CAMPAIGN
Submit an Employer Annual Reporting Form to OLSE
CAMPAIGN
Submit an Employer Annual Reporting Form to OLSE
Annual Report Form
Employers covered under by the Health Care Security Ordinance and/or Fair Chance Ordinance are required to submit the Employer Annual Reporting Form to OLSE each year. The 2024 Annual Reporting Form (ARF) is due on Friday, May 2, 2025.Submit 2024 Annual Reporting FormResources
ARF Preview Pages
ARF Instructions
ARF Video Guide
Self-Funded Employers
Self-Funded Health Plans Webinar and Resources
Employers who had self-funded health plans in 2024 must calculate the value of those plans, and pay any necessary top-offs, by February 28th, 2025. Resources for employers are here:
About
Employers covered under by the Health Care Security Ordinance and/or Fair Chance Ordinance are required to submit the Employer Annual Reporting Form to OLSE each year.
The 2024 Annual Reporting Form (ARF) is due on May 2, 2025.
Get help
Health Care Security Ordinance
Email: hcso@sfgov.org
Phone: 415-554-7892
Fair Chance Ordinance
Email: fco@sfgov.org
Phone: 415-554-5192