes and updates for 2026. The schedule for larger sessions is below. Zoom sessions will have registration links, and a confirmation email including the Zoom link will be sent before the event.
You may attend as many sessions as you’d like.
*Smaller department sessions that have been scheduled are not listed. Check with your department HR rep for a session located near you.
| Date/Time | Location | Registration |
|---|---|---|
| Tues., Sept. 30 1 p.m. | CVM North Theater, C120 | N/A |
| Wed., Oct. 1 8:30 a.m. | French Session: Biltmore Hall, Room 2010 | N/A |
| Thurs., Oct. 2 8:30 a.m. | Spanish Session: Biltmore Hall, Room 2010 | N/A |
| Fri., Oct. 3 9 a.m. | Talley, Room 3285 | N/A |
| Mon., Oct. 6 2 p.m. | Zoom Session | N/A |
| Wed., Oct. 8 8:30 a.m. | Biltmore Hall, Room 2010 | N/A |
| Fri., Oct. 17 10 a.m. | Zoom Session | N/A |
View the presentation for these sessions
If you cannot attend a session at NC State, you may attend one of the sessions sponsored by the State Health Plan.
Tips and Resources
Here are some important tips and resources to guide you through the annual enrollment process.
Tips
- Review information carefully.
- Take time to plan for the upcoming year.
- Remember to re-enroll in FSAs for the upcoming year.
- Don’t wait until the last minute!
- Review, add and/or update beneficiaries in the enrollment portal for applicable plans.
- All enrollments must be completed online and submitted no later than Oct. 31, 2025.
- For online enrollment, don’t forget to save. Once you submit your election during the Annual Enrollment period, you may not make changes.
- Print/save your confirmation statement from BOTH online enrollment platforms or record the date/time of your phone enrollment or save a screenshot from app enrollment.
- State Health Plan premiums are deducted in advance, so the first premium for 2026 is deducted in the December 2025 paycheck.
- Review your State Health Plan premium deduction in December 2025 for accuracy, compare what was deducted to your confirmation statement and contact Benefits if you see an error.
- Review your January 2026 paycheck for accuracy of all other deductions. Compare what was deducted to your confirmation statement and contact the Benefits Office if you see an error.
Additional Resources
- BenefitFocus Enrollment Center Contact Number: 855-859-0966
- UNC System (Empyrean) Enrollment Center Contact Number: 833-862-1490
- UNC System 2026 Annual Enrollment Site
- UNC System 2026 Open Enrollment Summary Guide
- State Health Plan 2026 Annual Enrollment Site
- 2026 Active Member Decision Guide
- 2026 Active Member Decision Guide (en Español)
- State Health Plan 2026 Rate Sheet
- State Health Plan 2026 Comparison
- State Health Plan 2026 Outreach Events Flyer
- State Health Plan Lantern Surgery Information
- 2026 NCFlex Annual Enrollment Site
- 2026 NCFlex Enrollment Guide for Universities
- 2026 NCFlex Enrollment Guide (en Español)
- 2026 Annual Enrollment Highlights Podcast (Disclaimer: This podcast was generated using artificial intelligence. For official and comprehensive benefits information, please refer to the prevailing plan documentation.)
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