Health Care Benefits

San Francisco’s Health Care Security Ordinance requires businesses with 20 or more workers worldwide (as well as nonprofits with 50 or more workers worldwide) to spend a minimum amount on health care benefits for all covered employees working 8 or more hours per week in the city—after they have completed 90 days of employment.

New Benefit Amounts Starting January 1, 2020

For all covered employees, on a quarterly basis:

  • Employers with 20–99 workers must now spend at least $2.05 on health care benefits for each payable hour.
  • Employers with 100 or more workers must spend at least $3.08 on health care benefits for each payable hour.

In addition to these quarterly health care expenditures, employers must maintain records of the payments and submit an Annual Reporting Form to the Office of Labor Standards Enforcement by April 30th of each year.

What’s on the Horizon for San Francisco?

On July 1, 2020, employers in The City by the Bay will have to pay employees an increased minimum wage, based on an annual increase in the Consumer Price Index. We will be watching for the city’s Minimum Wage notice to be issued prior to the July 1 start. 

We Make Compliance Easy!

Because the City of San Francisco has multiple ordinances that could change at any time, we encourage you to order our City/County Poster 1-Year Plan. Under the plan, you will automatically receive the updated San Francisco poster. And because we provide free poster updates for mandatory changes—no matter how many occur during the 12-month period—you can always count on Poster Compliance Center to keep your business in compliance!