Blue Cross and Blue Shield of North Carolina
Overview
Blue Cross and Blue Shield of North Carolina sponsors a self-funded health plan that covered 735 participants in plan year 2025, up 58% from the prior year. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, long-term disability, and more.
- Plan type
- ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
- Participants
- 735 · prior year 466
- Plan year
- Begins January 1 · next renewal January 2027
- Health plans filed
- Blue Cross and Blue Shield of North Carolina Retiree Medical Benefits Plan, plan 501 (735 participants)
- Broker compensation
- $654K across insured contracts
Insurance carriers
Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.
| Carrier | Coverage | Covered | Premium | Broker comp |
|---|---|---|---|---|
| Reliance Standard | Accidental Death and Dismemberment Insur, Life, Long-term disability | 5,495 | $8.0M | $649K |
| Blue Cross and Blue Shield of North Carolina | Vision | 4,852 | $712K | — |
| Carelon Behavioral Health Inc. | EAP Program | 5,537 | $213K | — |
| Four Ever Life Ins Co. | Medical, Dental | 5,110 | $39K | — |
| Federal Insurance Company | Accidental Death and Dismemberment Insur | 5,648 | $18K | $5K |
Pharmacy benefit estimate
StreamRX estimate for a plan this size. Not based on this plan's claims.
Estimated prescription spend: 735 participants × $2,371 national average per member. Usually higher once dependents are counted.
Typical savings opportunity found in independent reviews of plans this size.
Form 5500 filing details
- Filing
- Form 5500 with Schedule A, plan year 2025
- Plan sponsor
- Blue Cross and Blue Shield of North Carolina
- Sponsor EIN
- 56-0894904
- Plan number
- 501
- Filed with
- U.S. Department of Labor (EBSA) via EFAST2
Verify this filing: search EIN 56-0894904 in the Department of Labor's EFAST2 Form 5500 search.
Retirement plan
- Plan
- Partners National Health Plans of NC, Inc. Target Benefit Pension Plan
- Type
- Defined contribution plan
- Participants
- 225
About this data
Source: Blue Cross and Blue Shield of North Carolina's Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Blue Cross and Blue Shield of North Carolina.