more than just a... and you give us a memo and we didn't know what it was worth now, not two years ago and we need to know if there are prospects to the lease because the building does have a lot of history, a lot of history for this department, and one thing that was clear in the last meeting iss that we wanted something that was a non-profit and something that the police department related because of that history to be part of that building and you know not 20 new condos. >> i have a question. >> commissioner dejesus? >> i have a question in your memo, you mentioned that the sailor the lease, is subject to review by the historic preservation commission and i am just wondering what exactly does that mean and does that mean that the facade can't be changed or like, what does the commissioner just said, could it be bull dozed or are there preservations, >> the city would usually through the deed, restrict what one can do, perhaps beyond what

might be politically possible, if a developer were to suggest, there is no alternative but demolition, and so we have many examples where we will place that deed restriction to preserve consistent with secretary of the interior standards preservation and we don't see a reason to open the door for removal nor have i heard anything from the senior planning staff that suggests that that is appropriate and i don't think that is an issue, but that is also a driver for the net cost and so we have to keep that in mind and it is a delegate balance and but, the similar circumstances were before us on the tennessee street property for the fire department and that has preservation requirements on the exterior, and the interior did not have a historic context. >> great. >> and the other question that i have is that you mentioned the seismic and it is not seismically sound and that i guess that we are subject to the abandoned building act?

and i do worry about that and i assume that it is a brick building. >> no. >> brick. any way, worry about that in terms of earthquake exposure and liability. >> yes and there is an annual cost for that and consistent with the vacant and abandoned building ordinance and i am currently subject to an existing notice of violation and a director's hearing that we need to abate and we do have sort of a bit of an issue that we need to take care of to clean up that matter before the property could be disposed of by lease or sale. >> okay. >> the immediate next steps. >> i think that we need to do is we can bring this back in four to six weeks with some more explanation so that we can feel a little better informed before we make any sort of decision in terms of an action item would that be okay with the commissioners? >> does that work with your schedule? >> if you like to set it at 6 weeks, by then i can come back with a formal appraisal.

so we have a third party, that is updated and we can look at both. >> and you are going to ask them to run the financial on the lease scenario and on the purchase scenario, and that is six week time frame to give me time to bring that back to you and i think that we will have a much better data to make a better decision. >> that is great. >> and these are the commission's intent to observe, the appearance of the building or the use of the building, i don't know which one is more important? >> so if you could include in the appraisal the idea that, what if it was bull dozed but we included a stipulation in the deed that whatever was built, 25 percent of the new building would be set aside for community use, and something like that and i am wondering if we could get a sense of pricing and how that effects the central sales and that way we could get some space out of the building, if something new was built. >> i don't know. >> maybe, administratively, we will be able to tell you what

the land is worth. that really gets to your question. and then you can discuss the efficacy of allowing the demolition or not. >> we are going to do that. >> great. >> thank you, we appreciate it. >> thank you for your time. >> okay. >> okay. any public comment about the sale potential sale of the old bay view station? >> juicy. >> yes, you know, when i hear 2300, there is the first and the 2300 carroll and that is right there by martin luther king, and it is going through the park there and it is like where you go to the acupuncture and then i realized that is not 2300 carroll, it is third street, is that old police station right there? >> yes. >> and little incredible with the bus 22 turn, i think that is a historic building, and it is just like the other famous

2300s, guess what? 2300 jackson place, is michael jackson sung about it and i think that someone once told me that was a medical marijuana place also. but i know that it seemed like you want to use that place you know you said that the police station here, is number one, and cit, and you are volunteering to do that and it is why not make it a historic point where the people can come and learn and grow. at that, and that is incredible and i would hate to see it tore down, because it is history. and it used to be a jail and also it could educate people, what it was like, do you remember... (inaudible) and i remember, actually i want to get my car in arkansas and going to the jail and it looks like the festus and do you remember that? and that is just a jail back in the old days, how they look, and you went into a place and

it was actually an old jail like, what is those, those pictures called? do you know what it is? gun smoke? in those days when you are really in the jail like that and it was over there and i think that place is used as the education because somehow, you got to start teaching the people that, i think that the police, and it is good, to me, i would hate to say that we are without the police department, and where would we be and how would be able to walk in and out of the world if ut didn't have it. and sometimes you got to, and you got to start and saying that this is where the education and this is more than just been 850 in a jail. and you need to do something in 850 now, and that is an incredible place to look at the ballpark, and it is named there and the building there and built wonderful, and they hope

to build it like that because those are the old buildings and that fire house right there by the ballpark. and this should either be contained and built more on to it but it should also be a training and education, and 24 hours off of the tline and i called the t-line and sold the t-train because it is a lot of souls on the t-train when it goes through there and i hope that you can keep it and make it valuable for all of us, thank you. >> >> very briefly there is something in real estate known as highest and best use and apprised to the oil properties across the board and this property will be knocked down and a high-rise will be put up and multiple apartment units is a mess and they get the permit very quickly and the city and county of san francisco. two is that, john updike should

have provided a certified apraysle of the property from a certified appraiser for you to view and we should have had the appraisal in the general areas, buildings in the four or five or six blocks away of what they are sold for or what the sizes are. and last but not least, is that, i don't know where the money would go, or they will go into the general fund or the police department, but, it should be a provision, maybe in there somewhere. that maybe the police department could get a percentage. thank you for your time on that issue. >> thank you. >> and any further public comment? hearing none, it is closed. next line item. >> this is a short announcement before, commissioner if we can. there is a police activity on the polk street side of the building if you are going to exit the building you have to go out on vaness street. >> thank you. >> line item four, public comment on all matters

pertaining to item 6 below, closed session including public comment on vote whether to hold item 6 in closed session. >> public comment regarding our closed session matters. >> public comment is closed. >> line five, vote on whether to hold item 6 in closed session including to wrote on whether to assert the attorney client privilege regard to item 67.10 action, do i have a moved. >> so moved. >> all in favor. >> aye. >> okay, ladies and gentlemen we are going to go to the closed session, if you could please exit on the vaness side there is >> we have a quorum, >> thank you, do i have a motion with reference to disclosure of what was discussed in closed session? or non-disclosure. >> non-disclosure. >> second >> all in favor. >> aye. >> call the last line item.

>> move to adjourn. >> motion. >> second. >> all in favor? >> aye. >> meeting adjourned.hub.

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call. >> the health service board meeting will now come to order. please stand for the pledge

>> america and to the republic for which it stands, one nation under god, indivisible, with liberty and justice for all. our clock is 5 minutes slow that's why we were need to starting all right. roll call >> president breslin. vice president. supervisor farrell excused. commissioner frazierier. commissioner scott. commissioner slain excused we have quorum >> item one, please. >> item one action item approval with the modifications of the minutes set forth below the meeting of april 8th. >> any corrections in the minutes no corrections. >> i move the adaptation of the

minutes as distributed. >> any public comment on that item? all right. all in favor of adapting the minutes say i. opposed no opposition it's unanimous thank you with your in the rates and benefits section i'll i'm going to turn it over to commissioner scott. >> i'd like to start out with a general comment with our work of the past year. we started with a rather mixed bag of activity at the conclusion of this process last july and subsequentially the health plans the staff harassing have been very, very diligent of bringing us to the point we are today, i find it absolutely remarkable we don't have the same level of interest with when there's a victory to be dlafrd.

be that as it may i think that we're going to find this overall is a good result and my hope is that everyone will thank you for the opportunity to claim credit with that, i'd like to go to item 3 >> item 2 action item approval for the 10 couldn't results for the 2015 plan year committee chair scott and director todd. >> director todd you have in your packet the resolution you also have the analysis that sits behind it which is extremely thorough we take the 10 months populous county and the average and determine that as what's been known as our 10 county

average. you'll see that there is high as $610 per month and as low as $420 per month we're going up by one .67 percent, 46 percent. to $567. now the 10 county is taking on roman numerals primarily this year and in the future for the retirees because all of the unions have negotiated a percentage of premium number two, they agreed to remove the 10 county from their calculation so the 10 county as you look at the rate cards will appear on the early retirees. any questions >> i just have a broad

observation i recognize the statistics are very, very clear but we need to add a dose of reality their indeed different benefit designs and operation in the current market in the 10 county so so while the stick is kind of what we use to measure the yard we know that some of the inches are not all inches and need to acknowledge that my hope as we now begin to look at the market in a different way that we will at some future point look at this conclusions we draw from the market go in terms of either different benchmarks different plan designs or other relevant issues the statistical summation of the costs are not absolutely the comparison that i think we want

importing duo into the 21st century. >> i move to approve the survey. >> second. >> it's been properly moved and seconded is there any we adapt the resolution any public comment? hearing none we're ready to vote all all in favor, say i. i >> opposed? the same sign it passes unanimously item 3. >> item 3 action item approval of the blue cross blue shield medicare advantages for the 20016th century plan. >> good afternoon. >> good afternoon. >> you'll see in our packet the blue cross blue shield medicare retiree rates as a matter of clarification that is the first time you've seen the financial adaptation so the net results of

my negotiations with blue cross blue shield is that you have a rate path for 200515 a point of clarification this rate is higher than the rates for the medicare comparable medicare produce for kaiser and is much higher than our low f c rates the reason is they have a p dp piece and have a co b piece in 4 areas they don't have the access under the blue cross blue shield structure for the medicare we average the two numbers and that's why the costs are what they are. the willful m ap d we'll get into later we didn't elaborate on all of that. because if you look at the 3

numbers and compare them this is by far the highest number and we will exercise we can with blue cross blue shield in 2016 to make sure their could be the i've talked to them they're aware this number is getting them out of the are ball park if you're paying money yours is way two expensive so we're going to go with kaiser that's been discussed fair and scare with that, the page 3 and comparisons on page 4 i recommend you approve those rates, however, you do the process >> yes, ma'am question. mr. frazierier >> you don't need to they're all on. >> again, thank you. so it's good news it's a rate pass why how do we know it

shouldn't be a rate reduction >> they wouldn't give - i worked on that as deliberating as he could i have the information for the co b the medicare pays you pay the extra i look at that it's rated correctly so i do that my work advantage is a different story they get a bunch of money from 9 government so i think the rate as is is not a bad rate given what i've seen and what they have to charge excuse me. if they did apples to apples to compared to kaiser they're only off by 20 bucks but the co b piece and the risk forces o people that blue cross blue shield covers drives the numbers that high so we've moved the two

numbers. >> as a consequence consequence of it being high we're going to see immigration out. >> there's a problem in the areas by practice pay all the costs for the single realtor so there's no attraction so people with blue cross blue shield have going to stay where it makes a difference is in the other categories rate. >> right the employees. >> you right immigration but if i stand back in the controller's office i'm sitting they're going i simply don't want to pay them but in the same place under the city they're aware blue cross blue shield is aware if they can't get it better we'll have to make a more dramatic decision next year. >> so one hundred and six, 10

is what kaiser is for retirees compared to medicare so why is this scombruftd? >> their rate is a combination of two sets of risk the medicare advantage is close to kaiser and the co b is is over $400 a person we don't segment the co b from the risk we blend them and have a single rate card if we choose in the future to split them up their urn comparison will be closer. >> but the city plan is not. >> oh, did you read the city or kaiser. >> i'm looking at it city that's lower than this they're a p po not an advantage plan. >> no. they're not.

we got an incredibly good deal from the drug premium it's one hundred and six bucks they held it at the $142 because of a drop so i hope the board is aware it was one hundred and 42 one year we messed up the patient and it was one hundred and 42 they gave us the earlier renewable in december they let us roll it to a six or seven increase we thought the number could go up thirty or 40 or $50 they want to stay in the area and active and benefit the people of the city and county of san francisco and that's their biggest bucket they said we're all in under the

sequa treatment it's a factor a business decision, etc., etc. >> etc. up is in the city plan. >> yes. that's the drug piece. >> i was trying - >> well others have egging what from the united health care is an incredibly good deal. >> well. >> i hope it didn't go up but good for $2.15 we generated a lot of good stabilization we reduced the number subsequentially because by policy we have to run out it is excess money. >> but there isn't my transparency in the advantage plan you don't know what they're a paying and that's a tough number yeah, i'm good actuary

but that's a good number. >> i don't understand the act late at the end. a great deal of if it was minus 2 percent that is pretty good >> i think i did a fair job of explaining my act laid we're going to be all over this in 2016 now thaim i'm even fair and square? >> comments or questions? >> i'll move approval. >> is there a second. >> second. >> it's been properly moved is there public comment? >> good afternoon, commissioners claire representing r e.c. c sf and the west bay retirees i was dismade i was thinking the history here

we've had with blue cross blue shield and the co b plan and how difficult it was to get them to move to the advantage and accept an advantage plan i'm hoping they're under wrirgz will look at they continually i believe use very high-risk rates that are not justified by population and our experience well, it seems like a few pennies i think it's substantive i appreciate the fact their blended rates and that's helped the co b folks it is still rated high and blue cross blue shield needs to take a look at this they continue to be noted in the news for the fact they're really making their rates twoovp too far nor individuals in a number of areas it gets reflected in our group

plan and reflected in places we have the medicare advantage where they're receiving great supplements in the government but not applying those risks inaccurately and it could be better picture i will accept those rates this year i think our members not a matter of immigration but we no longer have the third option for a hmo but but we should consider a third option in the future for better rates especially for retirees thank you very much. >> other public comment? hearing none we're ready to vote all in favor of the motion to accept the rates as decisions certify by i. you guys have it we'll move to item 4 >> approval of