Choosing the City Option
One of the ways employers 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. Based on the information you provide about your employees, your contributions will be assigned to Healthy San Francisco or a Medical Reimbursement Account that your employee can use to pay for qualifying health expenses.
Set up a City Option account now »
For employees who are San Francisco residents and who meet program eligibility requirements, employer deposits will be put toward Healthy San Francisco program. Your employees will receive a 75% discount on 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, the money will be deposited into an individual Medical Reimbursement Account that can be used to pay for out-of-pocket medical expenses.
For more information on Healthy San Francisco eligibility rules and other requirements, please visit the Eligibility Section of this website.
Make sure you have updated and accurate contact information on your employees such as full name, residential address, date of birth, telephone number, etc. If any of the information submitted by you differs from information obtained from your employee, it could significantly delay your employee’s receipt of benefits.









