San Francisco Health Care Security Ordinance (SF HCSO)

Effective January 1st 2022 the SF HCSO requires all employers with more than 20 employees to contribute either $2.20 or $3.30 per hour in addition to their hourly wage depending on how many employees you have. You are also required to perform quarterly/annual reporting that goes beyond the requirements of the ACA. In addition to the HCSO, San Francisco has many other mandated ordinances that require administration such as the Health Care Accountability Ordinance, Minimum Wage Ordinance, Commuter Benefits, Paid Sick Leave and Paid Family Leave.

DVB Insurance Services specializes in working with business to set up and administer specific benefit plans custom tailored for each company allowing them the most cost effective way to comply with the San Francisco Health Care Security Ordinance. We also assist our clients with all of the other SF mandated ordinances.

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The HCSO is a mandatory health care law that ensures SF employees have medical care.  Accordingly, this ordinance applies to all employers with 20 or more employees.  It requires the employer to contribute a set dollar amount for healthcare for each hour worked by their eligible employees.

The San Francisco Health Care Accountability Ordinance (HCAO) requires employers who contracts with the City and County of San Francisco to provide health insurance.  Accordingly, the health insurance must meets a minimum benefit and contribution standard.

The San Francisco Minimum Wage Ordinance applies to any “employer” who directly or indirectly employs someone for two or more hours per week within the geographic boundaries of San Francisco.  Thus, this includes any person, corporate officer or executives, association, organization, partnership, business trust, limited liability company or corporation who directly or indirectly (including staffing agencies), who employs or pays wages to an employee.

The SF ordiance on parental and family leave is similar to California’s family-related leave programs, however, in SF an employee needs only eight hours work per week on a regular basis for six months to be entitled to these mandated employer sponsored benefits (paid time off to bond with new child or to take care of a seriously ill family member).

SF offers employees significantly more paid time off (PTO) than required by state law. Specifically, San Francisco employers with fewer than 10 employees must allow workers to accrue up to 40 hours PTO.  Those employers with 10 or more employees must allow accrual up to 72 hours PTO, which carry over annually if not used.

The San Francisco Commuter Benefits Ordinance (SFCBO) requires San Francisco employers with 20 or more employees to provide commuter benefits.  These benefits should be provided to employees who work an average of at least 10 hours per work week within the geographic boundaries of San Francisco.

Please feel free to call us if you have questions or need assistance with SF Compliance.


Client Testimonial

“I have used Diablo Valley Benefits since 2013 and have never been disappointed with the knowledge and quality of products offered. Our businesses our located in San Francisco, which has a city mandated Health Ordinance that is complicated and expensive for employers. Jerry Raney is very knowledgeable on the SF Health Ordinance and finds the most cost effective and beneficial plans for us to offer to our employees. It has been a pleasure working with Jerry and I highly recommend Diablo Valley Benefits.”
Sandra Fletcher, OwnerFog Harber Fish House, Pier Market, Wipe Out Bar & Grill, Biscoff Coffee Corner