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2016 San Francisco HCSO Annual Reporting Form Released with a May 1 Filing Deadline

2016 San Francisco HCSO Form Released

If you are a San Francisco employer, you have an extra day to file your 2016 Health Care Security Ordinance (HCSO) Annual Reporting Form.  Since April 30th falls on a Sunday, the due date for this filing is May 1, 2017.

How do you know if you need to file

You are a covered employer and are required to file if you met the following three conditions in 2016:

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

Below are links to the necessary information.

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


Some of the key information required to be completed in the report include:

  • 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 (and dependents) 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 persons and amount spent)
  • Quarterly employer HSA contributions for HCSO covered employees (number of persons and amount contributed)
  • Paid Parental Leave Ordinance survey
  • Fair Chance Ordinance reporting (related to hiring and employment process for individuals with arrest and conviction records)

Covered employers must meet the following obligations:

1.  Satisfy the Employer Spending Requirement by making required health care expenditures 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:

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 (May 1, 2017 for 2016).

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


Karen Hooper

About the author

Karen Hooper

VP, Senior Compliance Manager

Karen Hooper, CEBS, CMS, Fellow, is a Vice President and Senior Compliance Manager working closely with the Lead Benefit Counsel in Newfront's Employee Benefits division. She works closely with internal staff and clients regarding compliance issues, providing information, education and training.


The information provided is of a general nature and an educational resource. It is not intended to provide advice or address the situation of any particular individual or entity. Any recipient shall be responsible for the use to which it puts this document. Newfront shall have no liability for the information provided. While care has been taken to produce this document, Newfront does not warrant, represent or guarantee the completeness, accuracy, adequacy, or fitness with respect to the information contained in this document. The information provided does not reflect new circumstances, or additional regulatory and legal changes. The issues addressed may have legal, financial, and health implications, and we recommend you speak to your legal, financial, and health advisors before acting on any of the information provided.

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