capacity to handle? i mean a good problem to have, but how do you think about that, if that happens. >> i am going to let a large cat out of the bag that i was going to tell you next month, the city hall classes will be free effective september first. so we think that part of our overflow will be solved by the fact that very close by, there are other classes going on that will now be free and the deterrent of them having a cost will not be there any more. so that is one of our solutions. we are also encouraging other local resources so mta has classes and the library puts on a lot of great, free opportunities and we did have to limit the total body conditioning class because of the equipment involved in lunchtime that was getting unsafe to have it be larger. so we chose to keep the walk on the same day, because that way, if there is overflow, there is still another opportunity. so right now, we are creatively handling those solutions and have not had to give up yet. >> okay. >> and the other thing is,

what, you know, as a physician who spends a lot of time speaking to people on a one on one basis and looking around, exercise is a fantastic way to get the body fit, it is good for the brain health and a lot of things. but, it is one part of the equation, what goes in, is a huge part in what goes out as an exercise is the other part. so the question is as the comment is, what food, drinks, if any, do you bring present to these events? and do you bring up each time people show up, exercise is good, and important, food is more important? i mean if that is not a refrain that you are beating into their heads all of the time, a lot of people are lured into the false sense that if i exercise i will drink the coke and eat the crap and it is really, you will not get that over all health benefit of lowering cost and improving life quality of life,

if you don't do the input side of the equation, so i am just wondering do you serve the drinks and food or what are they? >> we only serve water, we encourage people to bring their own water bottles we don't have any of that. in general, city events don't have a lot of food at them. so, it does not happen as much. although we will be doing education and there are departments that have food. as a leadership kick off we did have a snack and a hand out that talked about the value of snacking what a good snack is, how many calories the fact that calories count toward your day and so part of it is how big is your snack, in proportion to everything else and actually outlined the nutrition, content of the food. so, this is actually what you are eating, if you choose to, and we had small, very, snack pack, and nuts to drive home the message of portion control. and even if you are eating healthy foods you have to think about portion control, the few opportunities that we have had food, we have driven home the education at messages and we

have not done the announcement in classes and i teach tonight and so i will consider putting that in total body conditioning class but i do think that we encourage the folks to come, and the table that has things going, they get the message this is the place where you come for health and the brown bag and for the health coach that we have on site one day where you can get that nutrition advice and we are having some of that additional information, there, but we will have to think about how to incorporate it into the group exercise. >> thank you. >> thank you. >> and you also had we had lunch and learns with one was on eating well, after, cancer, and you had four or five lunch and learn on nutrition. >> so we try to address, nutrition each month in a different way and in july, we focus on cancer, so we were looking at cancer, preventing foods and food is medicine and nutrition after x cancer, this

month there is a lot about motivation and staying motivated with whatever your challenge is. so, it is there, but, always, i would say, you can't out run the bad nutrition. so, the more that we can put that message in, definitely worth while. >> all right. >> and i had a very nice segway to the interactive seminar break down, this gives you an idea of what were offered and how many people came and the satisfaction score and out of five and then that turned into a percentage for you. and then, what group presented it. and so you get a sense of who is giving a talk as well. and we did see a pretty dramatic drop in attendance to the seminars. with the expansion of the group, exercise classes and so at lunch we had 20 to 30 people in the exercise room and at the same time in the conference room we have about ten.

we were getting closer to that 15 mark on the average when they did not have and we were not completing with ourselves and it was funny, last week, i watched people go, they don't know what to do, and the good news is that they are interested in both even if they can't be in two places at the same time. >> so those give you an idea of over all participation, as well as unique participation, which is a theme that you will see from us as wherever able to collect that individual level data. and it is a good time to give a shout out to our new management assistant who is entering in all of these e-mail addresses to give us the data and the shares that put together the charts for you and who figured out how to auto mate it and type it into the computer and so we will not be manualing entering things and so it will be much better in the future. >> the same thing with the

health coaching. health coaching, we love having it, and people love that we have it, but they are not, knocking down our doors, and the big reason that we think for that, is that there isn't, that city-wide announcement yet, there is not, a challenge to be participating in. and they have not just gotten their result and not just taken a health risk assessment and so there is not that nudge that compliments the coaching well, it is a great service, but it isn't driving the way that you would expect it to, had come a little bit later in our program. >> eap, you will continue to see these statistics, and so, you had lots of interesting in eap and a lot of new appointments and so we break that down for you as well. >> and then at the end, you will start to see work site wellness and we are going out to the department and doing things on site, we were busy kicking off the wellness center and but you will see this grow as time goes on and especially

with the launch of the champion program. and as well as the city wide wellness kick off. >> and the glossary and, hopefully it makes sense, and if it doesn't, help us to improve it. >> i want to compliment with the rec and park. and the better off we are all are, any questions, or comments? >> i have one question, the single sessions. how often are they repeated? >> we don't have a consistent cycle, at this time, if it is a single session, it is happening once, this month for the first time, we are doing a single session at lunchtime and in the evening to see if that helps to expand and we have terrible participation in the evening, but part is that in july and

june, happening to us. so at point, we don't have the draw to be able to repeat it to get a lot of people, when we are struggling with the eight, but i agree as the time goes on, we are repeating a seminar that we did a few months ago that had poor participation because we had not opened the wellness center yet. this month, we repeated it yesterday. and so, we probably need to get on a schedule, where the people get used to seeing, talks at certain times, but at this point, they are typically just offered once. >> i like the looks of these first three, especially, cancer preventing foods, and fueling your body, and the kitchen medicine, i think that these all sound interesting. >> they were. >> and they should really be and see if you can get them promoted somehow, i think.

but creating happiness, i don't know if that is possible. >> that is a fun talk. i encourage you all to attend and the calendar is on-line and you can get the calendar in advance and we can send you one as well. >> and stephanie, will you just do a shout out to the vendor whose have been helpful in all of this? >> president has been a lot of talks and our health coach is from kaiser but services provided to all members, and blue shield has been fantastic in helping us to get to the aco partners in to give talks as well and the healthcare, never says no to anything that we ask for and so we appreciate that as well. so also, they will be helping at the champion training, they have sponsored our breaks. >> wonderful. >> and any other questions, comments from commissioners? >> just a quick comment, thank you for doing the report. that and more public venue. i would recommend that we do it

quarterly. >> yes it will be in the kit and we will read it. but i think that having you stand up, and highlight, and under score some of these activities and interventions will help to add to our collective understanding of what is possible, here. >> i would appreciate the opportunity, thank you. >> all right, thank you. >> any public comment? >> i am going to comment. and retirees have asked when will there be some classs for retirees and we understand completely that the priority is for active to get healthy so that we can join us soon. and they will be very healthy group, but there are a number of retirees who have asked, and because there are a lot of things and walking and all kinds of things that retirees are interested in doing. and we are trying to form some of our own groups through the rcsf and connect them with the

other members who have things going on as well. but, they have expressed interest in some of the classes, at the wellness cell center and any time that there will be classes that will be specific to retiree and we look forward to that. >> claire, do they need to be specific to retirees, we are actually in the hall and often i am the only one active, and the retirris in that class and they are welcome but i will acknowledge that we have not gotten out the enews but stephanie figured out how to get it for august and, so retirees might not have known about these classes but that will be the primary way of letting the people know where the classes are and retirees are welcome to come to the

classes. >> i think that the article, because of what was said at the board and two articles ago, that the expression was that, it is primarily, for active's first, and then retirees sort of later and so i am glad to hear that there are many, because i think that these are the kinds of classes as well as yoga that attract a lot of retirees, but if they know that they are open to them as well, to get the information out and put it in the newsletter and we would like to to that and i know that there are many who are very asked, and i will let them know that it is open to everyone. >> okay. >> and good afternoon, bob, the chair of the public employee committee and executive director of local 21, i stood up on the wrong item last time, and with a speech and hopefully i am not doing that again, but two things, i really wanted to

thank everyone that has made the effort that they have made on the wellness, and i think that wellness, and in large part, has some fundamental parts to it, including consistent funding and the career and the effective widespread, permanent structure and not an interim structure so that you can build the authority and there are ways to have labor, in the city, and can help. and we obviously can't support, the strategies for the leadership for the program, and they just have asked us to do that but i think that people are very excited about the way that this effort is shaping up and the kind of leadership that you are demonstrating and we think that there is, and are elements of this that we can bring to it and that will help move the program, along. and there has been initiatives that the labor has taken in the past, such as health and safety, and the members will seem logical but it takes the labor a while to figure it out and to get behind it and to

start devoting resources to it. and i believe that wellness is one of those areas, that we have been slow, to get to. and to understand, the value of it in terms of the health and more of the issue and the health of our members being a priority for the labor and so i think that we are there. and we are following the example that you are setting seeing the work that you doing and going to come in to the extent that we can to provide the organizational access. and communications and other things that we do, pretty well to help to support the effort that you are making. and so we are very excited about that and devoted to trying to make this successful. and before i sit down, i should say, we are some what sorry that we were not here when the rates were set. and you know, usually, people show up when there is good news and you can't find it when there is bad news. for some reason, some of the months and something, we were just not around and paying attention when the new rates

were set and it is something that all of us, should be proud of, and certainly, hss and demonstrating reducing the rates, which among other things, is the right thing to do for the taxpayers, but also, it helped to cross the major driver against the wage increases and so it is a big hurtle that you hear. and trying to negotiate a new rate. and so it is a very important area for us and it is okay to miss the boat and not realize that you missed the boat is a lot worse. and we feel that we missed the boat. we should have been here to congratulate you to the new rates and to thank you and your staff for that leadership. if it makes you feel better, we were not at the board of supervisors either, when they adopted the rate. and they could be. >> and universally ignored. >> yes, they could not understand, why a year ago they had hundreds of people in the audience, and the rates were going down, and no one was there. >> so my apologies. >> thank you. for your comment. >> anyone else? >> great.

>> all right. thank you very much. >> next item, please? >> item 5, discussion item. hss financial reporting as of may, 31, 2014, pamela. >> the report of the actual revenues are reported based on the activity, june 8, 2014. but the projection are based on activities through june 30th. in terms of the trust, tp&g started the audit and until that is started in mid october the numbers will not be final

and we usually have them come in november to present the financial audit. and in terms of the general fund budget, the books are still open, and we are in, what is called the 13th month. and in there is also a 14th month and so the 13th month, there really is just the balance sheet types of adjustments, that this is almost where we have all of the final entry and there is still probably a few that are not. and so the numbers are not completely final. and in terms of the assets for the trust fund, based on the activity through may, 2014, we project a 12.8 million increase in the trust fund and as always, it is contribution receivables and assets and unearned and liabilities and compared to last meeting, which

would be june, this is 4.7 million less than the balance. and as i mentioned before, this does bounce around based on activities and that happened and entries and pay ables and expenses paid, to the health plan. >> the main assets available in the trust fund were 77.4 million on june 30, 2013 and based on this projection, it would increase to 90.2 million. and the projected increased of the assets are primarily due to 10.1 increase in the projected city planning assets and 4.6 million increase in estimated favorable claims experience in the self-insured dental plan. and other factors that contributing to the 12.8

million are associated with unfavorable claims in the blue shield flex fund and increase in the estimated net, and medical and hmo insurance and premium revenues and surplus of sf as and reductions over claims and the estimated increase in the 205 budget and the increase for interest, and performance guarantee and the forfeit turs played by blue shield and the reduction of the transfers into the general fund, in terms of the general fund, and administrative budget, based on the results of the first eleven months, this is again, is the fact that we are equally included at this point to 12 months, but the things bounce around a little bit and there is a balance of 908,000 dollars for the end of

the year and now this is really unprecedented. don't get excited that we will not have this next this current fiscal year. we have had a significant amount of hires that were delayed, and that is rebuilding in about, 619,000 dollars of lower expenditures for personal services and benefit and we are staffing up. and we expect to be at staffing levels, of positions approved through the end of 2013, 14, and we expect to be there the end of october, and then, we start for the hiring for the new positions that are approved in the current year's budget, and all of those were moved by the budget process to being effective january first. and we are or have talked to the controller's office and the

mayor's office about exceling some of those so that we are on board, january first. but, you know, there is a significant challenge with the whole process. and then we also have 289,000 balance in non-personal services and other services of other departments commonly known as work orders. and we are planning to request the care for of the remaining balances of that $208,000. and we have still money that we owe for various contracts and for the improvements. and you know, establishment of the wellness center. i'm happy to entertain any questions that you have? pamela, could i just put in my pitch, whatever value that it adds to do the recruiting before january first, if you are not allowed to start the recruiting for those positions

until january first we will be in this position again and what we know is that our staff are really critical to providing great services to our members. and we really really urge the city to allow the recruitment to happen, so that they are ready to aboard, and i guess that it would be january second. >> when the combination of the parties that governor our budget convened and moved the positions to january first, that were very critical and we pushed hard that that would occur and i got concur ans for that from the deputy controller when they were sitting in our hearings. and so the big thing is carving out enough time to put the job descriptions togethers. >> any other comments from the commissioners? >> commissioner scott, i would like to take this particular occasion to commend pam on her leadership and diligence. through what i think that i

could best describe as being a labyrinth of a budget process here in the city. we all had the thing to flare up about staffing, and classification reductions and done in a very arbitrary and capricious way by a financial colleague. but i think that at the end of the way, your professionalism and your hard work, and i know that you spent, many, many hours, revising, and tables, and doing new calculations, and all of the rest of it. it needs to be called out particularly, at this point in time and so i thank you for that. as a member of the finance committee. and i kind of walked through the process and only saw, a very small part of it. and the living nightmare of the past few months. so, thank you, for what you have done for all of us. >> you know, a budget is only a plan. you know, and then you have to

make assumptions. we are realizing and i knew this basically from the beginning of traying to establish a form of budget process within the department, that there would be more work that would need to be done this year, to be able to really justify all the funds not just the new funds, that we are asking for, so that we have a really good plan. and people can realize, you know, that we are ongoing money for this and our new money is for that and have it all documented but it is a, it is a plan in progress. >> thank you. >> thank you. >> any other questions or comments? >> do you want to introduce your new staff member? >> yes, i want to introduce, david and he came over from the human service agency. and he is our new contract's manager and he will be helping me in negotiating considers and working with the vendors.

and i am so thankful that he is here, really, i needed some help. and we hoped that you know, his forte is really putting things together, and solving some of those you know, unclear service things that we have within the document and on the contract side and i have been trying to do it on the finance side and we are excited about having him here. >> welcome. >> and can i also just point out that pamela is now in the midst of not only dealing with the external audit but with the requirement to turn in a 1.5 percent budget decrease and then in anticipation of the new ballot proposition that was put on the ballot and so that money that we got back, half of it is going away again. >> maybe. and depending on what happens in november. but, she is crafted several scenarios and we walked through them yesterday, and we are just lucky to have someone who can

figure out all of the different places we can put things and move things. so that we can don't damage the core structure. and so i am grateful for that, but we should hopefully we will not have to cut it. >> so, just to go back to that, thank you for bringing it up. i don't know how much background you have in this, but there was a ballot initiative placed on the ballot, at the last minute after the budget was already crafted. that would provide funding to muni and increase in population and this will effect the general fund by about 20 million dollars. and so every department has to come in, and in the general fund, and it is about 45,000 and this will only be triggered

if the proposition passes and as you know there is a lot of financial propositions on the budget, or in the election, and it may be a challenge to see what will be voted on. they are looking on ongoing cuts, and so we are trying to figure out how we don't effect the fact that we have or we needed staff, and we need to maintain many of our really critical contracts, for, including aon for the actuals. and so, as katherine mentioned, we did go over some scenarios, and i been tolds to go back to the numbers, and we will work out something that the actual plan has to be submitted to the mayor by the end of next week. >> great. thank you for your work on that.

>> any other commissioner comments? >> any public comment on this item? >> thank you. >> next item pleased. >> >> item 6, discussion item. presentation of the uhc audit, aon hewitt. >> i am here to highlight the 2014 claim audit that we performed at the united healthcare. we start out with the plan

evaluation and the methodology and we look at 220 claims, and medical claims. and in addition, we also had ten targeted claims, for high dollars, and the claims paid over 50,000 and ten claims, for disease, and our errors are categorized into two section and we have payment error and non-payment errors. our results will be based on financial and payment accuratecy as well as turn around time and how well they are processing the claims in 14 calendar days and in 30 calendar days. >> you don't mind, i am going to interrupt you with a question and i ask commissioners as we go along, okay. you said that you obtained the payment and non-payment errors and you measure on financial over all and payment and i am confused to the financial and payment.

>> okay, so financial errors are going to look at the financial impact of the audit. and the payment errors are the frequency of errors. so the financial errors are going to look only at the financial aspect >> can you try one more. >> the financial accuratecy, one penny does not have as much impact as one million dollars it is looking at the accuracy of dollars paid out verses payment accuracy is looking at the frequency of payment errors in the sample. so, you could have a one penny error, a $10 error, and a $5, error and they are equal weight with the payment accuracy. >> could i give it back to you to make sure that i understand it. >> financial is the value of the error?