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 Benefits make it simple for your restaurant group.
Specialized HCSO Advisory for GGRA Members
Active GGRA members receive preferred access to a complimentary 1-on-1 HCSO analysis to identify opportunities to lower mandated spend, structure compliant plan exemptions, and streamline waiver collection.
Strategic HCSO Exemption Design
Conduct HCSO analysis and implement health plan structures that leverage the latest OLSE exemption rule updates to legally minimize mandated spend.
Automated Waiver Collection
Collect date-stamped benefit declinations and official HCSO employee waivers during enrollment—optimizing compliance without chasing paper forms.
Bilingual Enrollment & Dedicated Support
Streamline onboarding with translated ES/EN portals, in-language video overviews, and 1-on-1 assistance—removing language barriers while elevating employee care.
Payroll & COBRA Integrations
Connect directly with leading payroll providers and COBRA administrators to sync deduction data and automate notices—with access to an extensive marketplace of HR integrations.