What is City Option?

San Francisco’s Health Care Security Ordinance and Healthy Airport Ordinance requires certain Employers operating in San Francisco and at San Francisco International Airport to provide either health insurance or health care expenditures on behalf of their eligible employees.

An Employer participating in the SF City Option Program sends payments to SF City Option on behalf of their eligible Employees. Employees might be eligible for one of three health care programs: SF MRASF Covered MRA, or Healthy San Francisco. The Employee must complete an SF City Option Program Finder Form to find out which program they are eligible for. The Employer’s payments for each Employee are held in an employer contribution pool until the Employee enrolls in an SF City Option health care program.

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Learn more about each SF City Option health care program:
SF MRA, SF Covered MRA, or Healthy San Francisco

Employers: Click here for information on how to participate in the City Option Program.