Increase Access for Small Employers/Insurance.

SB 218 requires insurers in North Carolina to provide stop loss, catastrophic, and reinsurance coverage to small employers (those with fewer than 12 eligible employees) that meet specific minimum standards. It mandates that policies must have a per-individual claim attachment point of at least $20,000 (adjusted annually using medical inflation rates) and an aggregate attachment point of at least $20,000 or 120% of expected claims, whichever is higher. These requirements apply to all new or renewed policies issued on or after October 1, 2025, ensuring small employers receive standardized coverage thresholds. The bill does not restrict insurers from offering additional wellness-focused benefits but sets baseline protections for coverage affordability.