What is City Option?
San Francisco’s Health Care Security Ordinance (HCSO) requires certain San Francisco Employers to make health care expenditures on behalf of their eligible employees. SF City Option is one option for Employers to satisfy this Employer Spending Requirement.
An Employer participating in the SF City Option Program sends payments to SF City Option on behalf of their eligible Employees. Employees might be eligible for one of three health care programs: SF MRA, SF Covered MRA, or Healthy San Francisco. The Employee must complete an SF City Option Program Finder Form to find out which program they are eligible for. The Employer’s payments for each Employee are held in an employer contribution pool until the Employee enrolls in an SF City Option health care program.
Employers: Click here for information on how to participate in the City Option Program.