FirstCarolinaCare Insurance Company appreciates the value that agents and brokers provide to their clients in the process of purchasing a group health plan. We are happy to work with agents and brokers who are appropriately licensed by the North Carolina Department of Insurance. We’ll work with you, your clients and their employees, educating and encouraging them to take a more active role in their health care coverage.

FirstCarolinaCare markets to groups located throughout many counties in North Carolina, including Moore, Montgomery, Richmond, Scotland, Hoke, Lee, Harnett and Chatham.

A checklist showing the items needed to provide a quote is available by clicking the link below as is the Employer Application form and the Health Questionnaire form. Completed Medical History Questionnaires are required for each requesting employee in the following circumstances: FCC Network - 14 or fewer employees applying for coverage) / PPO network - required for employees when 25 or fewer applying for coverage).

We look forward to the opportunity to work with you and your clients. Contact your local FirstCarolinaCare Insurance Company representative to build a strategy for strengthening your existing accounts and attracting new clients.

• RFP Checklist
• Employer Application
• Census (requires Excel)
• Medical History Questionnaire - 14 or fewer employees
• Medical History Questionnaire - 15 or more employees

To view and download the forms above, you will need Adobe® Reader®. The free download is available at Adobe.com.

For more information or for a free quote, please contact contact us directly at (800) 574-8556 or (910) 715-8100 or via our contact form.