SFHSCO Alternative Solution

Plan Features Include:

• Matching the 2023 HCSO spend requirement of $2.27 and $3.40 per hour based on employer size

• Meets Minimum Essential Coverage as defined by the ACA​

• Eliminating the $850 CA individual mandate penalty

• Medical Plan uses First health PPO Network of over 6,800 doctors and 11 Hospitals within 20 miles of San Francisco, including Dental & RX Coverage

• Employee Assistance Program and Telemedicine Services included, allowing members to speak to a doctor and obtain prescriptions on the phone 24 hours a day at no cost

• Adhering to the 90-day waiting period and other HCSO guidelines

• ​1 filing to the City of San Francisco’s annual report

• All full time & part time employees are eligible nationwide

• No Medical restrictions

• No Participant fees

• No Pre-authorization required for any procedure

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Fundamental Care Limited Benefit Indemnity Plans offer an exceptional alternative solution to satisfy the San Francisco city option for the Health Care Security Ordinance (HCSO). Our plans provide comprehensive coverage with no medical restrictions or participant fees, ensuring that all full-time and part-time employees are eligible nationwide.