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A. Overview

Health Care Security Ordinance FAQs
Administrative Code Chapter 14

A. HCSO Overview
B. Covered Employers
C. Covered Employees
D. Calculating Required Health Care Expenditures
E. Making Required Health Care Expenditures
F. Contributing to Reimbursement Accounts
G. Contributing to the City Option
H. Employer Notice-Posting Requirement

I. Employer Recordkeeping Requirements
J. Employer Reporting Requirements
K. Health Surcharges
L. Retaliation Prohibited
M. Filing a Complaint
N. Penalties
O. HCSO and the Affordable Care Act

 

    1. Q: What is the Health Care Security Ordinance? 
    2. Q: What does the HCSO require employers to do?
    3. Q: What types of expenditures can employers make to comply with the HCSO employer spending requirement? 
    4. Q: When did the Employer Spending Requirement of the HCSO take effect? 

 

 1. Q: What is the Health Care Security Ordinance?

A: The Health Care Security Ordinance (HCSO) is a San Francisco law that:

 

2. Q: What does the HCSO require employers to do? 

A: Under the HCSO, all Covered Employers must meet the following obligations:

    • Satisfy the Employer Spending Requirement (ESR) by calculating and making required health care expenditures on behalf of all Covered Employees.
    • Maintain records sufficient to establish compliance with the ESR.
    • Post an HCSO Notice in all workplaces with covered employees.
    • Submit an HCSO Annual Reporting Form to the OLSE by April 30th of each year.

 

3.  Q: What types of expenditures can employers make to comply with the HCSO employer spending requirement?

A: Employers choose how to make the required Health Care Expenditures for their Covered Employees. Common Health Care Expenditures include:

    • Payments for health, dental, and/or vision insurance;
    • Payments to the City Option;
    • Contributions to programs that reimburse employees for out-of-pocket health care costs.

 

4. Q: When did the Employer Spending Requirement of the HCSO take effect?

A: The Employer Spending Requirement took effect for all employers with 50 or more employees on January 9, 2008. The effective date for for-profit employers with 20 or more employees was April 1, 2008.

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Last updated: 1/15/2014 12:23:43 PM