San Francisco HCSO Rates Rise ~9% in 2027
Are you still paying hour-by-hour or missing voluntary waivers?
Official Health Care Expenditure rates released by the San Francisco Office of Labor Standards Enforcement (OLSE):
| Employer Size | Workers (Worldwide) | 2026 Rate | 2027 Rate |
|---|---|---|---|
| Large | 100+ workers | $4.11 / hr |
$4.49 / hr
+9.2%
|
| Medium | 20–99 workersNonprofits w/ 50–99 | $2.74 / hr |
$2.99 / hr
+9.1%
|
| Small | 0–19 workersNonprofits w/ 0–49 | Exempt | Exempt |
There are only two legal levers to reduce your mandatory HCSO expenditure: collect official voluntary waivers or qualify for exemptions.
Let Coveside make it simple for you.
Experience Powerful Client Value with Our Digital Portal
Modernize your business operations with a single, intuitive platform built for seamless bilingual enrollment, automated compliance tracking, and extensive payroll & COBRA integrations.
Bilingual Enrollment & Virtual Support
Self-guided English and Spanish enrollment paired with 1-on-1 virtual support whenever staff need extra guidance. Language friction disappears—saving management admin hours while elevating the employee experience.
Automated Voluntary Waiver Collection
Collect date-stamped electronic waivers automatically during onboarding and benefit enrollment to protect your business during OLSE audits without chasing paper forms.
Expert HCSO Exemption Design
We consult on and architect health plan structures that unlock eligible city exemptions—preventing duplicate expenditures on mandatory city contributions.
Payroll & COBRA Integrations
Connect seamlessly with leading payroll providers and COBRA administrators to sync deduction data and automate qualifying event notices. Access optional marketplace integrations that your business needs most.