Changes In My Benefits Coverage
My spouse, dependent(s) and/or I have had changes in Medicare, CHIP, Medicaid or NC Health Choice eligibility or enrollment.
Whatever your life change, you’ll likely need this form to report a change in your benefits status. Once it’s completed, return it with supporting documentation to:
By Email: MissionBenefits@sba-inc.com
Questions? Contact HR Direct Connect by phone at (828) 213-5600