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Health Care Payment Confirmation

The San Francisco Health Care Security Ordinance (HCSO) requires you to provide an Employee with a Health Care Payment Confirmation Notice after your first payment to SF City Option on behalf of the Employee. You may deliver this notice to the Employee by mail, by email, or in person.

Employer Portal User Guide

The Employer Portal User Guide provides step-by-step instructions on how to create an employer account, and prepare and submit employee rosters.

Materials Available to Employees

View program information provided by the City Option Program to your Employees. You may also provide these materials directly to your Employees.

SF City Option

     • SF City Option Program Finder Form (English :: Chinese :: Spanish :: Tagalog) 

Medical Reimbursement Accounts (for SF MRA and SF Covered MRA)

SF Medical Reimbursement Account (SF MRA)

     • SF MRA Handbook (English :: Chinese :: Spanish :: Tagalog) 

SF Covered Medical Reimbursement Account (SF Covered MRA)

     • SF Covered MRA Handbook (English :: Chinese :: Spanish :: Tagalog)

Healthy San Francisco