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Health Reimbursement Arrangement

Retiree Medical Grant to Health Reimbursement Arrangement (HRA) Conversion

The County has worked with our largest unions to develop a plan that provides more flexibility and portability to employees when they retire, especially the PEPRA employees.  On December 20, 2022, the Board of Supervisors approved changes to the Retiree Medical Program to address those concerns. The current Retiree Medical Grant (RMG) will freeze on June 15, 2023. Effective June 16, 2023, the County will transition to a more flexible Health Reimbursement Arrangement (HRA) funded by contributions from the County, or other employer as applicable. Unrepresented County employees, eligible employees represented by labor groups that have agreed to this change, and eligible Court employees, will transition from the Retiree Medical Grant to a Health Reimbursement Arrangement (HRA). 

Eligible employees can choose to keep their Grant frozen at its current value or receive a one-time contribution, based on the value of their grant, to their new HRA. Below is a timeline of events and resources to assist eligible employees in making this election. 

The Employee Benefits website ( will have the most up-to-date information, so continue to check back as more details become available.  If you are not sure if this change will impact you, scroll to the bottom of this page, look under the “Tools” tab and click on the link that says “Eligible Classifications” to see the current list of Unions and Bargaining Units that will transition to the HRA.

Click here to see Additional Resources.

Events / Resources:

For more details, you can refer to:

Mid - Late
February 2023
  • Retiree Medical Grant to Health Reimbursement Arrangement self-guided presentation available on Eureka
    • Email from sent out on 2/15/23 to affected employees
  • Frequently Asked Questions (FAQ) posted on the Employee Benefits HRA website 
  • Live Presentations begin in various County locations
  • Registration for live in-person presentations available on the Employee Benefits HRA website
March 2023
  • In-Person and Virtual Presentations Continue
  • Short educational videos will become available on the Employee Benefits HRA website
  • Additional FAQ's posted
April 2023
  • Employee Benefits will email eligible employees link to Decision Portal on April 3, 2023 - Email sent to work email address
  • Time to Make Your Elections  - Decision Portal available through May 18, 2023
May 2023
  • Decision Portal Reminder Communication Sent 
  • Decision Deadline: May 18, 2023
July 2023
  • New HRA Implemented
  • Biweekly County Contributions to Employee's HRA Begin
August 2023
  • Employees Receive MissionSquare Welcome Letters at their mailing address