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
Medical Reimbursement Accounts (for SF MRA and SF Covered MRA)
- MRA Claim Form and Instructions (English)
- MRA Eligible Expense Guide (English :: Chinese :: Spanish :: Tagalog)
- Online Claims Submission User Guide
- Mobile App User Guide
SF Medical Reimbursement Account (SF MRA)
SF Covered Medical Reimbursement Account (SF Covered MRA)
Healthy San Francisco
- Program Information & Enrollment Guide (English :: Chinese :: Spanish)
- Participant Handbook (English :: Chinese :: Spanish)