Across the country and serving about 35 of our landmass. Host could you name a couple of those companies to help us get familiar . Guest absolutely. We could go all the way to western south dakota by Mount Rushmore to visit golden west and we could go to citizens on the Mississippi River up in wisconsin where we got cooperatives and if you are in my state of virginia weve got scott county down in the very tip of the state serving the tristate area so ive got 850. Host when you talk about landmass you not talking landmass or population at all. Guest peter, you hit upon the key part of this. Its about 5 of the American Population but they are truly the providers in this extremely rural part of the country and everywhere from alaska down to the panhandle of florida so they stretched all across and it got everybody from someone who is got about 150 subscribers to probably my Largest Company has just about 100,000 subscribers. They are serving those areas with quite frankly the Bell Compani
Efforts. Hello, everyone. Welcome to the center for stra tee teethic and international studies. Im a senior fellow here and also the Deputy Director of the project on prosperity and development. We really appreciate everyone coming out on a thursday afternoon thats gorgeous before labor day i think this is a really important topic. And a really important report that were putting out right now. So i appreciate all of you taking the time out to do this. Before give a brief summary of the report which i hope all or most of you were able to get, it will be posted online right after this event. I you want to say a couple of thank yous. The first is to the Ford Foundation that has were just completing our second year of funding with the Ford Foundation. Theyve been really great partner with us. So thanks to the Ford Foundation for believing in in us. A slightly nontraditional partner for them on this. I want to thank my coauthor who is currently in laos working for unicef. If shes watching,
Center for strategic and international studies. We really appreciate everyone coming out on this gorgeous thursday before labor day. I think this is a really important topic and really important report that we are putting out right now. I appreciate all of you taking the time out to do this. Before i give a brief summary of the report, which i hope all or most of you were able to get, it will be posted online by the way right after this event. I wanted to say a couple of thank yous. First is to the Ford Foundation that we are just completing our second year of funding with the Ford Foundation. They have been a great partner with us. Thank you to the Ford Foundation for believing in us, slightly nontraditional partner for them on this. I want to thank my coauthor, Carmen Garcia gallego who is currently in laos, working for unicef. If you are watching online, hello, carmen. And then i want to thank our panelists, who i will introduce in a minute. This is an issue that has come onto mine
Commissioner lim. Required Financial Reporting during the audit when we do the financial report, required with the audit, and also reviewed by aon and reviewed by independent auditor. Ok. So, further certification we are using the funds properly and for the purposes intended. Correct. So, we provide the calculations but you are correct in that is audited and i know that was reported on last month. Ok, thank you. Commissioner lim. Ibnr for the city plan was substantially reduced 2008, because pretty much all of the city plan is fully funded now. For the medicare retirees. So it would go down, expect it to go down in 2018. All right. Thank you. Any questions, other questions from the board . Any Public Comments . Hearing and seeing none, thank you. We will now return to our regular board meeting. We are no longer the committee of the whole on rates and benefits. Have we changed . No. Madam secretary. Thank you. Item 10, discussion item, update on blue shield trio hmo implementation and p
Previous years, its starting to increase again. So the plan has an increase in revenues but they are not growing fast enough to keep pace with the increases in expenditures. The projected deficit is primarily driven by increases in wages. Employer pension contributions and Rising Health costs. Other areas are voter approved baselines and setasides with spending requirements. And shifting of the inhome support services from the state to the city. Areas of uncertainties that could impact the citys financial conditions are Economic Issues such as recession, state and federal budget impacts, collective Bargaining Agreement negotiations, i think we have 40 or so negotiations for 2019 to impact the next year. Service levels associated with the citys growth and employment, and then of course new general Fund Budgetary commitments by the board of supervisors and supplemental appropriations. Mayors budget instructions, first, departments ongoing reductions equal to 2. 5 of the general fund supp