San Francisco Health Care Accountability Ordinance (HCAO) – Updated
· Sep 6, 2022
For specified workers at the San Francisco International Airport, the HCAO was amended in 2020 to include the Healthy Airport Ordinance which has different standards from what is set forth below.
The HCAO requires employers to follow minimum standards with regards to health care. This can be satisfied by the following:
Or
Employers must offer a medical plan that meets the Minimum Standards on the first day of the month following 30 calendar days after the first day of work.
Minimum Standards
Employers must pay 100% of the employee premium and either cover half the out-of-pocket maximum with first-dollar coverage or sponsor an HRA/HSA that will cover that cost.
Or
For every week a Covered Employee works the minimum number of hours, the employer pays the Department of Public Health $6.10 per hour work on an San Francisco related job, to a maximum of $244 per week – updated July 1, 2022
Employers should make payments directly to the covered employees that do not live or work in San Francisco
Or
A covered employee may sign a voluntary waiver form which includes verification from the employee that he/she is receiving medical coverage elsewhere
Note: if the project involves a subcontractor, the subcontractor information form must be completed as the employer is responsible for the subcontractor’s compliance with HCAO.
If you have any questions, call 415-554-7903, email hcao@sfgov.org or visit the HCAO website.
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