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2014 Healthcare Expenditure Rates Under the San Francisco Healthcare Security Ordinance (HCSO)

Overview The San Francisco Healthcare Security Ordinance (HCSO) was enacted early in 2008 to provide those individuals who work in San Francisco and qualify as an employee entitled to minimum wage with access to affordable healthcare by mandating the creation of a Health Access Program that provides services to the uninsured. Healthcare Expenditure Rates The HCSO requires Covered Employers to spend a minimum amount of money each quarter on their Covered Employees’ healthcare. The new rates take effect January 1, 2014.

Employer Size (counting all employees, worldwide) 2013 Expenditure Rate 2014 Expenditure Rate
Large All employers w/100+ employees $2.33 per hour paid $2.44 per hour paid
Medium Businesses w/20-99 employees Nonprofits w/50-99 employees $1.55 per hour paid $1.63 per hour paid
Small Businesses w/0-19 employees Nonprofits w/0-49 employees Exempt from coverage Exempt from coverage

Please Note: For details about these and other requirements, see our Frequently Asked Questions, review our other resources, or contact the OLSE at hcso@sfgov.org or (415) 554-7892. Additional information on the San Francisco Healthcare Security Ordinance may be found at www.sfgov.org/olse/hcso.

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