Iowa · IPERS · Retiree health

Health insurance after you retire from IPERS

IPERS (the Iowa Public Employees' Retirement System) pays your pension. Its handbook doesn't describe any retiree health plan. Your school district's group plan is where to look, especially if you retire before 65.

Iowa specificsShort answer: IPERS doesn't provide retiree health insurance or a premium subsidy. Iowa law lets you stay on your school district's group plan, at your own cost, if you retire before 65. Ask your district what that costs. To see the benefit that would pay the premium, use the calculator; the early retirement page shows when you can retire, and Social Security covers the federal side.

What IPERS covers

Whether IPERS offers any retiree health coverage Check with IPERS

No IPERS source we could get says outright that IPERS has no retiree health plan. The handbook lists IPERS's protections as retirement, death and disability benefits only. One IPERS web page that might say more refused our download.

We say IPERS doesn't offer retiree health insurance, and we label it.

What would settle it: https://ipers.org/about/ipers-did-you-know saved by the user, or another IPERS statement.

Staying on your school's group plan until 65

Iowa law, not an IPERS benefit Check with IPERS

Under Iowa law, if your school board provides group health insurance and you retire before 65, it must let you stay on the group plan at your own expense until you turn 65.

The rule as written: Iowa law requires a school board (or county or city) that provides group health coverage to let employees who retire before 65 stay on the group plan at their own expense until 65 (for retirements on or after Jan. 1, 1981). The law says nothing about the cost beyond "at the employee's own expense", so ask your district what you'd pay.

Iowa Code §509A.13 and §509A.1(2)(a)

Questions to ask your district

Your pension doesn't change if you keep or drop district coverage. Estimate it in the calculator, and see Taxes and Social Security.

Common questions

Does IPERS provide retiree health insurance?

IPERS's handbook lists only retirement, death and disability benefits. We found no IPERS health plan or premium subsidy in its publications. Check with IPERS and your employer.

Can I stay on my school's health plan after I retire?

Under Iowa Code 509A.13, if your school board provides group health insurance and you retire before 65, it must let you stay on the group plan at your own expense until 65. Ask your district about the cost.

Source: IPERS Member Handbook, Updated July 2025, p. 3. Also: Iowa Code §§ 509A.1, 509A.13. Last reviewed .