What Employers Should Know About the SF Health Care Security Ordinance (HCSO)

San Francisco has many unique ordinances that affect employers of all sizes – it’s almost too hard to juggle compliance. One unique ordinance in San Francisco is the San Francisco Health Care Security Ordinance, or HCSO. This ordinance requires employers with a total of 20 or more employees worldwide to contribute to a healthcare plan for employees who work an average of 8 hours per week in San Francisco and who have been employed with the company for more than 90 days. For every hour worked, the employer must put aside a specific dollar rate:

2019 Exemption Threshold: managerial, supervisory, and confidential employees who earn more than $100,796 (or $48.46/hr) are exempt.

In addition to setting aside a dollar amount per employee, there are other obligations under the HCSO that employers must meet.

  1. Maintain records enough to establish compliance with the employer spending requirement
  2. Post the HCSO Poster in all workplaces with covered employees
  3. Submit an Annual Reporting Form to the OLSE by April 30 every year


If employers fail to submit the annual reporting form by April 30, fines of up to $500 per quarter will be assessed. To avoid being penalized, it is imperative that employers submit this reporting form on time.

How Payroll Systems Can Help

Since 2009, Payroll Systems has been helping SF employers save money and comply with the HCSO. We can track, calculate, and provide a report for you to submit. Get in touch with us about our HCSO reporting services by filling out the form below!

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