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2018 San Francisco HCSO Annual Reporting Form Released with an April 30 Filing Deadline

2018 San Francisco HCSO Form Released Early

The eagerly awaited 2018 Health Care Security Ordinance (HCSO) Annual Reporting Form has been released earlier than prior years, which means San Francisco employers can get a head start on the reporting process.

The due date for the filing is April 30, 2019.

Who is a Covered Employer?

You are a covered employer and are required to file if you met the following three conditions in 2018:

  • employed one or more workers within the geographic boundaries of the City and County of San Francisco;
  • were required to obtain a valid San Francisco business registration certificate pursuant to Article 12 of the Business and Tax Regulations Code, and
  • employed 20 or more persons worldwide (for profit) or a nonprofit organization that employed 50 or more persons worldwide.

Where can You Find Information on the Reporting?

Below are links to the necessary information.

The penalty for failure to submit the form is $500 for each quarter that the violation occurs.

What Information do You Need to Complete the Form?

  • San Francisco Business Account Number
  • Total number of employees in each quarter (nationwide)
  • Number of employees covered by the HCSO in each quarter (SF only)
  • Total number of HCSO covered employees enrolled in the company’s medical/dental/vision plan in each quarter
  • Total amount of employer-share of medical/dental/vision plan premium paid for all HCSO covered employees (and dependents) in each quarter
  • Quarterly city option contributions (number of employees and amount spent)
  • Quarterly employer HSA contributions for HCSO covered employees (number of employees and amount contributed)
  • Fair Chance Ordinance reporting (related to hiring and employment process for individuals with arrest and conviction records)

What are the Employer Obligations under HCSO?

1) Satisfy the Employer Spending Requirement by making required health care expenditures on a quarterly basis on behalf of all covered employees (generally those who have been employed for more than 90 days, regularly work at least 8 hours per week in San Francisco, and for whom no exception applies) at the following rates:

Employer Size

Number of Employees

2018 Expenditure Rate

2019 Expenditure Rate


100 + employees

$2.83/hour payable

$2.93 per hour payable


Businesses w/20 – 99 employees

Non-profits w/50 – 99 employees

$1.89/hour payable

$1.95 per hour payable


Businesses w/0-19 employees

Non-profits w/0-49 employees



2) Maintain records sufficient to establish compliance with the employer spending requirement

3) Post an HCSO Notice in all workplaces with covered employees
4) Submit the Annual Reporting form by April 30th each year.

Which Employees are Exempt or Excluded from Eligibility under the HCSO?

There are five categories of exempt employees:

  1. Employees who sign a waiver form and voluntarily waive their right to have employers make Health Care Expenditures for their benefit. 
  2. Employees who qualify as Managers, supervisors or confidential employees AND earn more than the applicable salary exemption amount.
  3. Employees who are covered by Medicare or Tricare.
  4. Employees who are employed by a non-profit corporation as a trainee in a bona fide training program.
  5. Employees who receive health care benefits pursuant to the San Francisco Health Care Accountability Ordinance (HCAO)

A Reminder about the Waiver Form

The Employee Voluntary Waiver Form was updated as of November 1, 2017.  This permits employees to voluntarily waive their right to employer health care expenditures under the HCSO.  Employers must use the exact form and may not change the form in any way.

See our previous Compliance Alert for full details on what’s changed with the new waiver form, why employees might sign it, and action items for employers.

For more information on all of the HSCO requirements, check out the SF OLSE’s official HSCO website

For more information, see our ABD 2019 San Francisco Health Care Security Ordinance (HCSO) Guide.

Disclaimer: The intent of this analysis is to provide the recipient with general information regarding the status of, and/or potential concerns related to, the recipient’s current employee benefits issues. This analysis does not necessarily fully address the recipient’s specific issue, and it should not be construed as, nor is it intended to provide, legal advice. Furthermore, this message does not establish an attorney-client relationship.  Questions regarding specific issues should be addressed to the person(s) who provide legal advice to the recipient regarding employee benefits issues (e.g., the recipient’s general counsel or an attorney hired by the recipient who specializes in employee benefits law).

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