Protecting state employees' health care options is a major hallmark of SEANC's mission. On behalf of members, SEANC works to preserve low-cost, high-quality health care as offered through the North Carolina State Health Plan for Teachers and State Employees. Staff lobbyists and health care industry experts also monitor the private vendor contracts held by the State Health Plan (SHP) to ensure that state employees receive the best care available at the most efficient cost to taxpayers.

Currently, the SHP is administered by a contract with Aetna.