The San Francisco Health Care Security Ordinance (HCSO) requires “covered employers” to make certain health care expenditures for their “covered employees.” If a covered employer does not meet the expenditure requirement, they may need to make quarterly expenditures to the SF City Option. Covered employees must make the quarterly expenditures by the following due dates:
|First Quarter (January 1-March 31)||April 30th|
|Second Quarter (April 1-June 30)||July 30th|
|Third Quarter (July 1-September 30)||October 30th|
|Fourth Quarter (October 1-December 31)||January 30th|
- Covered employers must make quarterly expenditures to the SF City Option if they fall short of the required health care expenditures for their covered employees under SF HCSO;
- Covered employers can make their quarterly expenditures by mail or through the SF City Option Employer Portal by the quarterly due date (April 30th, July 30th, October 30th, and January 30th);
- Covered employers must notify covered employees if they made expenditures to the SF City Option on their behalf.
Frequently Asked Questions
Which employers need to make payments to the SF City Option?
Covered employers must spend a certain amount of irrevocable expenditures on covered employees. Irrevocable expenditures include payments for health, dental, and/or vision insurance and payments into health savings accounts (HSAs). If covered employers fall short of the required expenditures on behalf of covered employees (as calculated by the number of hours a covered employee works, as explained below), they can pay any shortfall to the SF City Option.
For more on covered employers, covered employees, and exemptions, see our blog article.
How much are covered employers required to spend on covered employees?
The amount that is required to be spent on each covered employee is dependent on the size of the covered employer and the number of hours a covered employee works.
Small employers: Employers with less than 20 employees are not subject to HCSO.
Medium employers: For 2020, medium employers are required to spend $2.05 per hour payable (up to $352.60 a month).
Large employers: For 2020, large employers are required to spend $3.08 per hour payable (up to $529.76 a month).
For more on calculating required health care expenditures, see the SF HCSO website.
When must covered employers make quarterly expenditures to the SF City Option?
If a covered employer determines that they are not currently spending enough on their covered employees’ healthcare (this would include premiums paid for medical, dental, and vision insurance, amounts spent on dependents, as well as any HSA contributions made on the employee’s behalf), they would need to make any shortfall payments to the SF City Option on a quarterly basis.
This means that employers must determine expenditure shortfalls on a quarterly basis and make any necessary payments by April 30th, July 30th, October 30th, and January 30th of each year.
How can covered employers make payments through the SF City Option?
Employers can make a payment and submit their employee roster by mail or through the SF City Option Employer Portal. An employee roster consists of the covered employees that the covered employer is making expenditures on behalf of.
Refer to the Employer Portal User Guide for instructions on how to create a SF City Option employer account and how to prepare and submit employee rosters.
Are covered employees required to notify their employees that they made a City Option payment on their behalf?
Yes, a covered employer that makes a payment to the SF City option must provide covered employees with an Employee Health Care Payment Confirmation, which is available in English, Chinese, Spanish and Tagalog.
Employer Action Items
Employers subject to SF HSCO should:
- Determine whether they fell short of the required expenditures for their covered employees at the end of each quarter;
- Determine the amount they need to contribute to the SF City Option (if they fell short that quarter);
- Make a payment and submit their employee roster by mail or through the SF City Option Employer Portal by the applicable deadline; and
- Provide an Employee Health Care Payment Confirmation to any covered employee that they contributed to the SF City Option on behalf of.
- Calculating Employer Required Health Care Expenditures
- SF OLSE: Contributing to the SF City Option
- San Francisco City Option Website
- SF City Option Employer Portal
- SF City Option Employer Portal Instructions
- SF City Option Employer Webinars
- Employee Health Care Payment Confirmation
- Employers can contact SF City Option Program Management at firstname.lastname@example.org or (415)625-4492
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