North Carolina Benefits Benchmarks

Real plan data from verified employers in your state

Live Data
652Employers
1,972Plans
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Employee Benefits in North Carolina

Medical plan benchmarks from verified employer data

Live Data

Medical benefits typically represent the largest share of employer benefit spending and are a key factor in employee recruitment and retention.

Our database includes 652 employers in North Carolina offering 1,972 verified benefit plans. PPO plans are the most common (44% of employers), followed by HDHP (39%). Funding approaches are mixed, with fully-insured (49%) and self-insured (41%) both common. Most employers offer three or more plan options to employees (57%).

Medical plan benchmarks include deductibles, copays, coinsurance, out-of-pocket maximums, and employer contribution rates.

652 employers1,972 verified plansUpdated February 2026
In-Network Benefits
LimitedBalancedRobust
Your Plan
Individual Deductible
$736
$2,035
$2,744
$2,03552Bal
Family Deductible
$1,360
$2,786
$5,400
$2,78652Bal
Individual OOP Max
$3,614
$4,419
$6,782
$4,41952Bal
Family OOP Max
$6,883
$10,240
$12,963
$10,24052Bal
Coinsurance
11%
17%
28%
17%52Bal
Primary Care
$20
$36
$45
$3652Bal
Specialist
$43
$60
$74
$6052Bal
Emergency Room
$174
$359
$494
$35952Bal
Urgent Care
$54
$77
$98
$7752Bal

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Also Included in Report
Employee Contributions
Monthly employee premium contributions by tier
Gross Premium Rates
Total monthly premium costs by coverage tier
Prescription Drug Coverage
Rx copays, deductibles, and mail-order options
Full report includes percentile rankings for all metrics

Plan Type Mix

LIVE
PPO44%
HDHP39%
HMO8%
EPO6%

Plan Funding

LIVE
Fully-Insured49%
Self-Insured41%
Level-Funded10%

Plans Offered

LIVE
Three or More Plans57%
Two Plans29%
One Plan14%
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72
Balanced
Sample Report
Sample PPO Gold 1500
Blue Cross Blue Shield · PPO

This plan aligns well with common market practices. Benefits and costs are competitive, providing reliable value that meets typical employer offerings in your segment.

Based on 847 comparable plans
Core Scoring Drivers
In-Network Cost Sharing78Robust

Deductibles and copays rank above market median, offering strong value to employees.

Employee Contributions65Balanced

Contribution levels are competitive with peer employers in your industry.

Premium Rates71Balanced

Gross premiums align with market expectations for comparable coverage.

Plan Types
PPO
42%
HDHP
31%
HMO
18%
POS
9%

% of employers

Plans Offered
2 Plans
38%
3 Plans
29%
1 Plan
22%
4+ Plans
11%

% of employers

Funding Types
Fully Insured: 58%
Self-Funded: 34%
Level-Funded: 8%
Top Performers

Features in top 25% of peers

Individual Deductible82Robust
In-Network Cost Sharing
Primary Care Copay79Robust
In-Network Cost Sharing
Generic Rx Copay77Robust
Prescription Drugs
Individual OOP Max76Robust
In-Network Cost Sharing
Under Performers

Features in bottom 25% of peers

Family Premium18Low
Gross Premium Rates
EE+Spouse Contribution21Low
Employee Contributions
Specialist Copay24Low
In-Network Cost Sharing
Actionable Insight

Family Premium ranks in the 18th percentile. Adjusting employer contribution strategy could improve retention without significant cost increases.

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North Carolina Benefits Landscape

Regional trends and benchmarking considerations

North Carolina employers operate in one of the fastest-growing state economies, with strong technology and financial services sectors driving benefits competition. Our benchmarking data shows North Carolina transitioning from traditional southern patterns toward more competitive offerings as these sectors expand.

Key Highlights

Tech Sector Influence

Technology employers in our database increasingly show benefits patterns similar to other tech hubs, with richer plan designs.

Financial Services Presence

The concentration of banking and financial services employers drives competitive benefits in this sector.

Benchmarking Considerations

North Carolina benefits vary significantly by industry. Technology and financial services show richer patterns than other sectors. Use industry filters when benchmarking.

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Detailed benchmarks, industry breakdowns, and exportable data

Stoploss Plans and Strategues
HSA Accounts and Funding
Employer Contributions as a %
Out-of-Network Benefits
Surcharges and Opt-Outs
Rx-Carve Out Benefits
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