Pension & Benefits News San Francisco issues 2021 employer health care spending rates
Monday, September 14, 2020

San Francisco issues 2021 employer health care spending rates

By Pension and Benefits Editorial Staff

The City of San Francisco has announced the 2021 rates for its employer health care spending law, whereby employers must either contribute a specified amount toward their employees’ health care costs on a regular basis or pay into a city health care fund for San Francisco residents. Beginning January 1, 2021, the health care expenditure rate for employers with 100 or more employees will be $3.18 per hour, and the rate for medium-sized businesses with 20-99 employees will be $2.12 per hour.

The health care expenditures must be made on behalf of employees employed for more than 90 days and who regularly work at least eight hours per week in San Francisco. Businesses with 19 or fewer employees and nonprofits with 49 or fewer employees are exempt.

One way that employers may comply with the HCSO’s spending requirement is by making contributions to the City Option on behalf of their covered employees. Upon contributing to the City Option, employers must provide employees with a one-time Employee Health Care Payment Confirmation.


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