Health Benefit Representative Contact and Access Request

The role of a Health Benefits Representative (HBR) is defined in Article 3B of Chapter 135 of the North Carolina General Statute: § 135 48.1.(13). All HBRs are expected to view the training materials available on the State Health Plan’s website to fully understand those responsibilities and requirements. To view all training materials, click here.  

If the training materials have been reviewed, please complete the below form:

 Type of Request Being Submitted

 General HBR and Group Information

 System Access Requested:

 Subject Matter Contact Areas for Your Group?

 Previous Contact(s) You are Replacing for Your Group:

 Request Approver Information
 (must be Manager or Higher Level Person from your Group)

 Please provide any information that will help process this request:

To view the Privacy Practices of the NC State Health Plan please visit the link below: