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 deadline to file the 2023 Annual Reporting Form has passed. It can no longer be submitted.

Special Cases

Self-funded employers

Self-funded employers

Self-Funded Health Plans Webinar and Resources

Employers who had self-funded health plans in 2023 must calculate the value of those plans, and pay any necessary top-offs, by February 29th, 2024. 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 2023 Annual Reporting Form (ARF) is due on May 3, 2024.

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