Health & Life Insurance

Rates

2008	2007	2006	2005
2004	2003	2002	2001

Health Insurance Benefits Summaries and Forms

Blue Options PPO Benefit Summary
BCBS Member Guide (5 mb)
Health Benefits Enrollment Form
MetLife Life Insurance Enrollment Form
BCBS Member Authorization Form
BCBS Coverage Declination Form
HIPPA Privacy Notice
BCBS Wellness INcentives Rebate Form - $150 per covered participant!
NC Conference/Blue Cross Blue Shield website

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 (pdf fill-in form)
Flex Spending Claim Form (pdf)
Dental Claim Form
Note: 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 or for more information!

Payments by Mail

Please 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 in the Treasurer's Office.