How to Participate in SF City Option

Identify Employees for City Option Contributions: Employers complying with the Health Care Security Ordinance (HCSO) and the Healthy Airport Ordinance (HAO) use the guidance in these laws to determine employees who will receive contributions to SF City Option.

Log In to the Employer Portal: The Employer Portal is the web application for employer transactions. Employers can create an account here by providing company and contact information.

Submit an Employee Roster: Employers must submit a roster of employees who will have payments applied on their behalf. Download instructions here.

Make a Payment: Employers can make the required payments online or by mail. Find payment instructions here.

Your payments for each employee are held until the employee contacts SF City Option to enroll in SF MRA.

Help get Employees enrolled: Employers help their employees complete enrollment by providing the “Welcome to SF City Option” information and a Health Care Payment Confirmation notice to their employee if making a payment to SF City Option on behalf of the employee for the first time. Download the notice here.

Employers can also display the SF City Option poster to remind employees about the benefit.

Employers can contact SF City Option at 1(415) 615-4492 any time to find out which employees still need to complete their enrollment form.

What Happens After You Make Your Payment into SF City Option

  • SF City Option mails a Welcome Packet

If an employer is making a payment to SF City Option on behalf of an employee for the first time, SF City Option will send the participant a welcome letter and enrollment form within 1-3 weeks of receiving your payment. The welcome letter details how to enroll in an SF MRA. Employees can fill out the SF MRA Enrollment Form or call SF City Option Customer Service at 1(877) 772-0415.

  • Participant enrolls

Once an employee enrolls in SF MRA, the contributions will be deposited into their SF MRA within 1-3 weeks.