If you're fully insured, we'll underwrite your group’s medical expenses, as well as provide full administrative services. This is the simplest health plan coverage option for businesses.  

Benefits: 

• A single monthly premium  
• Predictable and stable health care costs for the plan year
• Peace of mind, ease, and convenience – we handle the details 
• Health benefits without claims cost risks 

For groups with at least 12 eligible employees, balanced funding offers the advantages of a self-funded plan and the financial protection and predictable monthly payments of a fully insured plan.

Benefits: 

• Potential savings of self-funding 
• Predictable monthly rates, similar to a fully insured plan 
• Integrated stop-loss coverage 
• Money-back opportunities

For groups with 2 to 50 employees, Carolina HealthWorks¹ offers plan flexibility, choice, and competitive rates normally reserved for large companies. Monthly premium equivalents fund claims, plan administration, and stop loss premiums. Risk-based pricing provides potential savings compared to higher-cost community-rated options.

Benefits: 

• Convenient plan management
• A variety of health plans
• Fixed monthly payments and opportunities to save

• Employer or employee funds with pre-tax dollars up to limits set by the IRS⁶
• May be used for qualified medical expenses
• Unused amounts roll over to the next year without penalty
• Pair with any eligible high deductible health plan on any network

• Employee funds with pre-tax dollars by voluntary salary reduction (employer may contribute)⁶
• May be used to pay for eligible dental and vision expenses not covered by the insurance plan
• A use-it-or-lose-it account – employee forfeits any balance remaining at end of year

• Employer funds and owns the account
• May only be used for qualified medical expenses
• Employee is not required to participate in a high deductible health plan

• Employee funds with pre-tax dollars by voluntary salary reduction (employer may contribute)⁶
• May be used for qualified medical expenses, equipment, and services
• A use-it-or-lose-it account – employee forfeits any balance remaining at end of year
• Employee is not required to participate in a high deductible health plan

• Employee funds with pre-tax dollars by voluntary salary reduction⁶
• May be used to reimburse eligible expenses, including daycare, before / after school care, summer camps, and elder care for a parent living in the home
• A use-it-or-lose-it account – employee forfeits any balance remaining at end of year

Select an affordable dental plan option for local groups.

Choose comprehensive vision coverage for local groups.

Take advantage of supplemental employer benefits.