If you are 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 

Our self-insured option offers control and flexibility in plan design for large businesses (100 or more full-time employees). Self-insured, or Administrative Services Only (ASO), arrangements allow the business to fund their own health benefits and claims while Blue Cross NC provides all or some administrative services. 

Benefits: 

• Stop-loss insurance to limit potential claims losses 
• Flexibility in plan design 
• More control over cash flow 

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

Benefits: 

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

• Employer or employee funds with pre-tax dollars up to limits set by the IRS⁵
• 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

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

• Employee funds with pre-tax dollars by voluntary salary reduction (employer may contribute)⁵
• May be used for qualified medical expenses, equipment and services
• Employee forfeits any balance remaining at end of year (a “use-it-or-lose-it” account)
• Enrollee is not required to participate in a high deductible health plan