SF City Option: The City Option Program is one option for Employers to satisfy the Employer Spending Requirement of the San Francisco Health Care Security Ordinance (HCSO) or the Healthy Airport Ordinance (HAO).
Covered California: Covered California is a health insurance marketplace that allows Californians to compare, choose, and enroll in health insurance plans. Individuals with household income between 138% and 400% of the Federal Poverty Level may be eligible for tax credits to help make their health insurance more affordable.
Eligible Health Care Expenses: Health care expenses that are eligible for reimbursement from an SF MRA.
Employee Health Care Payment Confirmation: The Health Care Security Ordinance requires Employers participating in the City Option Program to provide an Employee with an Employee Health Care Payment Confirmation Notice after the Employer’s first payment to the City Option Program on behalf of the Employee.
Employer Spending Requirement: The Employer Spending Requirement of the Health Care Security Ordinance requires that a Covered Employer make minimum health care expenditures for each Covered Employee. The minimum health care expenditure amount is determined quarterly by multiplying the total number of hours paid to the Employee by the applicable health care expenditure rate.
Employer Portal: The Employer Portal is a web application for Employers participating in the City Option Program to submit rosters that identify the Employees who will have health care payments applied on their behalf.
Health Care Security Ordinance: The San Francisco Health Care Security Ordinance (HCSO) requires Covered Employers to satisfy an Employer Spending Requirement by making health care expenditures for their Covered Employees, among other reporting and notice requirements. The San Francisco Office of Labor Standards Enforcement is responsible for enforcing the employer requirements of the HCSO.
Healthy Airport Ordinance: The San Francisco Healthy Airport Ordinance (HAO) requires Covered Employers to provide employees covered by SFO’s Quality Standards Program with family health insurance that meets the compliance requirements at no cost to the employee or pay a specified amount on behalf of the employee to SF City Option. Employers may choose which option they use to comply. The San Francisco Office of Labor Standards Enforcement is responsible for enforcing the employer requirements of the HAO.
Medical Reimbursement Account: Funds in a Medical Reimbursement Account (MRA) can be used for eligible health care expenses incurred by the Employee, the Employee’s spouse or domestic partner, and the Employee’s dependents. For a complete list of health care expenses eligible for reimbursement see the guide.
MRA Claim: An Employee with a Medical Reimbursement Account may submit claims for reimbursement of eligible health care expenses.
Office of Labor Standards Enforcement: The San Francisco Office of Labor Standards Enforcement is responsible for enforcing the Employer requirements of the Health Care Security Ordinance and Healthy Airport Ordinance.
San Francisco Department of Public Health (SFDPH): SFDPH is a government entity run by the City and County of San Francisco. San Francisco Health Plan is the third-party administrator of SF City Option, and SF MRA on behalf of SFDPH.
SF MRA Enrollment Form: A form submitted by Employees to determine if they are eligible for and open an SF MRA with SF City Option. An Employee may be eligible if their Employer has made payments on their behalf to our program.
SF MRA: A program from the City and County of San Francisco that allows eligible employees to get reimbursed for their and their family’s eligible health care expenses. Funds in an SF MRA may be used for eligible health care expenses. For a complete list of health care expenses eligible for reimbursement see the guide.