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Small Business Employee Benefits and HR Blog

2015 North Carolina Health Insurance Marketplace Update

north carolinaWith open enrollment for health insurance coverage for 2015 right around the corner, many of the Marketplaces are releasing their approved individual and small employer health plan rates for 2015. This article provides an overview of available health insurance rates for North Carolina in 2015.

North Carolina Health Insurance Marketplace- Approved Carriers for 2015

So far, there are two insurance companies offering individual health insurance plans through North Carolina's federally-run Marketplace. The carriers are:

1. Coventry Health Care of the Carolinas, Inc. 

2. Blue Cross Blue Shield of North Carolina

These carriers are offering 28 different plans throughout the state. The health insurance Marketplace will be available for open enrollment for coverage in 2015 on November 15, 2014.

North Carolina Health Insurance Exchange- Individual Plan Rates

The chart below shows available monthly rates for a 30-year-old, a 50-year-old, a family of four with 30-year-old parents and two children, a single parent family of two with a 30-year-old-parent and one child, and a 30-year-old couple without children. These plans are divided into the four “metallic tiers” of coverage to compare plans by level of coverage.

This data is for individuals living in Wake County, North Carolina. Premium rates will vary based on carrier, plan, age, region, family size, and tobacco use.

  Age 30 Age 50 Family
of 4
Single
Parent
Family
Couple
Platinum $354 $556 $1,102 $551 $707
Gold $272 $428 $848 $424 $544
Silver $240 $377 $747 $374 $479
Bronze $175 $275 $545 $273 $350

Source: HealthCare.gov (click link for detailed rates by region and plan)

North Carolina Health Insurance Marketplace- Premium Tax Credits

The above rates reflect the premium prices before any cost-sharing or premium tax credits, which may further decrease healthcare costs for eligible consumers. The actual premium amount that North Carolina residents will be responsible for will depend on their household income.

The premium tax credits cap the cost of health insurance at two to 9.5 percent of the household income for enrollees for households with income up to 400 percent above the federal poverty line (FPL).

Additional Resources

For information on how to apply for individual health insurance on the Health Insurance Marketplace see: How to Apply for Individual Health Insurance in 2015.

More information on the federally run North Carolina Health Insurance Marketplace is available at healthcare.gov.

To see rates from last year, see North Carolina Insurance Exchange Update- Health Plan Rates

To see information on health insurance options for small businesses in North Carolina, see North Carolina Small Business Health Insurance Information

Questions about the individual and family health plan rates for the North Carolina Health Insurance Marketplace? Leave a comment below.