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Balanced Funding from Blue Cross and Blue Shield of North Carolina (Blue Cross NC) provides the benefits of a traditional self-insured plan with less risk. This option is for employers with as few as 12 eligible employees1 who are looking for alternative ways to pay for their health benefits.
Predictable monthly payments
All-inclusive, predictable payments regardless of claim fluctuations
Protection from large claims
Flexible Stop Loss levels provide financial protection against large claims
Money back options
The choice of year-end surplus return if claims are lower than expected or choose our guaranteed surplus option2
Employee support
More benefit plans, customization options, and wellness programs to keep your employees healthy
Robust reporting
Company performance tracking and insights through powerful reporting tools
More flexibility, less risk
With stable monthly fees and Stop Loss protection, Balanced Funding helps protect your company from unpredictable costs. It's less risky than traditional self-funding, yet offers more flexibility than fully insured.
Because a Balanced Funding plan qualifies as a self-funded plan, businesses face fewer state and federal regulations. This gives you greater flexibility to meet the specific needs of your employees.
Why Blue?
Compared to the three leading national insurers, consumers prefer Blue Cross NC 6x more often, and it is #1 in overall satisfaction, trust, and peace of mind.3 Blue Cross NC is not just the better choice – it’s also the easy one. That is why nearly 98% of employers choose to stay with Blue Cross NC.4
There are many reasons to choose a Balanced Funding plan with Blue Cross NC, and here are some of our favorites:
- We’re a leader in delivering innovative health care products, services, and information to help our members improve their health and well-being.
- 97% of all hospitals and 92% of all physicians in North Carolina are in our network.5
- Our discounts from hospitals and health care professionals can help lower your overall claims costs.
- We provide valuable health and wellness programs.6
- We offer local customer service and outstanding claims processing.
Ready to learn more?
Contact our team at Blue Cross NC to learn more about Balanced Funding.
Disclosures:
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Balanced Funding plan designs require 12 or more eligible employees with a 70% minimum participation rate, and a minimum of 5 employees enrolled. Contact your authorized Blue Cross NC sales representative to confirm eligibility. Subject to underwriting approval.
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Refunds may not be guaranteed or may not exist depending on claims liability. Any refunds and guaranteed amounts are contingent upon the group renewing with Blue Cross NC. Terms and conditions are subject to change.
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Blue Cross Blue Shield Association Brand Strength Measure (BSM): Q2 2023. Numbers are specific to Group line of business for Blue Cross NC plan and includes members and non-members.)
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Blue Cross NC Internal records; SR100 Summary Report, May 2024 (Accessed July 2024).
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Blue Cross NC Provider Internal Data; percentages indicated represent Blue Cross NC’s PPO Network as of July 2024.
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Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. These vendors do not offer Blue Cross or Blue Shield products or services. Blue Cross NC reserves the right to discontinue or change our wellness programs at any time. These programs are educational in nature., They are intended to help members make informed decisions about their health and comply with their doctor’s plan of care. Decisions regarding care should be made with the advice of a doctor.
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
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