In San Francisco, most employers are required to spend a certain amount of money on their employees' health care each quarter. This requirement, established in 2008 through the Health Care Security Ordinance (HCSO) is enforced by the San Francisco Office of Labor Standards Enforecement (OLSE).

San Francisco employers may choose the City Option to comply with the San Francisco Health Care Security Ordinance (HSCO).

If your employer is making deposits on your behalf through the City Option, there are two ways you can access those deposits;

If you are an employee who lives in San Francisco and you meet all program eligibility requirements, you can enroll in Healthy San Francisco. Your employer payments may result in a 75% discount for you on the Healthy San Francisco program fee.

If you are an employee who does not live in San Francisco or if you don’t meet other Healthy San Francisco program eligibility requirements, the employer payment is applied toward an individual Medical Reimbursement Account that you can use to pay for out-of-pocket qualifying medical expenses.