Open Enrollment for 2027 Benefits is Oct. 13 - Nov. 6, 2026

Open Enrollment is your opportunity to make/change your plan elections, add/drop dependents for the upcoming year, and change your monthly sick leave usage (for some groups). You will be able to make changes October 13th through November 6th, with a January 1, 2027 effective date. 


2027 Retiree Benefits Guide & Rates


Open Enrollment Resources for Retirees

County of San Mateo Retirees Open Enrollment page

Visit benefits.smc-hr.org/retirees/ for webinars schedule and see resources from our Benefit Providers .


What's New for 2027?

Aetna HDHP & Kaiser HDHP Plans
 

Changes to Deductible and Out-of-Pocket Limits for High Deductible Health Plans.

If you are enrolled in either Aetna OAMC PPO HDHP or Kaiser HDHP plans, the individual minimum deductible will increase from $1,700 to $1,750 for 2027. For Family, or individual with a family, it will increase from $3,400 yo $3,500.

Please refer to our 2027 Benefits Guide for Retired Employees for complete details.


HOW TO PROCESS YOUR OPEN ENROLLMENT

STARTING OCTOBER 13, 2026

The Open Enrollment Form will be available online at smcgov.org/hr/OE-1

Please email or fax ONLY if making changes.

(SENDING VIA USPS MAIL MAY CREATE DELAYS)

  • All open enrollment changes must be submitted to our office no later than Friday, November 6, 2026.
  • If changing plans or adding a new Medicare dependent: Medicare recipients must complete all information requested and submit the OE form with a Copy of Medicare Card(s)
  • All changes effective JANUARY 1, 2027.

You will receive a postcard or email confirming receipt of your enrollment change form


ADDITIONAL RESOURCES

Open Enrollment Lunch and Learn Webinar Series

Benefits & Wellness partners will be hosting 30-minute Information and Q&A sessions throughout the Open Enrollment period. Retirees can get answers to benefits & wellness questions directly from the carriers and participate in our wellness sessions.

DateTimeTopic
Tues, Oct 13, 2026
 
12:30pm –1:00pmKaiser Senior Advantage Medicare Plan
Wed, Oct 14, 2026 
 
12:30pm - 
1:00pm
Forest Therapy: An Intro to the Practice, the Science, and the Health Benefits (Virtual Fair)
Wed, Oct 14, 2026 
 
1:00pm - 
1:30pm
Aetna Commercial Plans for Early Retirees (under < 65yo) (Virtual Fair)
Wed, Oct 14, 2026 
 
1:30pm - 2:00pmOverview: United Healthcare Medicare Advantage Plan (Virtual Fair)
Wed, Oct 14, 2026 
 
1:30pm - 2:00pmSeated Workouts in the Wild (Virtual Fair)                                                                                               
Fri, Octo 16, 2026
 
12:30pm - 1:00pmVSP Vision Plans for Retirees
Mon, Oct 19, 2026
 
12:00pm –12:30pmCigna Dental Plans for Retirees
Tues, Oct 20, 2026
 
12:00pm - 12:30pmKaiser Insurance Plans for Early Retirees (Under < 65yo)
Wed, Oct 21, 2026 
 
11:00am - 
11:30am
Band Together: Exercise Band Workouts for Strength, Flexibility, and Mobility (In-Person Fair)
Wed, Oct 21, 2026 
 
12:30pm - 
1:00pm
Forest Therapy: An Intro to the Practice, the Science, and the Health Benefits (In-Person Fair)
Wed, Oct 21, 2026 
 
1:00pm - 1:30pmUnited Healthcare Medicare Advantage Plan for Retirees (In-Person Fair)                                          
Wed, Oct 21, 2026 
 
1:30pm - 2:00pmPosture Workshop for Injury Prevention (In-Person Fair)                                                                   
Thurs, Oct 22, 2026
 
12:30pm – 1:00pmAetna Commercial Plans for Early Retirees (Under < 65yo)
Fri, Oct 23, 2026
 
10:00am - 11:00amOverview: United Healthcare Medicare Advantage Plan
Fri, Oct 23, 2026
 
12:30pm - 1:00pmGut Health 101: A Healthy Tummy Makes a Happy Brain
Tues, Oct 27, 2026
 
12:00pm - 12:30pmWhat is Pre-Diabetes and Diabetes
Wed, Oct 28, 2026
 
12:00pm - 12:30pmCholesterol: The Good, the Bad, and the Strategies
Tues, Nov 3, 2026
 
12:30pm - 1:00pmResilience in Times of Change
Wed, November 4, 2026
 
12:00pm -12:30pmMyofascial Release: Self-Massage Therapy for Relief, Recovery & Relaxation
   

The schedule along with more information about these sessions will be available at:

benefits.smc-hr.org/retirees/


Online 2027 Rates and Benefits Guides

For additional information including the 2027 Benefits Guides and Rates, please visit the Benefits Website at: hr.smcgov.org/oe-retiree

Contact Benefits Staff

Email us at benefits@smcgov.orgor call 650-363-1919  Monday – Friday, 8:00am - 5:00pm

*** Please allow up 2 business days for an email response