Choosing the City Option
One of the ways you can comply with the Health Care Security Ordinance is by making payments to the City Option.
The City Option allows you to deposit money with the City on behalf of your employees that will be used to fund health care for your employees. Your employees will be given either Healthy San Francisco or a Medical Reimbursement Account, based on the information you provide. For more information on Healthy San Francisco eligibility rules and other requirements, please visit the Eligibility Section of this website. If your deposits are assigned to Healthy San Francisco and your employee is deemed ineligible for that program at the time they apply, your employee may request that the funds be transferred to a Medical Reimbursement Account.
For employees who are San Francisco residents, the money will be put toward the Healthy San Francisco program. Your employees may receive a 75% discount on quarterly program participation fees if they qualify for Healthy San Francisco.
For employees who are not San Francisco residents or who otherwise don’t qualify for Healthy San Francisco, at the employee's request the money may be deposited into an individual Medical Reimbursement Account that can be used to pay for out-of-pocket medical expenses.
