NC S218

Lowers the employee threshold for stop loss, catastrophic, and reinsurance coverage regulations from 12 eligible employees to 5 eligible employees, allowing smaller employers to access these insurance products

Amends G.S. 58-50-130(a)(5) governing small employer health insurance carriers and stop loss policy requirements

Maintains existing restrictions on stop loss policies, including the $20,000 minimum annual attachment point per individual (indexed to CPI for Medical Services) and aggregate attachment points of at least 120% of expected claims

Effective October 1, 2025, applying to contracts issued, renewed, or amended on or after that date