August 24, 2017. Is there any discussion of the item by members of the board . Hearing none, im ready to entertain a motion. Moved approval second. Moving approval for both sets of minutes. Weve done properly second. At the regular Meeting Minutes of weve done properly second. At the regular Meeting Minutes of august 10, 2017 special close session of august 24, 2017 the approved. Is there any discussion . Any Public Comment . Seeing none, we are now ready to vote. All those in favor say, aye. [chorus of ayes. ] opposed, nay. It carries unanimously [gavel] we are now ready to go to discussion item 2. Thank you. Item 2 discussion item, general Public Comment on matters within the boards jurisdiction not appearing on todays agenda. Is there any Public Comment on any item on matters within the boards jurisdiction not on todays agenda . We have some Public Comments. My name is Diane Ehrlich and the reason im here i use the benefit the best doctors and an excellent expense. The problem came with that coordination with kaiser. Kaiser refused to give best doctors the fax number to fax the reports. I got a message when i came home one day about that. They were just fedex a me the report to give to my doctors. I would request that kaiser be asked to cooperate with a Second Opinion benefit we have. All right. Thank you for the Public Comment and a last director griggs to make note of that. We will see if we can follow up to get a corrective action. Discussion item 3. Item three discussion item, president s report get president scott. Thank you. I have my report in part on my iphone. So this is going to be a very interesting activity. The item i want to cover is the status of the executive directors search, which has been going on and what our next steps will be. The application process continues in full swing. I do want to stress that we will remain open for qualified applications right up until the time that we start down the list of final [inaudible] with candidates. Theres always passive candidates in a search like this and the search firm has done an excellent job of following up on leads and having discussions with prospects. We welcome, as we said in several other times during the course of this process, if someone has a name of qualifications of someone you think would meet the qualifications published and posted on the website we welcome the opportunity to screen those candidates. As a reminder, everyone can provide additionalremember the Health Service service system, will provide some input to the kind of capabilities and expectations that we might have for an executive director of the system. The survey that is on on you can participate in. I believe theres paper Copies Available as well. Those who might be in the room. We are looking forward to receiving that input during the course of this process. As of yesterday we had 49 applicants for the position. As you heard, as we open the meeting we are close session on the 24th as you heard, as we open the meeting we are close session on 24 august at which time the board did some initial screening of candidates and we expect we will start the first of our screening interviews nextlater this month on the 22nd. The search for consultant is working with some candidates to see if they might be available for interviews on that date. The board has been solicited to determine if they have the time on their calendars and everyone thus far, has indicated they do. So, as we have gone forward to try to get more direct feedback , we have had meetings with various groups and most recently working with a past board member diligently we were able to pull together a meeting of seven retiree associations across the city and county of San Francisco and the bay area, west bay, east bay, i should say as well. It was a very productive meeting for the portion that i attended. I excused myself so they might talk freely to the consultant and the feedback that i got is that it was very beneficial meeting and from the standpoint of her providing perspectives the retirees are in a very unique position to provide to consultant as we begin taking a further look at these candidates. So publicly i want to thank [inaudible] for helping me get this organized. I know that she went off a little bit at the end of the last meeting and ive gone back with my [inaudible] to try to get a corrected and i think were on the right path here. So, again, its critically important that people step forward and share your views. We are soliciting those who use from active as well as retired members in the system and as we get further into the process we think that will bear fruit as we find the appropriate person to provide executive leadership for the system. The other item that i want to highlight and i communicated to the board is that we have had a recent change in our senior actuarial assignment. From aon hewitt. I knew [inaudible] will be leaving aon hewitt. We were told so, today i would like to some of the representatives from aon hewitt planning to speak to advise me the account executive is here, and can walk us through some of the steps of the transition. As they come, this is not an agenda item as my counsel has advised me good so we wont be resenting a lot of details about the change today. That will be taken up at a later meeting. But i did one for the general public and those present to be aware of the change and what we are planning to do going for. So, please. Thank you president scott. Im very pleased you are . Sorry. Im pleased to introduce you to make clerk today was standing her to my left and i will let him speak a little bit about his background and discuss with you. All right. Good afternoon one other thing i would encourage you today, you have to look like you are eating the microphone. You are particularly tall persons you may have to bend forward a little bit to be heard. I am mike clark with aon hewitt. Ive coached well by and get thank you for the comments or. President scott and the board of commissioners, again my name is mike clark. Im a 29 year veteran of aon hewitt ive been a Health Actuary the entire time. Im a fellow of the society of actuaries. A member of the American Academy of actuaries and a fellow of the conference of consulting actuaries. As you indicated mr. Coach are is leaving the aon hewitt organization. Im assuming his responsibilities as a lead actuary on our work with the Health Services system. I very much look forward to working with all of you, including on behalf of your of your members as i Carry Forward in replacement of mr. Coach are on the actuarial responsibilities. Backed by my team, is not changing but i will be your new lead actuary. All right. And you have members your team here so would you take the time to introduce them . As the case may be. Would you like them to come up . I like them for at least two stands of they can be recognized okay. So tom ricks, who is in actuary as well who supported mr. Coach are in the past and will continue to support mike. Toddwho is our west region Practice Leader for health and benefits is here today as well. Rocky my tory, who will actually be presenting in a little bit about on the timeline as well. Then, scott is here as well in attendance why think many of you are familiar with. Yes. A former board member. Yes. Former board member. It reminds me. [laughing]. Well, thank you very much for this brief introduction today. As i said will have a more substantive conversation about the transition plan, your plans for support going forward. And, Something Else . Also i just want to mention Loni Anderson is not in attendance today due to personal reasons and i know she wishes she could be here to see all of you but i do not want her to go without mention all right. Thank you very much for that. Neil is out of town speaking at a prior conference engagement and ive asked we reach out to him to have him come back for public recognition by this board for his service to us for the past number of years. So, we will arrange for that to happen at a subsequent board meeting. Are there any questions or comments from the board regarding the change . I just want to say that [inaudible] the fiduciaryi mean the actuary to remind ar a fiduciary to the members of the trust and that means work solely for the benefit of the members, and also we need transparency to the board which you know, we should note. Thank you. Thank you. Any other board comment . Questions . Is there any Public Comment on my reports . Good afternoon Board Members. Claires on ski. Ccsf. I just want to come forward and publicly thank you. Commissioner scott, for your assistance for that meeting. I thought it went very well and thought it was most productive and i think the Retiree Organization felt very good about being able to come forward and have that specific meeting. It is really great to see former commissioners scott who still a commissioner in other commissionyes, civil service, right . But its always good to see commissionerhere and to welcome the new team. I was just wondering also about page . Is she still part of the team yes. So we just welcome them but i had to publicly thank you after i went off several times at prior meetings if i dont come forward and rectify that and its not good. So, thank you again. Thank you very much. Any other Public Comment . Hearing and see none will now move on to discussion item number four. Item for discussion item, directors report. Acting executive director griggs. Good afternoon president scott and Board Members did i want to do directors report today in remembering this is the end of our rates and benefits cycle. Were going to end open enrollment at the next board meeting, or the next directors report will be strategizing about future plans for hss. I just want to recognize that and the amount of work thats put in to this process and again thanking the board for the vote of faith and having the act as executive director which appointed me in march. Its been a great experience during this rates and benefits in the cycle. Theres other been some sidebars as well. Yes. [laughing]. The directors for today will be kind of brief because as youll see in your copies we are all about open enrollment right now and each one of our divisions is highlighted that that is what we are working on but i want to talk a little bit about the open positions and we are filling some of those position we were 1209, one pcs Permanent Civil Service position that we are opening and underway with recruitment. For open enrollment because we are expecting a busy open enrollment we decided to hire two temporary, 1209 benefit technicians to help us out with the technical work. We stole a lot of manual enrollment data entry type of processes review auditing aromas before we send them over to the health plans so we will have two temporary 1209s to help us without. All of our other permanent staff will be more available to help members facetoface or on the phone or offsite this year which were doing plenty of those. We also have a 5320 which is an illustrator and art design or graphic designer, if you will. Deposition has been open for a little bit. Weve done some interviewing. Were just about ready to make a candidate selection preparing an offer for that position. We also now that ive got the 5320 interviews done and work on the 1802, which is a Research Assistant which was very helpful. Assessing the director prepare these reports especially in a legislative and federal regulation updates and stuff like that. So we are really looking for to fill in opposition and right now im looking on the job ad for that position. We are also cannabis 1694, we are going to select an intern from the citywide accounting Intern Program to help us work in a position thats technically not fillable at the time because of a leave of absence on opposition board hoping to select an intern to help out on the accounting and finance area. For operations, again were gearing up for october which is very busy in the area and part of the preparation, there is just a lot of training. Especially since we are introducing a new health plan thats blue shield trio. The question we are going to get, we build our questions that are frequently asked questions type of scripts and stuff for the benefits analyst to answer these questions. And to train them in all the aspects as well as, we are enrolling of the sp implement in the bsp premier plan, which is on top of the basic plan. So we are doing a lot of training, as well as conjoin our training with our Employee Assistance program and recalled making it work it today we had our last one before open enrollment, which is managing ourselves and we are doing this type of making it work at work just to help people with workloads and the stress of doing Something Like large open enrollments we seem to be doing these days. To move onto the enterprise system, and analytics, and again a reminder a lot of this is about open enrollment as you know were doing a sub Service Pilot so there putting that altogether, developing a, working with our Comptrollers Office and the people in pay. People that do the programming and office configuration. Which is a whole lot of work. On top of that, as we prepare for the mailings and as we prepare for datafiles we sent out for enrollment theres a lot of test cases we have to do. We just dont program this entry these mailings and send them out. We do a lot of different scenarios and we look at them by hand going through and making sure theyre accurate and correct before we send them out. Again, all the open enrollments, lot of bandwidth and time is modifying our website which has becoming more and more important. People are looking to the web to get information. They want electronic, easy access, searchable, quick things so theres anothera lot of work especially happening right now as were getting to post these things. Finance and accounting, as you can see some of the comments here that pamela our cfo has put in hip get the ssp project, which came live july 1, it is working. Occasionally we have some something we have to work through and get help on either through hr or the Comptrollers Office to correct, but as shes duly noted vendors are properly paid. So our bills are being paid. Which is good. We are continuing efforts in calculating the medical and dental rates. Again this is bear head load for the open enrollment is calculating all those different rates based on the mo you, based on the different plans the coverage levels etc. Its a lot of work. Also, our audit right now is on schedule. Ahead of schedule. Everything is going well with that with rk pgm audit. With contracting and vendor management were working really hard and contracting with the consultants that we use. For open enrollment. Were also just completed an agreement with Lab Communications group, which we are a Citizen Group to provide additional booklets. This is a strategy that i worked on stephanie fisher, our wellbeing manager, to do some type of communication we can havegiven new hires for new retirees, so they can see that the wellbeing benefit we provide has dimension to it. When you have your medical plan your dental plan, but you have these benefits wrapped up in what were calling wellbeing. To communicate that and make sure people are aware of it and utilize it. Its very important so we have been working on this booklet to provide new hires and new retirees so they can go through these things and just like that can are benefic guides and see comparisons and types of benefits we provide. So were looking forward to when that is complete. In communications, again, very heavy with open enrollment could our new coming occasions venture started three having four days before lastminute show shes been here a little over four weeks now. Has worked out very well. She hit the ground running and been actually helpful especially tying up the ends of getting our benefit guides and open enrollment materials to the printer and to the mail house. Shes very energetic. Everyone enjoyed working with her issue here today . Well, she asked if she could stay at work because running out of time. For open enrollment some deadlines were trying to meet her name is . Her name is carol carini. I announced it last week that she had been hired but i will bring the rupp in november perhaps we can meet her in person. As fellows the wellbeing is concerned again some of the work we do and produce out there during open enrollment as many flu shot clinics. Part of what they do in september is work with the champions and training them on these clinics, or how to access information to help us communicate that they are out there. We want as many people to as possible to access those flu shots. Again, some of our own wellbeing activities that were doing in august. We do special been at the Wellness Center at the Catherine DouglasWellness Center which we call [inaudible] and everyone brings their favorite sets of recipes of salsa . About 56 participants. Thats way more we had last year though so that was a successful campaign. Some of the fewer of the meetings thatas acting director that i participated in and one of the meetings this past month was with brown and toland kumar are aco advisory meeting which brown and tolan is very important to us for 2018 particularly, with a blue shield trio implementation and getting there willingness to work with us on that. Were very engaged. It was very collaborative meeting and went very well. They are project managers on it just like we do for implementation and we had a very good discussion about communications. Communications that should come from us, come from them and blue shield so it was one of the better meetings weve had with aco. The last thing which is not includ