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Aetna is poised to manage health coverage plan benefits for North Carolina state workers and teachers next year because Blue Cross and Blue Shield of North Carolina won't appeal a judge’s decision that upheld Aetna as the next contract winner.

A North Carolina judge has upheld the state employee health plan’s decision in 2022 to chose Aetna to administer the plan starting next January.

Blue Cross and Blue Shield of North Carolina has formally appealed the decision by the health insurance plan for public employees to choose another company to administer the plan after more than 40 years.

Blue Cross Blue Shield, which currently holds the state health plan contract, said it's pursuing an appeal.

Open enrollment began this week for health insurance under the Affordable Care Act. North Carolinians will see some of the highest premium increases in…