Skilled nursing and residential care facilities in North Carolina
PlanOptica tracks 53 health and welfare plans sponsored by 48 skilled nursing and residential care facilities in North Carolina, covering 19,714 participants and $49M in reported insurance premiums (plan year 2024 to 2025 filings). The median plan has 208 participants, and the most common size is 100 to 249 participants (66% of plans). The funding mix is split: 53% of plans are self-funded or mixed and the rest are mainly fully insured.
Blue Cross and Blue Shield of North Carolina leads by premium with a 43% share, followed by Unitedhealthcare Insurance Company at 12%. Mosaic Group Services is the broker of record on 16 plans, more than any other firm, ahead of Gallagher Benefit Services Inc (12). 98% of plans report broker compensation on Schedule A; the median brokered plan pays $40K a year, about 8.1% of premium. Durham, Greensboro and Chapel Hill have the most plans.
Funding mix
- Mixed28 · 53%
- Fully insured25 · 47%
Plan size (participants)
- Under 1004 · 8%
- 100 to 24935 · 66%
- 250 to 4999 · 17%
- 500 to 9993 · 6%
- 1,000 or more2 · 4%
Median plan: 208 participants. Median broker comp: 8.1% of premium across 52 brokered plans.
Top carriers, skilled nursing, North Carolina
- 1Blue Cross and Blue Shield of North Carolina$21M17 plans · 42.9%
- 2Unitedhealthcare Insurance Company$5.9M4 plans · 12.1%
- 3Aetna Life Insurance Company and Affiliates$5.0M5 plans · 10.1%
- 4Cigna Health and Life Insurance Company$3.4M6 plans · 6.9%
- 5The Lincoln National Life Insurance Company$3.1M5 plans · 6.3%
- 6Guardian Life Insurance Company of America$1.4M6 plans · 2.9%
- 7HCC Life Insurance Company$1.1M2 plans · 2.3%
- 8Hartford Life and Accident$1.1M9 plans · 2.2%
- 9Continental American Insurance Company$778K5 plans · 1.6%
- 10Unum Life Insurance Company of America$748K8 plans · 1.5%
Top brokers, skilled nursing, North Carolina
- 1Mosaic Group Services16 plans$119K comp · 30.8%
- 2Gallagher Benefit Services Inc12 plans$239K comp · 23.1%
- 3Marsh & McLennan Agency LLC8 plans$333K comp · 15.4%
- 4James a Scott & Son Inc8 plans$271K comp · 15.4%
- 5Usi Insurance Services LLC5 plans$226K comp · 9.6%
- 6Lockton Companies LLC4 plans$108K comp · 7.7%
- 7Custom Benefit Programs Inc3 plans$380K comp · 5.8%
- 8Hub International Northeast Limited3 plans$237K comp · 5.8%
- 9Ebenconcepts Company3 plans$68K comp · 5.8%
- 10McGriff Insurance Services, Inc3 plans$42K comp · 5.8%
Largest skilled nursing and residential care facilities in North Carolina
| Employer / plan | City | Funding | Participants | Premium | Primary carrier |
|---|---|---|---|---|---|
| Alg Senior LLC Alg Senior, LLC Benefit PlanAll plans | Hickory | Fully insured | 4,231 | $3.7M | Aetna Life Insurance Company |
| Hillco Ltd Hartland Employee Benefit PlanAll plans | Kinston | Mixed | 3,623 | $3.8M | Cigna Health and Life Insurance Company |
| Everyage Everyage Flexible Spending Account PlanAll plans | Newton | Mixed | 939 | $923K | The Lincoln National Life Insurance Company |
| Century Care Management, Inc Century Care Management, Inc. Health PlanAll plans | Cary | Mixed | 751 | $724K | Metropolitan Life Insurance Company |
| Skill Creations of Goldsboro, Inc Skill Creations of Goldsboro, Inc. Health and Welfare PlanAll plans | Goldsboro | Fully insured | 507 | $3.0M | Blue Cross of California |
| Presbyterian Homes Inc Presbyterian Homes Health and Welfare PlanAll plans | Greensboro | Mixed | 481 | $464K | Prudential Insurance Company of America |
| Well-Spring Services, Inc Well-Spring Services, Inc. Welfare PlanAll plans | Greensboro | Mixed | 450 | $538K | The Lincoln National Life Insurance Company |
| Authoracare Collective Authoracare Collective Health and Welfare PlanAll plans | Greensboro | Fully insured | 414 | $5.2M | Blue Cross of California |
| Asai Inc Asai Employee Benefits PlanAll plans | Raleigh | Fully insured | 367 | $2.5M | Cigna Health and Life Insurance Company |
| Peak Resources Inc Peak Resources Inc Health & Welfare PlanAll plans | Cary | Mixed | 313 | $25K | United of Omaha Life Insurance Company |
| Friends Homes, Inc Friends Homes, Inc. Employee Health & Welfare PlanAll plans | Greensboro | Mixed | 293 | $658K | HCC Life Insurance Company |
| Crossnore Communities for Children Crossnore Communities for Children Health and Welfare Benefits PlanAll plans | Crossnore | Mixed | 277 | $202K | American United Life Insurance Company |
| Ridge Care Senior Living, Inc Ridge Care Senior Living, Inc. Employee Benefits PlanAll plans | Kernersville | Fully insured | 269 | $2.0M | Unitedhealthcare Insurance Company |
| Eden Opco Eden OpcoAll plans | Eden | Fully insured | 264 | $4.2M | Unitedhealthcare Insurance Company |
| August Healthcare Management NC LLC August Healthcare Management NC LLC CoreAll plans | Gatesville | Mixed | 242 | $75K | Unitedhealthcare Insurance Company |
Showing 15 of 48 employers. Filter the full list by size, funding, carrier and broker.
Plans by city in North Carolina
- Durham6 plans · 935 participants
- Greensboro5 plans · 1,824 participants
- Chapel Hill4 plans · 905 participants
- Goldsboro3 plans · 724 participants
- Charlotte3 plans · 629 participants
- Asheville3 plans · 238 participants
- Cary2 plans · 1,064 participants
- Raleigh2 plans · 575 participants
- Hickory1 plans · 4,231 participants
- Kinston1 plans · 3,623 participants
- Newton1 plans · 939 participants
- Crossnore1 plans · 277 participants
Frequently asked questions
How many skilled nursing and residential care facilities in North Carolina offer an ERISA health plan?
53 health and welfare plans from 48 skilled nursing and residential care facilities in North Carolina appear in plan year 2024 to 2025 filings on Form 5500, covering 19,714 participants. Plans with fewer than 100 participants that are fully insured do not have to file, so small practices are under-counted.
Which insurance carriers cover the most skilled nursing and residential care facilities in North Carolina?
By Schedule A premium: Blue Cross and Blue Shield of North Carolina (43% of premium, 17 plans), Unitedhealthcare Insurance Company (12% of premium, 4 plans) and Aetna Life Insurance Company and Affiliates (10% of premium, 5 plans).
Which benefits brokers work with skilled nursing and residential care facilities in North Carolina?
By number of client plans: Mosaic Group Services (16 plans), Gallagher Benefit Services Inc (12 plans) and Marsh & McLennan Agency LLC (8 plans). 98% of plans report a broker.
How much do brokers earn on skilled nursing and residential care facilities health plans in North Carolina?
The median brokered plan reports $40K a year in broker commissions and fees, or 8.1% of premium. Figures come from Schedule A, Part I.
Are skilled nursing and residential care facilities health plans in North Carolina self-funded or fully insured?
Mixed 53% and fully insured 47%. Self-funded and mixed plans together make up 53%.
Where does this data come from?
U.S. Department of Labor Form 5500 filings and their Schedule A insurance attachments, latest filing per plan. Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care.
Prospect skilled nursing and residential care facilities in North Carolina
Open the welfare search with North Carolina and this sector prefilled. Narrow by participants, funding type, carrier, broker and broker compensation, then save the view or export it.
Skilled nursing in nearby states
Other healthcare specialties in North Carolina
Source: U.S. Department of Labor Form 5500 and Schedule A, latest filing per plan (plan years 2024-2025). Nursing and residential care facilities (Form 5500 code 623000, which also covers assisted living), plus healthcare employers whose name says nursing or skilled care. Location is the sponsor's filing address in North Carolina.