Health Insurance Allowance

Health Insurance Allowance  

The Health Insurance Allowance (HIA) helps offset the cost of premiums for medical, dental, and/or prescription plans. In addition to the allowance, $93.50 may be reimbursed to offset the cost of Medicare Part B.

 

You are eligible for HIA if you are a retired Tier I or Tier II Member who has at least 10 years of SDCERA service credit or a retired Tier I or Tier II Member who is receiving a disability retirement benefit. Monthly allowance amounts range from $200 to $400 based on your years of service credit. When you are eligible for Medicare, the monthly allowance becomes $300 and you will be eligible for  Medicare Part B reimbursement.

 

Medicare Part B Premium - To be reimbursed, you must provide the SDCERA Health Plans Service Center with a copy of both sides of your signed Medicare card showing Part B coverage. Reimbursement begins in the month the SDCERA Health Plans Service Center receives your documentation.

 

To use your HIA to offset the cost of medical, dental, and/or prescription drug plans not sponsored by SDCERA, complete the Health Insurance Allowance Request  form. You must enroll in the program each year to be reimbursed. Please review the Health Insurance Allowance fact sheet below for more information.
 

You may submit your application for a Health Insurance Allowance electronically or by mail.
 

Submitting your HIA form electronically:

  1. Print the Health Insurance Allowance Request form (below).
  2. Complete and sign the form.
  3. Gather and scan the required documentation to a file on your computer desktop.
  4. Visit the “Submit Enrollment Forms” page to submit your completed form and documentation.
     

Submitting your HIA form by mail:

  1. Print the Health Insurance Allowance Request form (below).
  2. Complete and sign the form.
  3. Gather and make copies of the required documentation.
  4. Mail the form and required documents to:
    SDCERA Health Plans Service Center
    PO Box 14464
    Des Moines, IA 50306-3464

 

The SDCERA Health Insurance Allowance can only be applied to a Member's Premium.

Review this chart to determine your monthly allowance:

Years of SDCERA service credit*

Monthly Allowance if not eligible for Medicare

Monthly Allowance if eligible for Medicare

Less than 10 0 0
10 $200 $300

In addition to the allowance, $93.50 may be reimbursed to use toward the cost of the monthly Medicare Part B premium.
11 $220
12 $240
13 $260
14 $280
15 $300
16 $320
17 $340
18 $360
19 $380
20 or more $400

 

*Some exclusions may apply. Certain coverages may be subject to pre-existing exclusion. See policy documents for a complete list of exclusions. Reimbursement options may not be available in all states.

 

1 https://www.uexpress.com/consumer-reports/2016/4/19/is-pet-insurance-worth-the-cost

 

Health Insurance Allowance Request Form

The HIA can only be used to offset the Member's premiums or, after the Member's death, their surviving spouse's premiums.

If you have questions, please contact the SDCERA Retiree Health Program Service Center at 1-866-751-0256 from 5:30 a.m to 6:00 p.m. Pacific Time, M-F.