Health Care Security Ordinance
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The 2021 Annual Reporting Form was due by May 2, 2022. However, the link will remain live through Friday, June 3rd, for late filers. Penalties for late filings are not automatically assessed. 2021 Annual Reporting Form (ARF): Due May 2, 2022 2021 Employer Annual Reporting Form Webinar - HCSO Annual Reporting Form
Self-funded top-offs due February 28, 2022. Employers who used self-funded medical, dental and/or vision plans in 2021 to comply with the HCSO must calculate the actual value of their plans and make top-off payments to their employees, if needed, by February 28, 2022. Self-funded Calculation Instructions and Sample Letter to Employees for 2021
Updated August 6, 2021 - 2022 Health Care Expenditure Rates As of January 1, 2022, the required Health Care Expenditure Rates for large businesses (100+ employees) will be $3.30 per hour. The rate for medium-sized businesses (20-99 employees) will be $2.20. Updated July 19, 2021 - San Francisco Amendment on Telework during Health Order Restrictions The San Francisco Board of Supervisors passed an amendment to the Health Care Security Ordinance (HCSO) on June 22, 2021. The legislation provides HCSO coverage to employees working remotely outside of San Francisco while public health orders recommend that employees work remotely. Note that the City’s June 11th public health order removed the recommendation that employers “allow office employees to continue to work remotely as much as possible.” Unless or until new City health order restrictions are issued, employees working remotely outside of San Francisco are not covered by the HCSO employer spending requirements. Find information on who is covered by the HCSO here.
Overview Under the Health Care Security Ordinance (HCSO), all covered employers must meet the following obligations:
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Statutory Authority
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Advisory: The HCSO Administrative Guidance has not been revised to reflect all of the changes that took effect on January 1, 2017. Certain provisions of this Guidance, therefore, may not be consistent with the Health Care Security Ordinance ("HCSO"), Administrative Code Chapter 14. In particular, no provision of the Guidance should be interpreted to mean that anything other than fully irrevocable Health Care Expenditures can be counted toward the employer spending requirement, as of first quarter of 2017. In any instance where the Administrative Guidance, or the Regulations, conflict with the Ordinance, the Ordinance itself governs and should be followed instead. Contact OLSE for more information. |
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A. Overview |
I. Employer Recordkeeping Requirements |
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Download the full |
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Filing a Complaint
To report a violation of the Health Care Security Ordinance, please complete the HCSO Complaint Form and submit it to the Office of Labor Standards Enforcement, or call (415) 554-7892. |
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Employers covered by the Health Care Security Ordinance are required to submit the Employer Annual Reporting Form by April 30 each year or face penalties of up to $500 per quarter.
2021 Annual Reporting Form (ARF): Due May 2, 2022 2021 Employer Annual Reporting Form Webinar - HCSO Annual Reporting Form |
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San Francisco City Option One way that employers may comply with the HCSO’s spending requirement is by making contributions to the SF City Option on behalf of their covered employees. Employees who receive these contributions will be eligible for:
Upon contributing to the SF City Option, employers must provide their employees with a one-time Health Care Payment Confirmation notice. Employers are also encouraged to display the SF City Option Poster. Download these materials here. To learn more about contributing to the SF City Option, visit www.sfcityoption.org or contact SF City Option at employerservices@sfcityoption.org or (415) 615-4492.
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Health Care Surcharges
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