Chamber-Supported Health Coverage
Affordable Health Coverage for Small Businesses
Carolina HealthWorks is an exclusive offering for members of the NC Chamber and its participating local Chambers. By joining forces with other members, eligible companies with 2 to 50 employees can access better rates and broader benefits usually only available to large groups.
Get started
Next Steps for Coverage
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Connect With a Blue Cross NC Representative
Reach out to your authorized Blue Cross NC agent or contact Blue Cross NC for help deciding if Carolina HealthWorks plan works best for your business. Chamber membership is not required for a free, no-obligation quote.
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Determine Eligibility
Carolina HealthWorks is available to eligible businesses with 2 to 50 employees through the NC Chamber and participating local chambers.
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Choose Your Membership Path
Participating Local Chamber
Find Your ChamberRecommended for businesses with an eligible chamber in their community.
NC Chamber Membership
Become a MemberAvailable for businesses without a participating local chamber or those who prefer direct NC Chamber membership.
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Enroll Through Blue Cross NC
Work with your Blue Cross NC representative to complete enrollment.
Who Can Enroll
Carolina HealthWorks plans are available to employers who:
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Are members of the NC Chamber or a participating local Chamber
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Have 2 to 50 eligible employees*
*In accordance with law, companies with two employees are eligible only if the second employee is a non-spouse employee.
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Are headquartered in North Carolina
Are you a Local Chamber of Commerce?
If your organization would like to offer Carolina HealthWorks plans to your members, join the NC Chamber Federation.
Chamber-Supported Health Coverage
Stronger, Better – And Healthier – Together
Coverage You Can Count On
All Carolina HealthWorks plans are administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). With coverage in all 100 counties, Blue Cross NC is the most preferred health insurer among North Carolina companies and employees.1 Blue Cross NC and the NC Chamber have more than 170 years of combined experience supporting North Carolinians. Our expertise means extra peace of mind.
Designed With Your Business –
And Budget – In Mind
Works for business:
- Competitive rates
- Fixed monthly payments
- A variety of plan options
- Easy to manage
Works for employees:
- Affordable coverage
- Broad, nationwide network
- Health & wellness programs²
Get started today
Access Carolina HealthWorks Through Chamber Membership
Businesses can become eligible for Carolina HealthWorks by joining a participating local chamber or the NC Chamber. Chamber membership is not required to connect with an authorized Blue Cross NC representative, get a quote, and determine whether Carolina HealthWorks may be a fit for your business.
- Blue Cross NC Brand Tracking; Burke; November 2024. Data comparison against top competitors that sell across all group markets in NC and considered by Benefit Decision Makers.
- Blue Cross NC offers wellness programs as a convenience to aid members in improving their health; results are not guaranteed. Blue Cross NC may contract with independent third-party vendors for the provision of certain aspects of our wellness programs and is not liable in any way for goods or services received from them. These vendors do not offer Blue Cross or Blue Shield products or services. Blue Cross NC reserves the right to discontinue or change our wellness programs at any time. These programs are educational in nature. They are intended to help members make informed decisions about their health and comply with their doctor’s plan of care. Decisions regarding care should be made with the advice of a doctor.
- Preventive care services, as defined by federal regulations, are covered at no charge in-network. Federally- and state-mandated preventive services are available out-of-network, for which members will pay deductible and coinsurance, plus charges over the allowed amount. Visit BlueCrossNC.com/Preventive for more details.
- Telehealth benefits are available on all plans either from Blue Cross NC or through the provider network. Blue Cross NC provides the telehealth program for our members’ convenience and is not liable in any way for the goods or services received. Blue Cross NC reserves the right to discontinue or change the program at any time without prior notice. Decisions regarding a member’s care should be made with the advice of a doctor. Depending on the plan, selected programs may not be available at this time. Check with Blue Cross NC Customer Service to determine eligibility. Blue Cross NC has contracted with a third-party vendor independent from Blue Cross NC to offer telehealth benefits.
- Blue Cross NC Provider Internal Data: Percentages indicated represent Blue Cross NC’s PPO Network as of May 31, 2024.
- Covered in nearly 200 countries and territories worldwide through the Blue Cross and Blue Shield Association BlueCard program. www.about.geo-blue.com/ (Accessed March 2025).
- Blue Cross NC offers several decision support tools to aid our members in making decisions around their health care experience. These tools are offered for convenience and should be used only as reference tools. Members should consult their own legal counsel, tax advisor or personal physician as applicable throughout their health care experience.
- Blue Cross Blue Shield Association (February 2024). “Blue Facts Sheet 2024” [Fact sheet] (Accessed August 2024).
- Blue365 offers access to savings on items that members may purchase directly from independent vendors, which are different from items that are covered under the policies with Blue Cross NC. Blue Cross and Blue Shield Association (BCBSA) may receive payments from Blue365 vendors. Neither Blue Cross NC nor BCBSA recommends, endorses, warrants or guarantees any specific Blue365 vendor or item. This program may be modified or discontinued at any time without prior notice.
- Members must be at least 18 years old to participate in Blue Rewards activities. Participation restrictions apply based on plan type. Blue Cross NC reserves the right to change or discontinue Blue Rewards at any time, including changing dollar amounts and available rewards, without prior notification. Visit BlueCrossNC.com/BlueRewards for full program terms and conditions.
Benefits are provided by the NC Chamber Benefit Trust, with excess coverage from a licensed insurer. The Trust isn’t backed by a guaranty association but is regulated by the NC Department of Insurance. The NC Chamber is the sponsor and plan administrator of Carolina HealthWorks, which is a self-insured non-plan Multiple Employer Welfare Arrangement. Third-party administrative services are provided by Blue Cross and Blue Shield of North Carolina. The NC Chamber and Carolina HealthWorks are separate entities and do not provide Blue Cross or Blue Shield products or services.
®, SM are marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. U47681, 12/25