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That no lifetime limits are allowed under any plan thats licensed under the department of managed health care when it comes to any kind of gender reassignment benefits. So, the two plans we have that are administered through the department of managed health care blue shield and kaiser, this is a legislative change thats mandated. For the one plan that is not covered, it was the board decision to decide to make benefits equivalent across all of our products. So, the recommendation to the board is...

It into our guides and its clear for our members going forward. It was actually a memo issued by the department of managed health care on april 9th of 2013 which essentially says that no lifetime limits are allowed under any plan thats licensed under the department of managed health care when it comes to any kind of gender reassignment benefits. So, the two plans we have that are administered through the department of managed health care blue shield and kaiser, this is a legislative change thats...

Seem to be significant, especially by year 2015 where we go from 320 a month for employee only in 2014 to 925. If it was 9 to 10, but it goes from 4 in 2014 to 7. 79 in 2015 which is a massive rate increase. And what weve noticed over the years when i sat on the board was that there was significant migration from plan 1 as those rates were no longer subsidized. There was a time when this board subsidized those rates because it is, in fact, the plan that you own. And money in the trust fund was u...

Consultants do a review of any federal or state changes that need to be brought to [speaker not understood] on the rates and benefits and this was missed. So, we do have a process for it, we miss it had, and i think it wasnt until kaiser let us know this was occurring, really last week and saying this is now part of the rates benefits that we were alerted to the fact. I think its fair to say we should also be working as a doublecheck with our Health Care Benefits to make sure they arent aware of...

Cant spend its time screening all of the stuff that comes from the department of managed care, but it seems like we had a hole here to get this done and id like to know how we plan to solve it. Thats a very good question. We did have one of our steps in preparing for the rates and benefits to have our consultants do a review of any federal or state changes that need to be brought to [speaker not understood] on the rates and benefits and this was missed. So, we do have a process for it, we miss i...

Maybe you could talk to the staff. I have talked to your staff. Okay. And they told me to come to the commission meeting, to the Board Meeting. Id be happy to hold the thought. Okay, im here because im an early retiree in plan 1 and im actually not getting any of the service that i had contracted for, particularly for my out of Network Payments or out of network coverage. I have a i am covered by medicare. And what i understand is irrespective of the medicare coverage, for my out of Network Paym...

Me get to the bottom of this. And i have gotten a lot of correspondence from them that thats all that theyll pay. Id like to have our manager of member services, mitchell gray. Id like to have him work with you on that. Ive got paper. Okay, fine. Thank you. [speaker not understood], retired and active firefighters. Id like to basically piggyback on what claire said regarding these rates, but also add to the city leaving themselves open for discrimination suits. If im a Single Person and i have t...

And id like to know how we plan to solve it. Thats a very good question. We did have one of our steps in preparing for the rates and benefits to have our consultants do a review of any federal or state changes that need to be brought to [speaker not understood] on the rates and benefits and this was missed. So, we do have a process for it, we miss it had, and i think it wasnt until kaiser let us know this was occurring, really last week and saying this is now part of the rates benefits that we w...

Really creating that difference. So, its a very large cash difference from the city plan. Moving on a little bit to the trust fund reserves, we are i think theres a schedule in my mo that really details this out, but were projecting that that reserve will increase from by 27 million from where it was a year ago at 53. 2 million to approximately 80. 6 million at the end of june of this year. And that is largely coming from the city plan. Funding from that, and then the net changes in the ibnr res...

[speaker not understood] on the rates and benefits and this was missed. So, we do have a process for it, we miss it had, and i think it wasnt until kaiser let us know this was occurring, really last week and saying this is now part of the rates benefits that we were alerted to the fact. I think its fair to say we should also be working as a doublecheck with our Health Care Benefits to make sure they arent aware of anything as well. Thank you. When did kaiser and blue shield remove it . The kaise...