Office of Business Opportunity

Pay or Play (POP) Forms

On July 1, 2007, the Pay or Play (POP) program was implemented by the Mayor, through Executive Order 1-7, in an effort to promote a work environment that supports a quality workforce for employees working on City contracts, and to enhance fairness in the City’s bidding process for contracts.

It is the policy of the City of Houston to require certain contractors to either; contribute a designated amount to be used to offset the costs of providing healthcare to uninsured people in the Houston/Harris County area (PAY), or to require certain contractors to provide to certain employees a minimum level of healthcare benefits (PLAY). The Office of Business Opportunity serves as the Administrator of the POP program. Please view the POP Presentation and Pay or Play Program Requirements for more details about the program.

For questions or more information regarding the POP program please contact Gracie Orr at 832.393.0633. If you already know which department will be administering your contract, we strongly encourage you to call that department’s POP liaison for information & questions.

The documents below are in .pdf.

Reports

Pay or Play Links

POP Forms FAQs (.pdf)

Pay or Play (POP) Forms

POP-1. Pay or Play Acknowledgement 

Contractor acknowledges POP Program and agrees to comply if they are the successful bidder

Filled out and submitted with bid packet by all contractors and subcontractors that are bidding on a contract that requires them to comply with POP.

POP-2. Certification of Compliance with Pay or Play Program

Contractor chooses how they will participate in the POP Program

Filled out and submitted by the successful bidder (Contractor& Subcontractor).

 POP-3. List of Participating Subcontractors

List of all subs participating on the project.

Filled out and submitted by the successful bidder (Contractor).

POP-4. Contractor / Subcontractor Waiver Request

Used as a request for a particular contract that qualifies for a waiver. (Waived upon OBO approval)

Filled out and submitted by the contracting Department only.

POP-5. Contractor / Subcontractor Reporting Form (Pay Option)

Report for a contractor that will be participating in the “Pay Option” (Report certain employees not covered on the contractor’s employee health benefit plan)

Filled out and submitted on a monthly basis by the contractor/subcontractor to monitor POP compliance

POP-6. Department Quarterly Update

Report of current POP Contracts (COH Department use only).

Filed out and submitted by the Department POP Liaison on monthly bases.

POP-7. Contractor/Subcontractor Reporting Form (Play Option)

Report for a contractor that will be participating in the “Play Option” (Report employees that will be  covered on contractor’s employee major health benefit plan)

Filled out and submitted on quarterly bases by the contractor/subcontractor.

POP-8. Employee Waiver Request

A request that an employee be waived from the POP Program requirements. Provides a possible exemption for certain employees that are offered health benefits, but refuse the offer.

This form will be completed in its entirety by the contractor or subcontractor and employee; and also notarized. (Waiver granted on OBO approval)

POP-9. City of Houston Pay or Play Self-Insured Request

A form for a contractor that is requesting to be considered a self-insured company (Granted upon OBO approval)

Filled out and submitted by the Contractor with supporting documents. 

 all forms except POP 9 revised 10.01.2012, and are .pdf files, unless otherwise noted