South Dakota Self-Insured Employers Plan for Managed Care is a health care plan designed for businesses with more than one employee. This plan is an alternative to traditional health insurance, as it allows employers to self-insure their employees and manage their own health care costs. This plan offers comprehensive coverage for medical, mental health, vision, and pharmacy services. It also provides preventive care, managed care services, and cost-sharing arrangements. There are two main types of South Dakota Self-Insured Employers Plan for Managed Care: the Fully Insured Plan and the Self-Insured Plan. The Fully Insured Plan is a traditional employer health insurance plan that requires the employer to pay a fixed premium to a third-party insurance company. The Self-Insured Plan allows the employer to set aside funds to pay for health care costs directly. Both plans provide the same level of coverage, however, the employer is responsible for setting up the plan, managing the costs, and administering the services. This plan is only available to employers in South Dakota.