Large Business Health Insurance

Does your business have more than 50 employees? We partner with businesses to help them offer comprehensive health insurance and benefits packages to employees. Browse our plans and reach out to our trusted local agents, who understand the needs of businesses like yours.

Request Quote Call 605-504-3362 Find an Agent

For businesses with 50 or more employees, offering quality health benefits is essential to attracting and retaining top talent. We work alongside employers to deliver comprehensive health insurance solutions tailored to the needs of their workforce. Browse our plans and connect with our local agents who understand the unique challenges facing businesses in our communities.

States We Serve

Large Group Plans

Avera Health Plans offers flexible plan options to fit your company. Your quote will offer a complete package that can include standard or customized options according to your needs.

Our plan options include the following:

TotalChoice

TotalChoice is a product for small and large employer groups in South Dakota and select northwest Iowa counties. TotalChoice is our PPO plan with the broadest network available, including all of South Dakota's major health systems and many trusted regional providers, along with Avera’s local, community-based providers.

TotalChoice plans also include a travel network, using the UnitedHealthcare Options PPO network for national coverage. Customize coverage by freely mixing and matching existing HMO plans alongside the TotalChoice PPO plan options to give employees maximum freedom and choice of plan types and network options.

Explore TotalChoice

Traditional Plans

Get the flexibility to design and create plans that meet the criteria and needs of your business and employees. These plans are great option for groups wanting a lower monthly premium.

  • Offers both medical and pharmacy benefits with preventive benefits covered at 100%
  • Option to personalize benefits, including Vision and Employee Assistance Program (EAP)
  • Design and create plans that meet the criteria and needs of your business and employees

DirectConnect Plans

  • The DirectConnect network features Avera owned, managed and leased providers and is available to employers headquartered in Aurora, Brown, Clay, Davison, Douglas, Hanson, Hughes, Hutchinson, Lincoln, McCook, Minnehaha, Stanley and Yankton counties in South Dakota – providing access to more than 2,000 providers. This network provides zero out-of-network coverage.
  • Offers no-copay1 visits for primary care, chiropractic, and physical, occupational, and speech therapy services before copays apply. Refer to plan documents for applicable visit limits, benefit details, and exclusions.
  • Network is primarily Avera providers and facilities for cost savings
  • Great for employees who want a more affordable monthly premium

Ultra Plans

  • Offers both medical and pharmacy benefits with preventive benefits covered at 100%
  • Simplified cost sharing with a single office visit copay for covered services provided during a provider office visit.
  • Inclusive office visit copay for most services performed during the visit. Excludes PET, MRI, CT, SPECT, cardiovascular and nuclear medicine services, MRA procedures and specialty medications. Refer to plan documents for benefit details, limitations and exclusions.

MyWeigh Forward

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High Deductible Health Plans (HDHP)

  • Offers both medical and pharmacy benefits once deductible is met with preventive benefits covered at 100%
  • Offers a higher deductible and lower premium than a traditional plan
  • Can be paired with a Health Savings Account (HSA) for tax benefits
  • Great option for group who wants a lower monthly premium
  • Puts employee into the driver’s seat of health care

Value-Added Services

Avera Health Plans offers a variety of value-added services to complement the benefits that group plans provide. Depending on the group plan selected, value-added services may differ.

Value-Added Services for All Large Group Businesses

Your employees receive several value-added services. For example, South Dakota, Iowa and Nebraska large group members receive the following value-added services:

  • ActiveLife fitness membership reimbursement program
  • Employee Assistance Plan (EAP) at no cost
  • Virtual visits for convenient, 24/7 care
  • Well-being services
  • Coverage of heart screenings through Planet Heart and other participating providers

Fitness Center Discount

Through our ActiveLife program, membership discounts at select fitness businesses, such as GreatLIFE Golf & Fitness Club, could be available to your employees.

Virtual Visits

Avera Health Plans Virtual Visits offer convenient, 24/7 access to care from the comfort of your home. In addition to urgent care for common illnesses like the flu or sinus infections and behavioral health support,2 you can now connect with providers for dermatology consultations and lactation guidance.

Virtual visits are available to all members over the age of 2 and can be used anywhere in the United States.

Urgent care and behavioral health visits are covered benefits for most members. Some limitations apply. Dermatology and lactation consultations are available but may not be covered. Standard visit fees may apply.

COBRA Services

Avera Health Plans offers COBRA administration services at no additional fee, if elected. The services provided are compliant with the COBRA/Continuation of Coverage administration requirements.

FSA and HSA Services

Avera Health Plans offers Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) at no additional fee, if elected.

Life Insurance

Four life insurance options are available for purchase to all qualified groups.

Employee Assistance Program (EAP)

The Avera Health Plans EAP offers confidential counseling sessions with a licensed mental health professional at no cost for employees, spouses and eligible dependents.

EAP can help with issues such as parenting, marital counseling, balancing work and home life, depression, anxiety, grief and more.

The three-visit EAP benefit is included in all South Dakota and Iowa large group plans. All group employees and their family members each have access to a total of three EAP visits every year at no cost. These visits are available even if the employee opts not to enroll in coverage from Avera Health Plans.

All groups have the option to expand access with the purchase of a five-visit benefit option. The five-visit benefit is available to the subscriber, spouses and eligible dependents.

When you offer a health insurance plan that helps them move their health forward, you’re investing in your team’s lives and their productivity for your business.

Well-Being Services

Well-being services connect employees with resources to improve or manage their holistic health. Services encourage long-term wellness through engagement opportunities, personalized health plans and education. Health coaches and nurse case managers help identify a clear path to maintain a lifetime of well-being.

As an employer, you have the opportunity to manage health care costs while pinpointing the current and potential care needs of your staff.

Employees benefit from personalized health services, such as:

  • LiveNOW online portal and app
  • Health risk assessments
  • Wellness Challenges
  • Health coaching by referral
  • PerkSpot member discount platform

Explore Well-Being Services

1Refer to plan documents for applicable visit limits, benefit details and exclusions.

2For most members. Some limitations apply.

Where We Offer Business Health Plans

Learn about our 2027 employer plan coverage highlights plus see existing plan options for 2026.

Eastern SD

Eastern South Dakota 

Discover the benefits of our plans if you live in the eastern side of the state.

Eastern SD Options

Western SD

Western South Dakota 

Get strong network options and West River coverage.

Western SD Options

Iowa

Northwest Iowa

We’re happy to serve businesses and their employees in northwest Iowa.

Iowa Options

Nebraska

Northeast Nebraska

Find options for employee coverage in northeast Nebraska

Nebraska Options

Need More Resources?

We have help! Check out these handy options to help you decide what plans and benefits you want for your employees.

Employer Plan Workbook

Your Trusted Partners in Health

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Get Started

Our local team is happy to help make sure you have the right plan for your health care needs and budget.

Request Quote Call 605-504-3362 Find Local Agent