Blue Cross NC has filed a legal challenge to the North Carolina State Health Plan’s decision to award the 2025-2027 contract for third-party administrative services to Aetna. The filing highlights the oversimplified and arbitrary bid process that resulted in a more expensive contract with a smaller network of providers. The litigation was filed in Durham County Superior Court and the Office of Administrative Hearings. Jurisdiction is likely to be determined by the Office of Administrative Hearings in the coming weeks.