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Human Resources - Room 339, Lone Mountain Main
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Wednesday, March 11

San Francisco Healthcare Security Ordinance

USF employees who work in San Francisco, who are not classified as full-time (30+ hours) and who do not have medical coverage as part of their positions are eligible to receive a health care contribution if they meet the eligibility criteria defined under the San Francisco Health Care Security Ordinance (SFHCSO). If you have employer-provided health insurance coverage and would like to waive the University from making this contribution, please review the "How to Waive Coverage" section below.

Custom Benefit Administrators, Inc. (CBA) administers the SFHCSO Reimbursement Plan for USF effective September 1, 2014. All account information and balances from the previous administrator, Beneflex, have been transferred to CBA. Please refer to the helpful links below for more information:

2014 Funds

An important change occurred for health care contributions earned in 2014. As a result of the Affordable Care Act (and also the SFHCSO), the University now makes its 2014 contributions into a Limited Purpose - or excepted benefit - HRA plan, which limits eligible expense reimbursements to:

  • Dental benefits limited to treatment of the mouth
  • Vision benefits limited to treatment of the eye
  • Long-term, nursing home, home health, or community-based care premiums

If you qualify for an expenditure, the University will make a quarterly contribution to the Limited Purpose HRA for up to an on average 20-hour work week.

If you work more than 20 hours per week on average, the contributions for those excess hours will be made on your behalf to the San Francisco City Option. If you qualify for a contribution to the City Option, you will receive a payment confirmation letter followed by an enrollment letter to your home with information about how to apply for Healthy San Francisco, or instructions on how to access your Medical Reimbursement Account (MRA) through the City Option. When you receive the enrollment letter in the mail, respond to it immediately. For more information about the City Option program, call (415) 615-4555 or visit the City Option website.

2012/2013 HRA Funds

In 2012 and 2013, the University remitted health care contributions to a stand-alone Health Reimbursement Account (HRA). Participants could submit eligible medical-related expenses for reimbursement from contributions remitted by the University. If you have funds remaining in your HRA from 2012/2013 contributions, you may continue to use those funds for medical expenses. The changes above affect 2014 contributions and beyond.

Click here for HRA plan information.

How to Waive Coverage

Employees who have employer-provided health coverage as either an employee of another company or as a dependent of another person (i.e., a parent or spouse/partner), may complete and submit a voluntary waiver. If you only have the USF Student Health Insurance Plan, you are not eligible to waive. By having other coverage and by signing the waiver, USF will not need to make a health care expenditure on your behalf. Please submit a waiver form annually via email to Benefits, fax it to (415) 386-1074 or return it to the Office of Human Resources, Lone Mountain Main 339, and receive a credit of 40 Don Dollars.

If you have any questions about the administrator transition or questions in general about the SFHCSO, please email Benefits.