(855) 627-3847
North Carolina Retirement Systems Supplemental Benefits
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(855) 627-3847  CHAT

Open enrollment must be completed by October 31, 2018

If you do not wish to make any changes, no action is necessary.

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Enroll Online | Download Enrollment Form | Chat | call 855-627-3847

Enrollment Booklet

View letter from your Director, Steve Toole and learn about: benefits, premiums, contact and how to enroll.

Download Now

Policyholder
Information

This is your resource for important information about your supplemental benefits.

File Claim and Service Forms

Dental
Vision
Identity Theft

Frequently Asked Questions

Enroll Now

3 easy ways to enroll in identity theft protection, dental and vision benefits.

  1. Enroll Online
    Fill out the enrollment form online and then click submit. It is that easy!
  2. Download Enrollment Form
    and follow the instructions on the form to submit by mail, email or fax.
  3. Enroll by phone
    Call Toll Free (855) 627-3847

Dental

Proper dental care is important. That is why it is so important to have a dental plan that covers preventive, basic and major services.

Learn more

Vision

An eye exam can help identify not only eye and vision issues, but systemic disease. Exam, lenses, frame and contact lens coverage included.

Learn more

Identity Theft Protection

There is a new identity fraud victim every 2 seconds. Identity theft protection helps protect against damage to your finances, credit and reputation.

Learn more

Open Enrollment

Open Enrollment ends October 31, 2018. You may enroll in Dental, Vision and Identity Theft Protection. Benefits enrolled in will be effective January 1, 2019. If you already have benefits and do not need to make any changes, no action is needed.

New Retirees

Pierce Insurance will mail you an enrollment book that summarizes the supplemental benefits that are available to you as a retiree with the North Carolina Retirement Systems. To obtain identity theft protection, dental and vision insurance you must complete the enrollment process within 60 days after you have received your first retirement benefit payment.

Are you a current policyholder for Life, Accident or Critical Illness and need to access service or claim forms?

Critical Illness

Critical Illness Brochure

Forms

Change Form
Claim Form: Critical Illness
Claim Payment: Direct Deposit Form
Name and Ownership Change
Certificate of Coverage

My Critical Illness Benefits

Critical Illness & Accident Insurance Claims & Customer Care

Allstate Benefits

Call: 866-828-8501
Claims Fax: 866-427-3692
E-mail: claimsresearch@allstate.com
Visit: www.allstatebenefits.com/mybenefits

Write to:
Allstate Benefits Claims
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687

Accident

Accident Brochure

Forms

Change Form
Claim Form: Accident
Claim Form: Accidental Death and Dismemberment
Claim Form: Outpatient Physician
Claim Payment: Direct Deposit Form
Name and Ownership Change
Authorization for Automatic Payment of Premium
Certificate of Coverage

My Accident Benefits

Critical Illness & Accident Insurance Claims & Customer Care

Allstate Benefits

Call: 866-828-8501
Claims Fax: 866-427-3692
E-mail: claimsresearch@allstate.com
Visit: www.allstatebenefits.com/mybenefits

Write to:
Allstate Benefits Claims
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687

Life

Combined Insurance Company

LifeTime Benefit Term
Life Brochure
Beneficiary Change Form
Service Form
Death Claim Form

Contact

Call: 855-241-9891
(Claims option 2, Customer Service option 3)
Claims Fax: 603-352-1179
Email: CSMail@selmanco.com

Write to:

Selman and Company
17 Church Street
PO Box 506
Keene, NH 03431

Fidelity Life Association

Graded Death Benefit
Life Brochure
Beneficiary Change Form
Service Form
Death Claim Form

Contact

Call: 877-352-3303
(Claims option 2, Customer Service option 3)
Claims Fax: 603-352-1179
Email: CSMail@selmanco.com

Write to:

Selman and Company
17 Church Street
PO Box 506
Keene, NH 03431