Make A Payment

To make a payment, submit your employee roster through the Employer Portal. Be sure to make your payment within the applicable payment deadlines under the San Francisco Health Care Security Ordinance (HCSO). If you have questions about HCSO payment deadlines, contact the San Francisco Office of Labor Standards Enforcement at or visit the HCSO website at:

We offer two ways for you to make a payment:

1.    By Mail

Please generate a statement electronically through the Employer Portal and include the payment stub/remittance advice at the bottom of the statement with your check. Make your check payable to San Francisco City Option. Include the Roster ID Number on the check.

San Francisco City Option
P.O. Box 7720
San Francisco, CA 94120-7720

2.    Online

You can pay online using the following methods:

  • Electronic Funds Transfer: You will need your organization’s bank routing and account number.
  • Credit Card: You will need your organization’s credit card information. Please note if you choose this payment method, you will be responsible for the credit card processing fee of 2.75% (with a minimum charge of $1.95).

After Your Payment

The Health Care Security Ordinance requires you to provide an Employee with a Health Care Payment Confirmation Notice after your first payment to the SF City Option Program on behalf of the Employee. You may deliver this notice to the Employee by mail, by email, or in person.

Download the Employee Health Care Payment Confirmation Notice in English, ChineseSpanish, and Tagalog.