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SFGTV September 1, 2013 - Vimarsana News

SFGTV September 1, 2013

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 board decision to decide to make benefits equivalent across all of our products. So, the recommendation ...

SFGTV September 1, 2013 - Vimarsana News

SFGTV September 1, 2013

During the rates and benefits. Actually in december so the board can give us direction on whether that is something to pursue for the rates and benefits. Hello, my name is gail bloom and id like to talk about plan 1. I dont know if this is the right time. I have a problem with plan 1 and id be happy to hold the question till later in the agenda when it looks like you have open discussion about the different plans. Up to you. Well yeah, you can Say Something now about it. Its about plan 1. If you want to hear it now, id be happy to bring it up. Maybe you could talk to the staff. I have talked t...

SFGTV September 3, 2013 - Vimarsana News

SFGTV September 3, 2013

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 yet been submitted and adjudicated. So, it might have been an estimate of more like 20 million. But t...

SFGTV September 8, 2013 - Vimarsana News

SFGTV September 8, 2013

Rates go, especially from 4 to 7. 79 from a thousand 78 to 1500 and from 2000 to over 2300. ~ so, thank you very much and i hope that you consider subsidizing. Thank you. President breslin . Yes. I wanted to acknowledge the importance of that question and to also state that plan 1 has been a plan for hss since hss has existed in the 40s and we are dedicated to bringing an alternative model to the board that will save that plan and actually help turn it into a healthy plan again. So, that will be coming forward during the rates and benefits. Actually in december so the board can give us directi...

SFGTV September 10, 2013 - Vimarsana News

SFGTV September 10, 2013

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 and saying this is now part of the rates benefits that we were alerted to the fact. I think its fai...