I am a Member Group (Employer)

The NCACC is focused on designing and delivering risk management programs that meet the unique needs and exposures of the counties. The Pools, which are not-for-profit, are governed by a Board of Trustees which is comprised of county elected officials and county government staff.

On this page, you can find the various forms you need to manage your plan.

• Model Creditable Coverage Notice: PDF
• 2007 Creditable Coverage Guidance for Medicare Part D: PDF | Word document
• Enrollment form for NCACC Group Benefits Medical/Dental (PDF)
• Caremark primary/preferred drug list (As of July 1, 2008 - PDF)
• Subscriber Termination Form (PDF) - Remove an employee from medical and dental coverage when the employee leaves employment or has a reduction in hours.
• Member Transfer to Retiree Form (PDF) - Transfer an active employee to retiree status upon the employee's retirement.
• CAPE provider nomination form: Excel spreadsheet | PDF
• 2007-08 Summary Plan Descriptions (PDF): HMO | PPO | Dental
• Find a pharmacy: Log into your account at www.caremark.com, go to My Coverage, and then click on Find a Local Pharmacy.

Education eases employee concerns when changing health carriers

People are creatures of habit, and therefore have difficulty with change. When it comes to employee benefits being modified, this change is amplified because of the personal impact and the confusing technical nature of insurance.

As the NCACC's Group Benefits Pool modified its business model to transform itself to the County Health Plan, Marcenda Rogers, human resources director for Northampton County, took on her own initiative: to educate and inform county employees so there would be a complete understanding of the benefits that would become effective July 2007, and to learn of employees' questions and concerns.

Rogers operated under the belief that if county employees were kept in the loop about changes being made, they would have a better understanding why those changes were needed.

Click here to read more.

Appeals

The County Health Plan strives to be responsive to our Member Groups. We encourage our covered Counties to discuss with us their benefits coverage and to present any disputes concerning the coverage we offer to your employees. It is our policy to provide the Member Group a forum to address the decision or action taken by the County Health Plan or its administrators Caremark or CIGNA. Appeals should only be completed by the Member Group, not an individual covered employee, and should be submitted to the NCACC after first and second level grievances at CIGNA have been exhausted. The appeals process in its entirety is outlined in the County Health Plan’s Summary Plan Descriptions provided to our Member Groups on CD in August 2006.

• Appeals form

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