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San Francisco Health Care Security Ordinance  (HCSO)

The City and County of San Francisco passed a law in 2006 that established the . Since 2008, most employers with even one employee in San Francisco have had an annual reporting obligation to prove they spend a minimum amount of money on health care for employees.

New final in October 2017 resulted in a new voluntary employee waiver (for those with coverage through another employer), new , and changes for self-funded plan calculations (starting in 2018, must be based on actual expenditures rather than COBRA applicable premiums).

If you contract with the city, county, or airport, also be sure to ask your obÌåÓý Benefits team about the more strict Health Care Administrative Ordinance ().

Which Employers Must Comply?
A has 20+ employees (50+ if non-profit) with one or more working in San Francisco (including telecommuters). Sign up for San Francisco labor updates .

What Must Employers Spend on Health Care to Comply?
Employers satisfy the Employer Spending Requirement (ESR) by and required health care expenditures on behalf of all (those employed 91+ days who regularly work 8+ hours per week in San Francisco).

When and How Do Employers Report?

Every April employers must data from the prior calendar year. The calendar year 2017 is due Monday, April 30, 2018. and a PDF are also available. A held Thursday, April 5, 2018, at 10:00 AM Pacific, will have the recording available on the main
website Monday, April 9, 2018. Employers should for four years.

Please let your obÌåÓý Benefits team know if you have any questions.