Stands one nation under god, indivisible with liberty and justice for all. Roll call please. [role call] we have a quorum. Item number four, please. Item 4, approval or modifications of the minute of the meetings of forth below. Regular meeting minute from august 8, 2019. Does anybody have any corrections to the minute . I move that the minutes be adopted as distributed. Second. Any Public Comment on this item . All in favor . Opposed . It is unanimous. Item number five, please. Item five is a general Public Comment on matters within the boards jurisdiction. Any Public Comment on this matter . This is a chance to speak up on anything within our jurisdicti jurisdiction. Seeing none. Item number six, please. Item six is the president s report. This report is given by president breslin. The airconditioning is is not working here today. Hopefully this will be a brief meeting. Other than that, i dont have anything to report. Thank you. Item number seven, please. Item seven. Vote on whether to cancel the october 10, 2019 Health Service at meeting. This is presented by president breslin. Its been a tradition that we do not meet in october. Due to open enrollment and giving the staff a little more time to prepare. If there isnt any objection, i could use a motion on this. I move that we cancel the october 10, 2019 meeting. I will second. Any Public Comment on this item . All in favor . Any opposed . No. Okay. This passes unanimously. I didnt see any objections. [laughter] all right, number eight. Item eight is the directors report. This report is given by mitchell griggs, the chief operating officer. Mitchell griggs, chief operating officer of the San Francisco health system. I want to highlight our executive directors report here, and the first thing is we are doing our member focus groups. We have already started sending out the invitations. This is going to a wide variety of members. We are asking them about their experience with the Healthcare Delivery system, and our benefits and hope to get information about what can hss benefits look like going forward. This includes San Mateo County and alameda county. I also want to mention that we have worked with the health plans on Development Communications on second opini opinion. As you know in 2020 we will not be contracting with best doctors. We wanted to make sure we had readily available information for people to get second opinions, if that is what they would like to do, through their health plans. I also just to make a clarification about trio and what blue shields trio hmo will look like in 2020. We talked about this a couple of times and there has been some communications out there. I wanted to emphasize that trio 42020 will include california Pacific Medical center. That will be the new facility on van ness, davies and Mission Bernal campus. That is one of the biggest things we are highlighting for 2020. As the board knows, we worked really hard in 2017 in getting on new products, it was a narrower network from access plus to make the rates lower. That did have an affect and they gave us this exclusive deal, for the city and county employees only. Thank you. Wanted to mention, too. Under operations, in the general management report, you will probably see a lot of work there has been done on open enrollment. Each division is working hard on their open enrollment. Im trying to find the page. Of course, i dont have it. I wanted to also mentioned that we had an internal promotion. Our benefits tech shem has been promoted to a benefits analyst on has filled one of our 1210 positions, and scanned the audience today. Weve also hired, as a Senior Benefits analyst an 1813, jenna wong who comes with a lot of high level benefits and administrative experience. She is also in the audience today. If they would like to stand, and greet the board. [applause] thank you. Almost there any other questions about the directors report, that is all of the highlights that i have. All right, thank you. Any comments by the board . Any Public Comment on this item . All right, seeing none. Thank you mitchell for filling in. I appreciate it. Item number nine, please. Item nine, presentation of the open enrollment and e benefits for plan year 2020. This will be presented by mitchell griggs. Every year we try to briefly highlight the work that has been done, as far as operationally and putting out the communications, setting up for open enrollment. As you know, its a whole monthlong event, starting october 131. You know, we start work on open enrollment as soon as you guys approve the rates, and all of the new benefits. On the first slide, want to show you the theme that we are using, it is the same thing we have used over the past two years, in sense of having an out to help people realize that packet is there open enrollment, so they are supposed to open it, so it is the o. We are using our photography. We went out early last year and got, hopefully to encourage employee engagement, we went out to all of the departments, you know, employees in the field, and some retirees and took a bunch of pictures. We are using that again this year. On slide two, speaking of that photography, these are the benefit guides for 2020. These are mostly used by new hires. And any other member who wants went throughout the year. Our communications area, for open enrollment, all of the employers and groups will be receiving a condensed version of these. It is much more paper friendly and a small or too male. A less expensive. The retirees, we send them the full benefit guide which is the one in orange there. If you of the numbers, we email a little over 76,000 packets every year. The numbers are broken down, through the various employers and groups. Its only about 60 more packets than last year. We are also doing a much larger scale, online benefits this year covering all of the city and countys. We are doing about 4500 bar retirees than we did last year. We are doing a pilot with the school district, so were doing about. About 100, i believe. 300. Larger than i thought. That is tripling the amount that we did last year. We first started as a general rollout last year with selfservice so thats about trouble as much. On the next slide, i want to demonstrate here, that we have 12 different variances of these mailings. They are different letters, different enclosures, all in all its 12 different variances. We write all of this and develop these communications. We work with the printer getting this organized again this is a good bit of work. I just wanted to show that to you. Maybe youve already answered this, but can members opt out of receiving mail. A lot of us do that with our health plans, we want to get electronic only, is not an option, or is that not possible are the regulations of her bed that . There are regulations. Currently you have to elect to opt out, and have to opt out every year, that is the regulations. However we do not have the infrastructure to maintain that opt out database. We are working on that. Now that we got this selfservice, one of the high things on our list to do next is for people to be able to go in and say i want Electronic Communications for this year. We are working on that. The next light, i want to show you our events calendar. We have over 20 events this year, this is our Health Benefit fares, this is where the Health Benefits come in, they have tables and talk to members about the particular plans, analyst or theyre talking about the changes, going over the rates and answering any questions. We also have flu shot clinic going on. Several of those which are pretty large. It does vary a little bit. Its over 20 events its pretty much spread out through the entire month. Some days theres more than one. Some of them we do not put on here because they are closed to all of the city, specific to maybe that department and again, one last shot of some of the photography that we are using this year. The next section of this, i want Marina Coleridge to deliver. She was key in making this happen this year. This was a whole lot of work working with three agencies. The Controller OfficeSystems Division and the department of technology. Whenever you get three or more departments trying to get something this big together, with the city, you can just imagine. Marina kept that contain, kept our goals and our specific look very much in the forefront. These departments dont necessarily understand our compliance issues and our timelines and that type of thing. Marina was key in making this happen. I was really glad she was around to do it. Im going to let her present this next section. Thank you. Hello commissioners, Marina Coleridge, enterprise systems and Data Analytics manager. I want to re echo our appreciation to various other departments. There is different groups within those departments, within the department of technology, very key in getting the assistance from the department of Technology Help desk as we try to onboard more retirees and a population from the Unified School District. To help from the identity and Access Management people. These are not employees that authenticate to our employees systems. Theres a lot more work, and that team is in the middle of two massive upgrades right now. For them to be able to weakly support what i need from them is a big push, as well as the systems provision that handles the infrastructure. A big thank you to those teams. This slide is showing where we are in terms of our rollout of selfservice so the chart on the top left and blue shows where we were last year, a number of my eyeglasses cannot see from here. 7900 roughly active employees could go in last year for selfservice, i love that trajectory on our chart this year, because we got them all. Anybody who wants to will be able to with our open enrollment from the city and county employees and the superior court employees. In addition to that, the slide was saying probably Unified School District pilot, because it was still in flex given the resource constraints around the city. Im happy to say, it is moving forward. We will have a pilot with Unified School District this year. And then the chart on the right, for the orange, is where we are with the onboarding of retirees. Seeing the number the Previous Year that was 4800, now that has gone up to about 7700 retirees we have done the work in setting up their accounts. We sent them communications in terms of how to go in and create their accounts, and then went open enrollment opens up, they could go in and do it online. Not all of them will unveil themselves, but those that want to will be able to, we continue every year adding to this group. I encourage retirement organizations to spread the word if those folks got the letter from us. And then on the next slide, its just a look at what we are doing to support open enrollment online this year. We have kiosks available, inside of our offices. Theres is also another number of kiosks around the city, because people need to go and do their time entry into things like that. They may work out the field, but not at a computer or desk. Any of those places, employees will be able to pull up open enrollment, and do their elections there. We are collaborating very closely with our communication manager on a video specifically instructing people how to go through e benefits. We will have that available and on our website, once it is rea ready, and then we are also, all of the oe events that mitchell showed with you on the calendar, obviously our benefit analyst will be there helping to advise our members on their plans. We will also have members at the site specifically to help with navigation questions about using online enrollment. Telephone assistance they can call into our offices and we will have on the website stepbystep job aids that take you through how to do the different tasks and e benefits. It is a change in four people, we are hoping we can help people get there. Heres a little screenshot for you of how you access open enrollment, once we get to october 1, people who log into peoplesoft on the employee portal will be new for a number of people, but for our employees, it is pretty familiar to them as they go here every week are to be touch of their time. There will be on alert on that main page that says Health Benefits enrollment. Or theres an employee tab, which in a screenshot is that middle tab, from there there is a benefit section, you can click on the Health Benefits enrollment and that also get you right into our open enrollment, and yes, even if its a retiree logging in, that tab still says employee. That is not something we can configure. The next slide, please. There is a next slide. What we are really encouraging people to do, this is the first time people will see their own information. We know what we have had on people for years, but you do not know what we have on you. That is the good, the bad, and the ugly. We might have some data quality issues. Sometimes annually we do our change of address and we are getting updated from the mail house of peoples addresses have changed. We may not touch your home address since youre a little bilge since your eligibility is tied to that. Any number of reasons why data may be inaccurate. This is a wonderful opportunity for people to see they have a really old phone number for me, let me get that updated. It is important in terms of making sure we continually provide those benefits and can do outreach whether it is your 1095, or inviting you to focus groups, that we have the right information for you. This is another benefit of being able to go online, you can also update your personal information to make sure we have really wanting to do a big push without awareness with our membership, the more and more big online. Under emergency contacts, jane doe, the screen doesnt show any contacts information. Is that available . When you hit jane doe, does that pop up so you know how to get in touch with jane doe if you need to . That is an excellent question. I cant remember the answer for that. I would certainly hope so. Im going to go look at that and get back to you. I dont remember. Just a question. We want to know how to reach people if theres an emergency for certain. And then on the next page, once you have actually logged in, this is what we had worked with our external vendor, it gives you that shopping cart approach with breadcrumbs at the top where you see the green dot, and the red dots that help you see where you have video and everything that walks you through this. That is an actual screenshot of what the open enrollment interface will look like. That is that. Thank you so very much for your time. Any other questions. When one goes through current information does not include dependence, so they have to verify each year, given the problems we had. The dependence will show there, they dont have to do a re verification of them in terms of auditing their eligibility, but, you know if they are adding a new dependent, they can do that online, and then, they have to provide us with supporting documentation. They can do it online, they can upload it. If theyre not comfortable doing that, they can fax and or drop it by our office or and then our Member Services when they are processing that enrollment, just because you go online and submit it does not mean it is final. We need the expertise of our Member Services team to see, did you divide enough supporting information to let me finalize you and rolling that dependent. Also, the option to delete someone of that no qualifies . You cant technically delete somebody, because it is a legacy system of record. If im doing two audits, we are pulling audit information as who you dont want to delete someone from the system. If you are no longer a valid dependent for the sake of your Health Benefits, for your Life Insurance you might want your neighbor to be your designee, but that neighbor does not qualify under h. S. S. For Health Benefits. Weve done things on who you can see on some of those screenshots. The other thing you can do, is this enroll enroll dependents. You know, ill just put in a plug, the work we are wrapping up, you become a new hire, or you have now had a child, you dont have to wait until october you will be able to go in online, at the dependent, and roll them, or, you know usually we do the disenrollment on a dependent that hits the age limitation, but presumably someone can be proactive and go in a disenroll. Just by checking or unchecking their name next to the benefit. Great question. Thank you. Any other questions or comments . Thank you very much. Quick one, marina. Once you make changes, is there a confirmation that goes back to the employee. It is not an email yet. Where we are at, this year, the same process as all of our other years. We would get letters in the mail to you that will hopefully hit somewhere around thanksgiving. Those employees that would not have access to a computer in that packet without include the form that they need to fill out if need be . Yeah, so what we have done is for large departments, police, those packets include a form and with the packet. For everybody else else the fuzz on the city, it does not include the form available, or it will become october 1st on our website for some want download and print should they choose to go that route. You have employees that are out of most of the town, like san mateo. We did not include puc. Have a lot of employees are out of the area. I think when we go for our hetch hetchy event, we take a lot of enrollment forms with us there. For the others, puc was not included. People, other than going online and printing it, which is the preferred option, if somebody needs us to, we can put it in the mail, or the by our offices. Thank you for your question. Any other questions . Just one. I apologize. Is the vision to have changes or modifications versus marriages, divorces or thin