KAMPANYA
Submit an Employer Annual Reporting Form to OLSE
KAMPANYA
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 deadline to file the 2023 Annual Reporting Form has passed. It can no longer be submitted.Resources
ARF Preview pages
- Preview PDF slides of the 2023 Annual Reporting Form
- Preview PDF slide of the 2023 Annual Reporting Form FCO Only
ARF Written Instructions
ARF Video guide
Recorded instructions on how to submit the 2023 Annual Reporting Form
Special Cases
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:
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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