Updates to premium billing for Sanford Health Plan members with IOT, IOX plans

Sanford Health Plan is adjusting the timing of premium billing for off-exchange plans. Effective December 2025 premiums will be billed in advance.

Here’s what members can expect as part of the transition:

• Billing in advance: Premiums will be billed one month in advance.
• This means members will see two invoices in December. Automatic payments will be deducted on Dec. 10 for December 2025 premiums as usual and Dec. 20 for January 2026 premiums.
• Payment due dates: Going forward, automatic payments will be debited on the 20th of the month for the following month’s coverage.

We understand that December is a difficult month to make two premium payments. Members will have the option of turning off the automatic payments for January 2026 premiums; this is the payment scheduled for Dec. 20.

To turn off automatic payments, members can contact customer service at (800) 752-5863. They can then pay January premiums manually any time before Jan. 10, 2026. Members who do not contact customer service are authorizing the automatic Dec. 20 payment.

To reinstate automatic billing for February premiums, members will need submit a new automated clearing house (ACH) authorization form through their agent or directly to Sanford Health Plan by email at SHPBillingandEnrollment@Sanfordhealth.org. To ensure automatic payments are in effect for February premiums, debited on Jan. 20, forms must be on file by Jan. 10.

Members will receive the attached letter and FAQ next week, and we will follow up with them to ensure a smooth transition.

Please reach out to your account manager with questions!