What is the San Francisco Health Care Security Ordinance?

The San Francisco Health Care Security Ordinance (HCSO) is a local ordinance that established employer health care related obligations. It requires Covered Employers to meet certain obligations including, but not limited to, satisfying the Employer Spending Requirement (ESR) by making requisite health care expenditures on behalf of their Covered Employees. For more information on what constitutes Covered Employers/Covered Employees, please visit the San Francisco HCSO website.


What do I Need to Know?

The health care expenditure rate varies depending on the size of the employer and increases slightly each year. As of 1/1/2016, the health care expenditure rate for large employers with 100+ employees will be $2.53 per hour payable (up from $2.48 per hour payable in 2015). For small employers with 20 to 99 employees, the expenditure rate will increase to $1.68 per hour payable (up from $1.65 per hour payable in 2015).


More Information

For additional information on the HCSO in general, please visit the OLSE website.


The information and materials on this blog are provided for informational purposes only and are not intended to constitute legal or tax advice. Information provided in this blog may not reflect the most current legal developments and may vary by jurisdiction. The content on this blog is for general informational purposes only and does not apply to any particular facts or circumstances. The use of this blog does not in any way establish an attorney-client relationship, nor should any such relationship be implied, and the contents do not constitute legal or tax advice. If you require legal or tax advice, please consult with a licensed attorney or tax professional in your jurisdiction. The contributing authors expressly disclaim all liability to any persons or entities with respect to any action or inaction based on the contents of this blog.

Bonnie Mangels – Bonnie is the Corporate Counsel and Senior Compliance Manager for Sequoia. When not inundated in paperwork and legal briefs, her interests include arts and crafts, bunnies, and the Bay Area.