We’ll keep you covered.

Explore your options as your health plan comes to a close.

What’s going on?

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) will discontinue its health plans that existed before the Affordable Care Act (ACA) – often called “grandfathered” or “transitional” plans. To avoid a lapse in coverage, Blue Cross NC will move you to an ACA compliant group health plan for 1-50 employees for 2026.

What are my options?

Blue Cross NC will automatically renew your group on an ACA compliant group health plan. If eligible, you can choose a different one from this list.

ACA compliant plans for employers with 1-50 full-time employees

Our fully insured ACA plans have no lifetime maximums for essential health benefits and no waiting periods for pre-existing conditions.
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Balanced Funding

For groups with at least 12 eligible employees,1 balanced funding offers the advantages of a self-funded plan and the financial protection and predictable monthly payments of a fully insured plan. Benefits include:

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

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Carolina HealthWorks

An exclusive offering by the NC Chamber, Carolina HealthWorks2 is a multiple employer welfare arrangement (MEWA) available to members of the NC Chamber or participating local chambers. For groups with two to 50 employees, Carolina HealthWorks offers plan flexibility, choice, and competitive rates normally reserved for large companies. Monthly premium equivalents fund claims, plan administration, and stop loss premiums. Benefits include:

  • Risk-based pricing tailored to your employer group’s unique characteristics
  • Convenient plan management with seamless administration similar to your current plan
  • A curated portfolio of 23 medical, 9 dental, and 6 vision plans designed for flexibility and affordability
  • Fixed monthly payments that often result in savings
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What should I consider before deciding?

Verify each plan's coverage details when evaluating new plans. Your authorized Blue Cross NC agent or representative can help you with this.

Questions?

Contact your authorized Blue Cross NC agent or representative for assistance.
We value your membership – and look forward to continuing to serve you.