State health plan vote could spike health insurance premiums

Hundreds of thousands of people in North Carolina will face higher health insurance premiums if the state health plan board passes a plan with higher rates on Friday.
Posted 8/14/2025, 9:17:00 PM Updated 8/14/2025, 10:00:10 PM

IN THAT SAME APARTMENT COMPLEX

EARLIER THIS MONTH. THANK YOU,

BRIAN. HUNDREDS OF THOUSANDS OF

PEOPLE IN NORTH CAROLINA WILL

FACE HIGHER HEALTH INSURANCE

PREMIUMS.

>> THE STATE HEALTH PLAN BOARD

IS SET TO VOTE ON THE HIGHER

RATES TOMORROW. THE BOARD SAYS

THIS INCREASE IS NECESSARY TO

COVER THE EXPENSE OF THE

PROGRAM. THE BUREAU CAPITAL

BUREAU CHIEF LAURA LESLIE IS

LIVE AT THE LEGISLATIVE

BUILDING. LAURA, HOW MUCH MORE

WILL EMPLOYEES HAVE TO PAY?

>> YOU KNOW, JAILED FOR THE

FIRST TIME IN STATE HEALTH

PLAN. HISTORY. PREMIUMS ARE

GOING TO BE ON A SLIDING SCALE

RIGHT? SO IF YOU MAKE $50,000 A

YEAR OR LESS, A STATE EMPLOYEE,

YOU'RE GOING TO SEE A SMALLER

INCREASE. BUT IF YOU MAKE

$90,000 OR MORE PER YEAR,

YOU'LL SEE A LARGER INCREASE

AND THE INCREASES DON'T DEPEND

SOLELY ON THE ON YOUR PAY.

IT ALSO DEPENDS WHAT PLAN

YOU'RE ON.

THAT DID THAT FOR A SINGLE

WORKER MAKING UNDER $50,000 A

YEAR ON THE BASIC PLAN, THE

PREMIUM WILL GO UP TO 10TH AT

10 UP $10 A MONTH. BUT A SINGLE

WORKER MAKING THAT $90,000 A

YEAR ON THE PLUS PLAN WILL SEE

AN INCREASE OF $110 A MONTH.

OTHER CHANGES DO DEPEND ON YOUR

SALARY AT ALL. COPAYS ARE GOING

UP FOR JUST ABOUT EVERYONE.

FOR MOST PRESCRIPTION DRUGS,

EMERGENCY BERM COPAYS WILL

NEARLY DOUBLE THE ANNUAL

DEDUCTIBLE FOR THE STANDARD

PLAN WILL DOUBLE THE STATE

HEALTH PLAN BOARD WILL VOTE ON

THESE CHANGES TOMORROW. PLAN

DIRECTOR TOM FRIEDMAN EXPECTS

IT WILL PASS. WHY WERE THESE

INCREASE IS NECESSARY?

>> AT ITS SIMPLEST LEVEL, THE

PAST 8 YEARS, THE STATE HEALTH

PLAN HAS BEEN SPENDING MORE

MONEY. IT WAS TAKING IN.

THE PREVIOUS TREASURY CAME IN

WITH SIGNIFICANT RESERVES.

THOSE RESERVES ARE GONE.

SO IS HEALTH CARE COSTS

CONTINUE TO INCREASE WITHOUT

RESERVES. WE HAVE A PRETTY

SIGNIFICANT CHANGES.

>> AND THE PLAN WAS PROJECTED

TO RUN OUT OF MONEY NEXT YEAR

UNLESS CHANGES WERE MADE.

OTHER CHANGES WILL INCLUDE

LOWER IN COST TO ENROLL

CHILDREN IN A HEALTH PLAN.

THEY'RE ALSO GETTING RID OF THE

TOBACCO AT A STATION IN THE

HIGHER PREMIUMS FOR SMOKERS,

GROUPS THAT REPRESENT TEACHERS

AND STATE EMPLOYEES SAY THEY

ARE DISAPPOINTED BY THE

INCREASES. WELL HERE,

ESPECIALLY IN A YEAR WHERE THEY

HAVEN'T GOTTEN ANY RAISES WILL