How to Participate in City Option

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Identify Employees for City Option Contributions:

For Employers complying with the Health Care Security Ordinance (HCSO), determine the Employees to receive contributions to SF City Option. Calculate their payment amount based on the HCSO Employer Spending Requirement.

For Employers using SF City Option to comply with the Healthy Airport Ordinance, make monthly payments on behalf of eligible SFO Quality Standards Program Employees using the current per hour payable rate required by the ordinance.

Log In to the Employer Portal:

The Employer Portal is the web application for employer transactions. Create an account by providing us with your company and contact information.

Submit an Employee Roster:

Inform us about your Employees who will have payments applied on their behalf. Download instructions on how to submit a roster on the Employer Portal.

Make a Payment:

Pay online or by mail. Send a Health Care Payment Confirmation Notice  to Employees if you’re making a payment to SF City Option on behalf of the Employees for the first time. Your payments for each Employee are held in an employer contribution pool until the Employee contacts SF City Option to enroll in SF MRA

What Happens After You Make Your Payment

  • Employee Fills Out SF MRA Enrollment Form

If you’re making a payment to SF City Option on behalf of an Employee for the first time, SF City Option will send the Employee a welcome letter within 1-3 weeks of receiving your payment. The welcome letter includes instructions on how to enroll in an SF MRA. Employees can fill out the SF MRA Enrollment Form or call SF City Option Customer Service for assistance.

  • Employee is Enrolled in a Program

Once enrolled in an SF MRA, your contributions for that Employee will be deposited into their SF MRA within 1-3 weeks.