Iowa Insurance Division

The Iowa Insurance Division, operating as the Iowa Department of Economic Development-Workforce, is a state government entity and a child entity of the Iowa Department of Agriculture that acts as a prime recipient of federal grants focused on Medicare enrollment assistance, senior health insurance counseling, and Medicare fraud prevention — operating with no federal contract prime awards and no subcontract work.

The Iowa Insurance Division serves as the prime recipient of federal formula grants and cooperative agreements from the Department of Health and Human Services Administration for Community Living (ACL) and the Centers for Medicare and Medicaid Services, with 100% of recent awards delivered as prime grants or agreements (no sub-awards). The division's federal grant portfolio centers on three core programs: the Senior Health Insurance Information Program (SHIIP), which provides free objective counseling services to Medicare beneficiaries statewide; the Medicare Enrollment Assistance Program (CFDA 93.071), which funds enhanced outreach to eligible Medicare beneficiaries regarding preventive, wellness, and limited-income benefits; and the Senior Medicare Patrol (SMP), a volunteer-driven fraud-prevention program operating in partnership with 126 sponsor organizations and more than 700 volunteers statewide. The division manages approximately 55,000 Medicare beneficiary client contacts annually through one-on-one enrollment counseling, community outreach campaigns, disease prevention and wellness promotion, assistance with Low-Income Subsidy and Medicare Savings Program applications, and fraud awareness and casework support.

Customer concentration is pronounced: the Department of Health and Human Services Administration for Community Living accounts for 95% of recent awards (16 of 21 total awards), with the Centers for Medicare and Medicaid Services accounting for the remaining volume. Recent awards include a $348,909 Medicare Enrollment Assistance Program formula grant awarded September 1, 2026, running through August 31, 2028; a $299,291 formula grant awarded September 1, 2025, through August 31, 2027; and a cooperative agreement dated April 1, 2025, through March 31, 2030, for expanded SHIIP services and outreach. The Iowa Insurance Division also operates a Senior Medicare Patrol cooperative agreement awarded June 1, 2023, running through May 31, 2028. Activity has been modest and episodic — two awards in 2022, one each in 2023 and 2024, two in 2025, and one in 2026 — with three awards reaching ultimate completion within the next twenty-four months, creating recompete exposure in the Medicare enrollment and fraud-prevention space.