Page 4 - Vip Program News Today

Same benefit this person with two kids is getting because thats a benefit theyre getting. And if im not getting that same benefit in monetary amount, then i am being discriminated against because why should Somebody Just because theyre married get more benefits . One of the reasons why the city always kept the single employee at zero because it was to offset any benefits that the other people, married plus 1, married plus 2 got. And as i look at these rates, besides plan 1, its going to leave th...

Lisa ghotbi. Thank you, lisa ghotbi acting director. This is something we usually deal with during the rates benefits process, but this issue didnt come to light to the Health Service system until last week. We wanted to make sure we brought it to your attention now so we can make sure we get 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...

Always kept the single employee at zero because it was to offset any benefits that the other people, married plus 1, married plus 2 got. And as i look at these rates, besides plan 1, its going to leave the city as far as i can tell open for someone to say, i want the same monetary amount as this other employees getting because just because hes married shouldnt affect why i dont get it as well. So, i think the city is leaving them self open for problems. Im not saying an employee couldnt have don...

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 mandated. For the one plan that is not covered, it was the boar...

Not just unions or retirees, as i mentioned earlier. And that would mean we would have to send out a letter to every Single Member in the system, in my opinion, because not everybody is in unions. You can see in the past certain people show up and certain people dont. And, so, not everybody gets represented in a way. Thats something i think you have to look at when youre talking about contacting people. Any other discussion on this item . All right, item number 13. Item 13, discussion item, oppo...

Understood], how much a. M. Was put in the reserve . 5 million or 21 20 million, okay. So, less than what we put in the service i thought when i took the rates that were in the rate setting process, the rates that were expected in terms of pmpm expenses and applied that to the membership, it would have produced about a 25 million ibnr june this year. But the 25 million is really the difference between claims that are actually settled between, you know, by june 30 and those claims that have not y...

Three times on the board and its nice to see you know, we worked out some centers of excellence and we worked outweighs to keep that benefit affordable. And its nice to see that its now being accepted as any other condition. I wish we had made that decision, but if it came from gmhc, im happy those guys did it. And i think part of the National Health care also eliminates a lot of discrimination. So, were getting there little by little. But thank you again and congratulations again. I just wanted...

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 it had, and i think it wasnt until kaiser let us know this was occurring, really last week...

Seeing none. Madam secretary, item number 4, please. Item 4, discussion item, update on Financial Reporting as of may 31, 2013, gregg sass. Good afternoon. This might be my last hearing here before the commission. So, im smiling because i get to go back to retirement. But i have really enjoyed my time here. I have really appreciated the warm welcome from you and the rest of the city family. Its been very educational for me, in addition, knew very little about the Health Service system when i wor...

All right, item number 13. Item 13, discussion item, opportunity for the public to comment on any matters within the boards jurisdiction. My name is herbert wiener, im a retiree. Last month they had a conference on bullying at the work site. It was part of labor fest. And the address concerns bullying at the work site and the tremendous toll it takes on employees. There were heart attacks. There have been suicides. Now, unfortunately, San Francisco is not blameless in this. And i would like to s...