Employer Resources

SF City Option is one way for employers to comply with San Francisco Health Care Security Ordinance (HCSO) and Healthy Airport Ordinance.

If you’re an employer and you participate in the SF City Option Program, you send payments to SF City Option on behalf of your employees. The program holds the funds until the employee enrolls in SF MRA.

Employees must complete the SF MRA Enrollment Form after you send in your payment. Employees can call SF City Option customer service at 1(877) 772-0415.

Learn more about SF City Option’s SF MRA.

Click here for information on how to participate in SF City Option.

Welcome to SF City Option Guide
This document introduces your employees to SF City Option. It explains the SF MRA program, and how to enroll. We recommend that you provide this notice to employee(s) during new hire orientation when reviewing the health benefits offered by your company.

Click the language-specific option below.

SF City Option Poster
Use this poster to let your employees know about the SF City Option benefit. Hang the poster in an employee break room or office kitchen, email it to remote workers, and/or upload it to where your employees access digital health benefits information.

Click the language-specific option below.

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 that employee. You may deliver this notice to the employee by mail, by email, or in person.

Click the language-specific option below.

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