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 an SF Medical Reimbursement Account (SF MRA). The Employee must complete an SF MRA Enrollment Form to find out if eligible for an SF MRA. The Employer’s payments for each Employee are held in an employer contribution pool until the Employee enrolls in an SF MRA.



Learn more about SF City Option’s SF MRA.

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