Health Savings Account

As of 1/1/18 Contra Costa County is offering a Health Savings Account (HSA) to be used in conjunction with the new Kaiser High Deductible Health Plan.

Kaiser Brochure (PDF)


With a health savings account, you can take advantage of tax-free contributions, earnings and interest, and withdrawals for your qualified health care costs.

The County will contribute seven hundred and fifty dollars ($750) annually into the HSA for active eligible * employees who are enrolled in the Kaiser Permanente High Deductible Health Plan and have an HSA as of January 1 of the new plan year. This contribution will be made with the February 10 pay for active eligible employees.

* Including: AFSCME, Local 2700, AFSCME, Local 512, CCC Defenders' Association, Deputy District Attorneys' Association, DSA Probation, IFPTE Local 21, IHSS, PDOCC, PEU Local 1, SEIU, Local 1021, Teamsters Local 856, Unrepresented Management, and Western Council of Engineers.

PLEASE NOTE: You cannot be enrolled in a Health Care Spending Account (HCSA) and a Health Savings Account at the same time.

How your HSA works

Once you have enrolled in the Kaiser High Deductible Health Plan (HDHP):

  • You can open an HSA
  • You can make pre-tax contributions to your HSA through your payroll up to the maximum amount allowed by the IRS. For 2024 the annual limit for HSA is $4,150 for self and $8,300 for family. (Employees 55 or older may contribute an additional $1,000 per year).
  • You can use tax-free dollars from your HSA to pay for care for both you and your dependents, to include: Doctor and hospital visits, Prescription drugs, Primary and specialty care visits, X-rays and lab tests, Vision and dental care, for other qualified expenses see IRS Publication 502, Medical and Dental Expenses.

Health Payment Card

Your HSA comes with a convenient debit card that saves you time and paperwork.

Monthly fee

There is a $3.25 fee for your HSA. This is waived when your account balance reaches $2,000.

Mutual Fund Investment

You have the option to invest money from your HSA once your account reaches $2,000. You can choose to invest amounts above $2,000 in your HSA into a selection of mutual fund options.

HSA Contribution Change Form 

Contributions for HSA can be changed at anytime. Please complete the form below and return to EBSU by the 25th of the month to be processed for the next 10th of the month pay.

HSA Contribution Change Form (PDF)