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Lifeline Assistance Program

Premier Communications participates in the Lifeline Assistance program. The Lifeline Program is a federal program that provides a monthly benefit on home phone or broadband services to eligible households.

About the Program

Lifeline is a program that assists qualified, low-income Iowans by providing a monthly reduction of $9.25 on participants’ local telephone bill or Broadband Internet Access Service (“BIAS”) bill.

Lifeline Requirements

You may only receive low-income assistance from one wireline or wireless telephone provider, or one BIAS provider per household.*

In addition, you must not currently be receiving Lifeline assistance and no other person in your household* can be subscribed to the Lifeline program.

*A “Household” is defined as any individual or group of individuals who are living together at the same address as one economic unit. An “economic unit” consists of all adult individuals contributing to and sharing in the income and expenses of a household.

Eligibility

To be eligible for Lifeline assistance you must fulfill one or both of the following criteria:

  1. You must meet income-based criteria currently defined as - at or below 135% of the Federal Poverty Guidelines (see table below).
  2. Participate in at least one of the following programs:
    • Medicaid
    • Supplemental Nutrition Assistance Program (SNAP)
    • Supplemental Security Income (SSI)
    • Federal Public Housing Assistance
    • Veterans and Survivors Pension Benefi

Benefits

Lifeline discounted benefit options

Voice Services
  • A home landline telephone service
  • Wireless (cell-phone) voice plan – 500 minutes per month
Internet/Data Services
  • Wireless (cell-phone) Data Plan – 500 MB per month at 3G speeds
  • Home Internet service – 15 mbps/2 mbps (download/upload) speeds for home Internet plans
*Only one benefit is available per household; either phone service (home or wireless) or internet (home or mobile), but not both.

135% Federal Poverty Guidelines Chart

Number of people living in home Household Income (at or below)
1 $16,389
2 $22,221
3 $28,053
4 $33,885
5 $39,717
6 $45,549
7 $51,381
8 $57,213
For each additional person $5,832

Apply for Lifeline

Get started with the application process.

Step 1: Determine if you qualify for the Lifeline Assistance program based on the Eligibility requirements

Step 2: Complete the Lifeline Application form, the Lifeline Program Household Worksheet and include any supporting documents

Step 3: Mail or drop off the completed forms and any supporting documents to Premier’s Sioux Center office.

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Application Checklist

You will need the following items to apply for Lifeline Assistance:

A signed and completed Lifeline assistance certification form.

Download Certification Form: English | Spanish

A signed and completed Lifeline Program Household Worksheet.

Download Worksheet: English | Spanish

A copy of one of the following documentations (if applicable) or supporting documentation of program-based eligibility if applying based on participation in any programs:

  • Last year’s federal or state income tax return
  • Current annual income statement from employer
  • Paycheck stubs for most recent three consecutive months
  • Social Security statement of benefits
  • Veterans Administration statement of benefits
  • Retirement or pension statement of benefits
  • Unemployment or worker’s compensation statement of benefits
  • Letter of participation in general assistance
  • Divorce decree or child support documentation

Acceptable documentation of program eligibility includes the current or prior year’s statement of benefits from a qualifying assistance program, a notice, letter or documents of participation in a qualifying assistance program, or another official document demonstrating that you, or one or more of your dependents, or your household receives benefits from a qualifying assistance program.

Do you have questions about what documentation is needed for your situation? We can walk you through what is needed.

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Federal law requires your provider to review and securely retain this documentation. Federal law also prevents your provider from sharing these documents with unauthorized persons.

Lifeline Recertification

Yearly re-certification is mandatory for those that wish to continue with the Lifeline program.

For those already participating in the Lifeline program, re-certification forms are automatically mailed to all subscribers every year. These forms will come from USAC (Universal Administrative Company), the company that administers Lifeline benefits. When you receive a re-certification form, a 60-day recertification window is initiated that includes the following:

  • A notification letter regarding recertification requirements
  • A barcoded copy of FCC Form 5630 Annual Recertification From

There are 3 methods you can use to recertify: 1) Paper Recertification Form, 2) Interactive Voice Response, and 3) Recertifying online. The forms that initiate the recertification window will include all of this information.

If you choose to use the Paper Recertification Form, please sent the forms back to USAC within the 60-day window, using the return envelope they provide.

Premier Communications is required to suspend your eligibility for low-income assistance if you do not return the re-certification form.

Get More Information

For more information and specifics, visit the official Lifeline Support website.

Revised January 2017, based on Federal Government Lifeline Program for Low-Income Telephone or Broadband Internet Access Service Assistance guidelines, courtesy of The Iowa Communications Alliance and Premier Communications.