The State Health Plan Board of Trustees has officially approved the 2026 premium rates for active, Non-Medicare, and Medicare members. These changes include: 

  • Premium increases for most members 
  • Cost reductions for members covering children 
  • New salary-based premiums for the state’s lowest-paid active employees (Note: salary bands do not apply to retired members) 

These adjustments aim to balance affordability with sustainability for the Plan. The new Salary Bands are as follows: under $50,000, $50,001-$65,000, $65,001-$90,000, and $90,001 and over. The below table outlines the premiums for those bands. 

More detailed information will be shared with members prior to the Open Enrollment period, which runs from October 13–31, 2025. 

To learn more, visit the State Health Plan website at www.shpnc.gov. 

Stay tuned for updates and resources to help you make informed decisions during Open Enrollment!