Commissioner scott this is commissioner scott. I move the acceptance and staff recommendations contained in the presentation now on page 29 and ive forgotten the earlier page and the resulting rate cards that have been presented. President breslin do i have a second . Vice president follansbee this is commissioner follansbee. I second the motion. President breslin any other discussion . Commissioner zvanski commissioner breslin, im sorry. I was muted, but i do have a couple of questions, if i may. President breslin certainly. Go ahead. Commissioner zvanski ive noticed for some employees, the employee and family plus rate have been going down im sorry for the echo and im wondering why those rates or at least the outofpocket seems to be diminishing. I was curious about that, and i may have misunderstood something. I thought i saw somewhere there was a charge for a u. H. C. Dental h. M. O. , and im wondering what happened because i thought we had delta for employees. And the last thing, im still puzzled that after the stabilization is applied, we end up with a higher rate than 9 , because i thought the stabilization would help keep the proposed rate increase lower, and so i must have missed something, and i apologize, mike, but its, like, how do we get higher . So thank you for those. There is a dental offering through United Health care as an h. M. O. It is one of two dental h. M. O. S offered to active employees and early retirees. The dental h. M. O. Rates are not included in this presentation. Well be presenting those in two weeks, on june 11, but United Health care does offer a dental h. M. O. As a plan choice to go along with the delta dental p. P. O. And the delta dental care h. M. O. With regard to the rating, you asked about both the family adjustments for early retirees as well as the rate zabl Rate Stabilization. We were evaluating the rates hearing differences between the single tiers and the full family tiers between the United Health care plans and the other available Health Care Plans to early retirees and determined while there are not many early retirees in t taking the Family Health care plan spmp. We felt it was important to look for opportunities to help create a more consistent approach to rating for early retirees in the United Health care versus the other plans. And so thats created an environment thats allowed us to lower the rate for the early retirees, and the early retiree families. And for the Rate Stabilization, the Rate Stabilization policy does describe both for deficits and reserve surplus balances. It is meant to help stablize the impact of rating actions from one year to the next, where policy includes amortizing onethird of the Rate Stabilization balance over the course of a threeyear period, so onethird in each year. And then, with annual readjustments happening based on subsequent plan year experience. So for instance, i alluded to the february 2020 Health Service board presentation, where we evaluated the u. H. C. Plan experience for 2019 and adjusted the stabilization, in this case, stabilization deficit for the uhcppo plan, and unfortunately, that stabilization grew as a result of 2019 experience, so that resulted in a higher buyup adjustment rates in the plan for 2020. I hope that addresses each of your questions, but im happy to take further inquiries on your questions. Commissioner zvanski thank you. President breslin any other questions . If not, we have a motion on the floor. Yeah, and president breslin, could i jump in very quickly . The United Health care representative stated the a. S. O. Fee relief thats occurring, just to correct, it does not go to members, it becomes something that flows through the trust, so i just wanted to clarify that particular point. Very appreciative of United Health care for passing along that fee relief as the u. H. C. Representative described, but just to clarify, that will become a you know, something that flows through the trust. President breslin so as part of our trust. Sfhss, correct. President breslin so is it earmarked for anything . I cant speak to that. All i can speak to is just knowing that that will flow through to the trust. President breslin okay. I will have to defer to an sfhss representative potentially to speak to that, or perhaps that becomes a follow up. Commissioner scott this is commissioner scott. I would be interested in snowi knowing the amount of that fund coming back to the trust. As well, and i would ask to have a panel to report on that at the next meeting or as soon as its available. Yes, commissioner scott. We have a meeting in two weeks, so well be happy to report that to you then. President breslin okay. The motion on the floor it s t approve commissioner scott karen, we need to have Public Comment. I know weve been at this for so long. President breslin yeah. I just wanted to remind everyone there is a motion on the floor. Okay. So well have Public Comment. Clerk thank you, commissioners. Yes, were going to wait 30 seconds to allow for the catchup at home. People watching at home on sfgovtv are delayed by about 30 seconds, so were going to wait about 30 seconds, and then, well open up the phone lines. Clerk all right. We will begin Public Comment for this item. People on the conference line, please be reminded that you have to push onezero to be added to the queue. Moderator, will you please open up the phone line for the first caller. Operator you have zero questions remaining. Clerk president breslin, that concludes Public Comment. President breslin great, great. Okay. So we have a motion on the floor to approve United Health care nonmedicare rates and premium contributions. All those in favor, signify by saying aye. All those opposed . The ayes have it, and its unanimous. Thank you very much. No further business. I believe this meeting is adjourned. Commissioner scott thank you. I was going to move for adjournment. President breslin thank you. The Health ServiceBoard Meeting will now come to order. I would like to turn this over to our director now for some opening remarks regarding the present situation. Good afternoon and thank you for joining the Health Service board Virtual Meeting with us this afternoon. During the declared covid19 Health Emergency and authorized by state and local authorities, the Health Service board Public Meeting is being held using teleconference technology which provides access for Member Participation online, thus producing a virtual Public Meeting in lieu of an inperson meeting. This virtual Board Meeting ensures safe distancing and safeguards the Health Service board commissioners, the Health Service system staff and members of the public. I wish to thank all the people who have worked many hours to make this meeting possible. Please note that our board secretary Natalie Ekberg and many of the Commission Secretaries across the city have collaborated to learn about these meetings. I also wish to note that our internal team has worked behind the scenes to provide the technical support, including marina coridge, Brian Rodriguez and others have stepped in to help manage our Public Comments today. I want to share my gratitude and thanks to all of you, as well as the Health Service staff who have helped make this meeting a reality. And finally id also like to acknowledge the Citys Department and Technology Staff of government tv for their time and energy into preparing our team. The staff and board commissioners appreciate all of your dedicated work, and i would like the board secretary to share her remarks regarding how to conduct ourselves in this Public Meeting in a virtual setting. Thank you. Thank you very much, executive director yent. Today the Health ServiceBoard Meeting is being televised by sf gov tv. For those of you watching the live stream, please be aware that there is a time lag between the actual meeting and what the members of the public are seeing through the sf gov tv platform. If you are watching this via the sf gov tv platform and you wish to comment, please call into our conference line when that item is called. Again, please call into the conference line when the item is called on the agenda. And press 1, 0 to be added to the conference queue. For members who would like to make Public Comment, the phone number to use is 8888086929, and the access code is 5540616. This information will be provided to you throughout the presentation, after every agenda item there will be a Public Comment slide produced and shown so you can see these exact instructions to dial in and to get yourself in the queue. Please make sure when you do dial in that youre in a quiet location. Please turn off any tvs or radios, and if youre livestreaming the meeting via sf gov tv, that you mute the sound on that particular device, if its a phone, laptop or ipad. This will reduce any reverberations and noise so the Board Members and myself can hear you. You will have three minutes to make Public Comment. At the end of that Public Comment and the threeminute timer goes off, you will be muted and the next caller will be called. At the appropriate time during Public Comment, the chair will ask for the phone lines to be opened and there will be a 30second pause to allow for catchup from the members watching this at home from what was presented. If you wish to participate and comment on a particular item, again, please dial into the phone line and promptly press 1, 0. This will add you to the line and keep you in the order that you pressed 1, 0. The auto prompt will say to you on the phone lines that callers are entering question and answer mode. This is actually during going to happen during Public Comment. You will be queued up in the order in which you pressed 1, 0. Just another reminder. And there will be an automated voice which tells you when its your turn to speak. When your microphone has been unmuted, you will hear us ask you to state your name and to make your comments. I want to make a note that you do not have to state your name. You can remain anonymous if you wish. I will start your threeminute timer as soon as you begin talking. I will also say 30 seconds when you have 30 seconds remaining. When your time is up, you will hear a chime in the background and i will say thank you to the moderator and ask for the next caller. At that point, the moderator will put you back on mute and we will move to the next person. Thank you so much for participating with us today, and president breslin, this concludes my presentation on Public Comment. We can move to the next geagend item. Roll call. President Karen Breslin . Present. Commissioner vicepresident Stephen Follansbee . Present. Commissioner mary hao . Present. Commissioner wilfredo lim . Wilfredo, you may be on mute if you are on the call. I will come back. Commissioner randy scott . Is also expected. And if you called in, randy, you have to push star 6, please. Present. Im present. Thank you. Commissioner chris canning . Im here. Thank you. And supervisor dean preston . Present. Thank you. We have a quorum. President breslin, if you are muted, we do have a quorum and we can move to the next item. President breslin oh, sorry about that. Item no. 3, please. Item three is the approval with possible modifications of the minutes of the meeting set forth below, regular Meeting Minutes from march 12, 2020. President breslin does anyone have corrections to the meeting . Hearing none, i would ask for a motion to approve. Commissioner canning this is commissioner canning. I motion and move that we approve the march Meeting Minutes. Commissioner scott this is commissioner randy scott. I second. President breslin all right. Is there any Public Comment on this item . We will now begin Public Comment for the item. We will have a few moments to wait while members populate the queue via the conference phone line. Once you are on the phone line, please press 1, 0 so you will be added to the queue. Moderator, will you please open up the phone line for the first caller . The conference is now in question and answer mode. To summon each question, press one, then zero. You have three questions remaining. [indiscernible] Public Comments regarding approval of [indiscernible]. Hello, good afternoon. We are on agenda item no. 3, which is the approval of the march 12, 2020 Board Meeting minutes. Can i ask who we are speaking to . Derek cam. And do you have comments on the Board Meeting minutes . No, im just wondering if questions regarding the policy or the actual policy of the meeting, because im in regards to potential health care increases, and im wondering what item that is. All right, yes, youll have to wait until we get to the renewal portion of the meeting. We are currently asking for callers to call in regarding the Board Meeting minutes. Okay, sorry. No problem. Thank you. Moderator, can we have the next caller, please . You have two questions remaining. Hi, im also waiting for the period where we talk about copays. Okay, no problem. You can dial back in when we get to that agenda item. Okay, can i wait on the line . That is true, you can also wait on the line, yes, and then you have to dial 1, 0 again when we get to that item. Okay, thanks. No problem. Moderator, can we have the next caller, please . You have one question remaining. Hello, good afternoon. You are on the Public Comment line. Yes. [indiscernible] because i dont want the copayment to be increased. Thats all. Yes, you can stay on this conference line. Thats not a problem. We are currently approving the Board Meeting minutes from march 12, 2020. So if you dont mind, we will disconnect this Public Comment and you can dial 1, 0 when we get to the item number that youre interested in commenting on. Okay, thank you. No problem. Thank you. Moderator, can we move to the next caller, please. You have zero questions remaining. President breslin, we are concluding the Public Comment section for this item. President breslin okay, the minutes of the march 12, 2020, meeting have been moved and seconded. All those in favor . Aye. Aye. Aye. Aye. Aye. Aye. President breslin is there anyone opposed . Its unanimous. All right, item no. 4, please. Item no. 4 is the president s report. This report is given by president breslin. President breslin all right. On behalf of the Health Service board and San FranciscoHealth Service system, i would like to announce the San Francisco controller ben rosefields reappointment of randy scott to the Health Service board. Commissioner scotts new fiveyear term will begin on may 15, 2020, through may 15, 2025. The San FranciscoHealth Service system and the Health Service board would like to thank the controller for his reappointment of commissioner scott. Commissioner scott has been an articulate and respected voice on the Health Service board since 2010. He has provided excellent leadership in several areas, including governance, policy while serving as a committee chair. He continues to strengthen the advocacy and the morale of the board with every year of service. Thank you, commissioner scott, for all your work and we look forward to having you on the Health Service board for the next five years. And secondly, i would like to announce that mayor london breed has repointed dr. Stephen follansbee to the board. He has served since 2015 as a retired practicing physician. Dr. Follansbee has provided great insight into some of the more complex issues and questions that have come before the board. Dr. Follansbee has also served on the budget and finance committee. He is also serving as the vicepresident of the Health Service board. We are grateful that you will be serving another term on the board. And third, today is commissioner lims last meeting. Serving on the Health Service board