Affordable Care Act State Agencies The Affordable Care Act was passed in March 2010 in an effort to expand insurance coverage to all Americans. For BEACON agency temporary employees who are eligible for health insurance the North Carolina State Health Plan offers the High Deductible Health Plan (HDHP). State agencies are required to comply with the guidelines and rules established by this legislation. An Affordable Care Act Guide for State Agencies will assist agency leaders with implementing these guidelines, along with a Sample Enrollment Benefit Letter. Read the Frequently Asked Questions for more information. Additional questions can be answered by your agency's HR Directors. State Employees The State of North Carolina offers several health insurance coverage options to all permanent, full-time employees. For temporary employees, a separate coverage is available through the State Health Plan (known as the High Deductible Health Plan) in compliance with the Affordable Care Act. Learn more about this coverage and enrollment on the State Health Plan website. Questions can also be answered by your agency's Health Benefit Representative (HBR) and Benefits staff. Rehired State Retirees Rehired retired state employees are eligible to enroll in the active State Health Plan, to learn more about this coverage visit the State Health Plan website. Assistance with enrolling in the active State Health Plan and Questions can be answered by your agency’s Health Benefit Representative (HBR) and Benefits Staff.