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Meeting Employers’ Obligations Under San Francisco’s Health Care Security Ordinance (HCSO)
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NEWS: June 28,2010 The United States Supreme Court today rejected the appeal of the Golden Gate Restaurant Association. The legal challenge to the HCSO is over and the law continues in effect. |
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| The City of San Francisco requires companies with 20 or more employees to meet minimum health care spending requirements. For 2012, Large Employers (100 or more employees) must spend $2.20 per hour on health care for their employees who work in the City. The minimum for Medium-Sized Employers (20 – 99) is $1.46 per hour. Companies with 19 or fewer employees and not-for-profit organizations with 50 or fewer are exempt. |
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Options
Affected companies do, however, have compliance options. The main ways that have been identified for employers to meet their HCSO obligations are : |
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1) paying the City to help fund employees’ membership in Healthy San Francisco,
a City-run managed care program that was also established by the HCSO;
2) paying into City-established and maintained medical reimbursement accounts for their employees;
3) setting up private HRA-type reimbursement accounts;
4) paying for employees’ medical expenses directly; or
5) buying health insurance.
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The first two choices above are referred to as the “City Option”.
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OUR PRIVATE SECTOR COMPLIANCE SOLUTION
The AGU San Francisco Limited Benefit Plan
We have designed a fully-insured limited benefit plan to meet the needs of employers who are subject to the Ordinance and have a total of 51 or more employees on their payroll.
Our plan satisfies a company's HCSO obligations - AT THE MINIMUM COST REQUIRED BY THE LAW.