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2025 Health Renewal
2026 Health Renewal
Firm Name
*
Firm ID
Do you wish to change plans?
*
No – Keep Current Plan
Yes – Change to New Plan
Cancel- No Medical Plan Coverage for 2026-2027
If Yes, select new plan for 2026-2027
Blue Options PPO Plan 1
Blue Options PPO Plan 2
Blue Options PPO Plan 3
Blue Options PPO Plan 4
Blue Options PPO Plan 5
HDHP Plan 10
HDHP Plan 15
HDHP Plan 20
Please confirm new plan is correct before submitting.
Primary Contact Name
*
Primary Contact Email
*
What % of the Employee’s health plan cost is paid by the Employer (minimum 50%)
Have all attorneys participating in the health plan renewed NC Bar Association membership?
Yes
No
Submit
If you are human, leave this field blank.
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