OPPOSE: House Bill 156 and Senate Bill 218 will cause premium increases for small businesses.
The legislation would allow small businesses with just five employees to self-fund their health insurance. Premiums for North Carolina small businesses on the fully insured marketplace are increasing by as much as 19 percent in 2025 due, in part, to businesses moving off the marketplace for “alternative coverage” options such as those created by the legislature reducing small group size from 25 to 12 in 2024.
