Why can't I see my SF MRA payment?

Last updated: November 4, 2026

Applies to: US W-2 employees who work in San Francisco and receive San Francisco HCSO (SF MRA) payments. These payments are a San Francisco requirement for employees, so independent contractors and employees who work elsewhere do not receive them.

Summary: Ascen sends your HCSO payment to the SF City Option once a quarter, after the quarter ends. If we have told you a payment was made but you cannot see it in your SF MRA account, contact the SF City Option, because they run your account and the funds. If you are not sure whether a payment was made for you, or for how much, email support@ascen.com and we will confirm it.

You may see this called

SF MRA, SF City Option, SF HCSO, HCSO payment or health care expenditure. They all mean the same quarterly payment Ascen makes for you because you work in San Francisco.

Do I need a new SF City Option account?

Usually not. You only need to set up your account once, and it is not tied to one employer. If you already have an account from a past employer, your payments from Ascen go to that same account. If you cannot log in to it, contact the SF City Option.

A payment was made, but it is not in my account

Once Ascen has sent a payment, the SF City Option manages your enrollment, your account access and how you use the funds. If you do not see the payment, contact SF City Option customer service:

If they cannot find it, email support@ascen.com. We can confirm whether the payment for that quarter was sent and the amount.

Why you might not have a payment yet

  • You are not eligible yet. Eligibility starts on the first day of the month after you complete 90 days of employment, and you need to work in San Francisco an average of at least 8 hours a week.

  • The quarter has not been paid yet. Payments are made after each quarter ends. Your first payment comes after the end of the quarter your eligibility starts in.

  • You signed the HCSO waiver. If you signed the San Francisco Healthcare Security Ordinance Employee Waiver during onboarding, you opted out of these payments. You can change that going forward.

For the full eligibility rules and how to change a waiver, see Am I eligible for San Francisco HCSO (SF MRA) payments?

Where to get help

  • SF City Option (1-877-772-0415, info@sfcityoption.org): logging in to your account, your balance, and using the funds.

  • Ascen (support@ascen.com): whether you are eligible, whether a payment was made for you and the amount, and your waiver.

Related