Benefits

  • LINK TO GCS REQUEST FOR LEAVE OF ABSENCE FORM:

    Request for Leave of Absence Form

     

    LINK TO REQUEST FOR REASONABLE ACCOMMODATION:

    Form for Reasonable Accommodation 2022-2023

     

    LINK TO REQUEST FOR VERIFICATION OF EMPLOYMENT FORM:

    Request for Verification of Employment

     

    LINKS TO U.S. DEPARTMENT OF LABOR FMLA FORMS:

    (Form WH-380-E): 

    Certification of Health Care Provider for Employee's Serious Health Condition

     

    (Form WH-380-F): 

    Certification of Health Care Provider for Family Member's Serious Health Condition

     

     LINK TO GCS APPLICATION FOR VOLUNTARY SHARED LEAVE:

     GCS Application for Voluntary Shared Leave

     

    LINK TO GCS APPLICATION FOR AUTHORIZATION TO DONATE VOLUNTARY SHARED LEAVE:

     GCS Authorization to Donate Voluntary Shared Leave

     

    LINK TO WATCH VIDEO ON HOW TO REGISTER ON ORBIT:

    Registering on Orbits Video

     

    LINK TO WATCH VIDEO ON HOW TO DESIGNATE YOUR BENEFICIARY(IES):

    Beneficiary Designation Video

     

    LINK TO POWERPOINT INSTRUCTIONS ON HOW TO ENROLL IN BENEFITS:

    Step-by-Step Instructions on How to Enroll in Your Benefits

     

    2023 Plan Year State Health Plan Information:

    Click the following link for important 2023 new plan information: 2023 Benefit Information which includes the Clear Pricing Project Provider Copay Comparison Chart

    Link to 2023 State Health Plan Comparison for Active and Non-Medicare Subscribers:  2023 SHP Base PPO Plan 70/30 and 80/20 Enhanced PPO Plan Comparison

    Link to Summary of Preventive Care Services:  SHP Preventive Care Cost Savings Summary

    Link to 2023 SHP Plan Rate Sheet Scenarios:  2023 Rate Sheet Scenario Comparisons

    LINK TO IMPORTANT STATE HEALTH PLAN INFORMATION INCLUDING THE CLEAR PRICING PROJECT: 2023 Clear Pricing Project and State Health Plan Network

    LINK TO OPEN, VIEW AND DOWNLOAD PDF FLEX BENEFITS 2023 PLAN YEAR BOOKLET:  FLEX BENEFITS 2023 PLAN YEAR BOOKLET  

     

    NC STATE HEALTH PLAN | CORONAVIRUS UPDATES:

    State Health Plan Program:

    At-Home Rapid COVID-19 tests continue to be covered at 100% for State Health Plan members enrolled in the 80/20 and 70/30 PPO Plans as well as the High Deductible Health Plan (HDHP) via the pharmacy benefit.

    However, currently many pharmacies are experiencing a high volume at the pharmacy counter coupled with staffing issues, which has led them to restricting over-the counter (OTC) product processing to only those with a prescription. Therefore, many pharmacies are not accepting insurance and are requiring customers to pay in full for each test.

    Members are able to submit the receipt for reimbursement by using the Prescription Reimbursement Claim form located on the Plan’s website. Members can also submit a reimbursement request online via CVS Caremark.

    Members should submit a receipt that clearly indicates the test purchased, along with the claims form. Expect the claims reimbursement process to take between 30 and 90 days.

    As a reminder, there is a limit of 8 At-Home Rapid tests per 30 days and Reimbursement does not apply to tests purchased prior to January 15, 2022.

    Per the President's Executive Order, At-Home Rapid COVID-19 tests will be covered 100% effective January 15, 2022. The State Health Plan (Plan) will offer this coverage to Plan members enrolled in the 80/20 and 70/30 PPO Plans as well as the High Deductible Health Plan (HDHP) via the pharmacy benefit. There is a limit of 8 At-Home Rapid tests per 30 days. This does not apply to tests purchased prior to January 15, 2022.  Please click Here for more SHP Cornovirus Information.

    Plan members will have two options for coverage of At-Home Rapid COVID-19 tests:

    1. Purchase your At-Home Rapid COVID-19 test at a local pharmacy using your State Health Plan ID card. When purchased at the pharmacy with your ID card, there should be no cost to the member, or
    2. Purchase an At-Home Rapid COVID-19 test online or in a store and submit a receipt and claims form for reimbursement

    Members electing to purchase the test and submit a claim should use the Prescription Reimbursement Claim form located on the Plan’s website.

    Members should submit a receipt, that clearly indicates the test purchased, along with the claims form. Expect the claims reimbursement process to take between 30 and 90 days.

    Members Enrolled in a Humana Medicare Advantage Plan

    Humana continues to cover FDA approved and/or emergency use authorized COVID-19 testing through health care providers without a referral or prior authorization. The testing location itself may require an order or prescription. It is recommended that members contact the testing location for details. 

    Medicare is exempt from this Executive Order.  Visit the Humana Medicare Information Page on the State Health Plan Site for More Information:  Humana Medicare Advantage Plan Members

    The State Health Plan is providing the following COVID-19 benefits for Members:  Visit the State Health Plan Coronavirus Page:  SHP Coronavirus Updates

    The COVID-19 vaccine is available to everyone 5 and older. Please visit the North Carolina Department of Health and Human Services to find a location.

    The vaccine is covered at 100% by the State Health Plan. While there is no member cost, the State Health Plan is paying for the administration of the vaccine, which is why it’s important to present your ID card. The vaccine is currently being paid for by the federal government. 

    The Plan is waiving the cost associated with the testing of COVID-19 regardless of site of service (where you receive the test) to ensure there are no cost barriers to testing. This waiver is in effect until the federal CARES Act requirement expires. The waiver includes associated deductibles, copayments and coinsurance.

    Testing and treatment at an out-of-network provider may incur non-reimbursable charges.

    CVS Pharmacy offers drive-through, self-swab COVID-19 testing at select North Carolina CVS Pharmacy locations. Members must register in advance to schedule an appointment and follow instructions provided during registration process.

    The Plan is waiving the copay for in-person and virtual Primary Care Provider (PCP) visits to screen for COVID-19. Screening visits will not be subject to your deductible or coinsurance, even if your deductible has not been met. This waiver is in effect until the federal CARES Act requirement expires.

    As a reminder, many providers offer tele-health or virtual visits. These types of visits are covered under your Plan benefits and this will remain in effect until December 31, 2022. The applicable copay for a PCP office visit will apply. If you are outside of North Carolina, please confirm with your provider as each state may have different rules regarding tele-health services."

    The COVID treatment cost share waiver expired 6/30/21, therefore, treatment or services related to COVID-19 are subject to the applicable cost share amounts.

     "The State Health Plan continues to work with Blue Cross and Blue Shield of North Carolina (Blue Cross NC and CVS Caremark to ensure you have benefits in place and remove any barriers to needed care for Members on the 80/20 Plan, 70/30 Plan and High Deductible Health Plan. "

    GUILFORD COUNTY SCHOOLS is pleased to offer a variety of comprehensive and cost-sensitive benefits reflecting the diverse health and wellness needs of our employees and their families. Some of our benefits are optional, allowing you to customize your elections to meet your personal and budgetary objectives. Others are mandatory, such as the Teacher's and State Employees' Retirement System (TSERS) and basic life insurance, designed to assist with longer-term financial health. Employees' support of health and wellness in a variety of dimensions is our goal.

       

Contact Us

  • Meet the team!

    Adrienne Friddle
    Director of Benefits
    (336) 370-8092
    friddla@gcsnc.com

    Jeannie Greer
    HR Benefits Coordinator - Retirement/ Disability
    (336) 370-8165
    greerj@gcsnc.com

    Donna Burnett
    HR Benefits Coordinator - Leave of Absence
    (336) 370-8166
    burnetd2@gcsnc.com

    Precious Batts
    HR Benefits Coordinator - Leave of Absence
    Workers Comp/Workplace Injuries  
    (
    336) 370-8304
    battsp@gcsnc.com 

    Kathy Chandler
    HR Benefits Coordinator - Health and Flex Benefits
    (336) 370-8996
    chandll2@gcsnc.com

    Shannon Hart
    HR Benefits Coordinator - Health and Flex Benefits
    (336) 370-8007
    harts2@gcsnc.com

    Jill Newman
    HR Benefits Coordinator- ACA
    (336) 370-8352
    newmanj@gcsnc.com

    Phone 
    (336) 370-8348
    Fax
    (336) 370-8924

     

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