What Fresno County health coverage costs in 2027 — in the County’s and SJVIA’s own numbers.

The Raw Numbers

Everything below comes from published County and SJVIA materials. Where a figure is preliminary, it is stamped — the County’s 2027 contribution is still subject to meet-and-confer, and final deduction tables have not been published.

What the County contributes toward your premium (biweekly, full-time)

Sources: Fresno County employee health plan reference (2026 rate sheets); County of Fresno 2027 offer as reported in County open-enrollment materials. The 2027 figures are the County’s current offer, not a final, agreed rate.

What comes out of your paycheck in 2027 (biweekly employee deduction)

PRELIMINARY — NOT FINAL

Sources: County of Fresno preliminary Plan Year 2027 deduction tables published with open-enrollment materials, October 2026. Preliminary — not final. Final deductions depend on the County contribution agreed for 2027.

Why costs are going up: the SJVIA renewal

Source: SJVIA Plan Year 2027 final renewal.

What else changes in 2027

• Three plans are eliminated. The Anthem EPO Yosemite, Sierra, and Pismo plans end after 2026. They are replaced by two new EPOs: Cypress and Maple.
• High deductibles go up. The 2027 high-deductible plans (Anthem HDPPO and Kaiser HDHP) carry a $3,500 individual / $6,000 family deductible. The 2026 Anthem HDPPO deductible was $3,300 individual.
• The employee-only contribution does not move. Under the County’s offer, the Employee Only contribution stays at $473 — the same as 2026 — while plan costs rose.

Sources: SJVIA Plan Year 2027 final renewal; County of Fresno open-enrollment materials; Fresno County employee health plan reference (2026).

Family coverage vs. a county paycheck

Under the ACA, family coverage is considered unaffordable when the employee’s share of the lowest-cost family plan exceeds 10.22% of household income (the IRS percentage for plan year 2027). Measured against county pay ranges — using salary as the household-income measure for a single-earner family — the preliminary 2027 numbers show:

• On the cheapest family plan (Kaiser HDHP, $398.21 per pay period = $10,353 a year), 121 of 132 SEIU-represented classifications exceed the 10.22% threshold at the midpoint of their pay range.
• On the median-cost family plan (Anthem EPO Maple, $615.21 per pay period = $15,995 a year), all 132 classifications exceed it.
• The cheapest family plan stays under 10.22% only at a salary of $101,306 or more — above the midpoint of nearly every classification in the county salary schedule.
• At the entry step of the lowest-paid classifications, the cheapest family plan takes 28.8% of gross pay.

Sources: Fresno County Salary Resolution, Section 100 (updated August 3, 2026); County preliminary 2027 family-tier deductions; IRS Rev. Proc. 2026-26 (2027 affordability percentage: 10.22%). Analysis covers the 132 classifications in Units 3, 4, 12, 22, and 36.

For Hospitals, Clinics & Care Teams

Fresno County is one of the region’s largest employers, and county employees and their families are your patients. The 2027 numbers on this page land in your facilities long before they land anywhere else — as the follow-up that gets postponed, the prescription that gets split, and the family member who quietly drops off a plan during open enrollment.

What the data means for patient access

• The cheapest family plan in the County’s preliminary 2027 tables costs an employee $398.21 every two weeks — $10,353 a year — before a single claim is filed. At midpoint pay, 121 of the County’s 132 job classifications pay more than the IRS affordability threshold (10.22% of pay) for that plan; on the median-priced family plan, all 132 do.
• When coverage costs cross what a paycheck can carry, open enrollment — which closes November 20, 2026 — is when families make the trade: a cheaper plan with a higher deductible, or no family coverage at all. Either way, the care doesn’t disappear. It arrives later, sicker, and harder to pay for.
• These are the County’s own figures: the County’s contribution offer, the preliminary employee deduction tables, and the San Joaquin Valley Insurance Authority (SJVIA) 2027 renewals, including the Anthem plan’s +21.24% renewal. Figures are labeled preliminary until the County publishes final tables; this page will be updated when it does.

How care teams can use this page

• Financial counselors and patient-access staff: the calculator above prices every plan and tier for each of the County’s 132 job classifications at entry, midpoint, and top pay steps. It takes about a minute and flags when a cost crosses the federal affordability threshold — a useful starting point for coverage conversations during open enrollment.
• Medical social workers and care coordinators: if a patient’s treatment plan depends on a spouse’s or parent’s county coverage, this page shows what that coverage will actually cost the household in 2027, so discharge and follow-up plans can be built on real numbers.
• Community benefit and community health teams: Fresno’s own community health needs assessments rank access to care among the county’s top priorities. Sharing these numbers with the county employees in your waiting rooms is a low-cost way to act on that priority before the November 20 deadline.

Downloads

Waiting-room flyer (PDF, one page)

Prints cleanly in black and white; suitable for waiting rooms, financial-counseling offices, and staff break rooms. A provider outreach letter is available on request.

Every figure on this page comes from a public document — Fresno County Employee Benefits open-enrollment materials and SJVIA renewal documents — and each table carries its source line. This site is an independent information project: it is not a Fresno County website, it is not affiliated with the County or SJVIA, and it collects no data. All calculations happen in the visitor’s own browser.

Email the Board

The Board of Supervisors sets the County’s contribution. This tool drafts a short, factual email using your own numbers. Nothing is sent by this site. The draft is built in your browser; the button below hands it to your own email app, addressed to the recipient you choose — your own district supervisor, all five supervisors, or the Clerk of the Board — and you review and send it yourself. You can also copy the text and send it any other way you like.

Your first name (optional)

Send it to Clerk of the Board My supervisor — District 1 (Pacheco) My supervisor — District 2 (Bredefeld) My supervisor — District 3 (Chavez) My supervisor — District 4 (Mendes) My supervisor — District 5 (Magsig) All five supervisors

Classification

Your annual gross pay ($)

Plan

Coverage tier Employee Only Employee + Spouse / DP Employee + Child(ren) Family

Biweekly deduction ($)

One line in your own words (editable)

Use my calculator numbers

You choose the recipient above. The Fresno County Board of Supervisors: District 1 — Brian Pacheco, District1@fresnocountyca.gov; District 2 — Garry Bredefeld (Chairman), District2@fresnocountyca.gov; District 3 — Luis Chavez (Vice Chairman), District3@fresnocountyca.gov; District 4 — Ernest “Buddy” Mendes, District4@fresnocountyca.gov; District 5 — Nathan Magsig, District5@fresnocountyca.gov. Or send it to the Clerk of the Board of Supervisors, ClerkBOS@fresnocountyca.gov — the email address the County publishes for Board correspondence (County of Fresno, Board of Supervisors proclamation request form, fresnocountyca.gov). Supervisor names and emails verified Oct 21, 2026 from fresnocountyca.gov. The draft is generated fresh on this page each time; this site keeps no copy.