÷! good afternooto order the th seice board december 12, 2024.would all please y the >> i plege allegiance to the fla the united which it stands, one with li >> thank you. em 2, please. >> item 2, roll call. starting with president hao. >> p vice pres commissioner howard, present. commissioner sass, pres mmsioner wilson, present. >> withw that, 3. this is opport comment matter within the jurisdiction not on the cluding requesting the bo m agenda. pucomment remote viewing isla sfgovtv and webex. the health service board welcom

comment at beginning of the meeting as l unity to comment on in person comment will first person you are welcome to approa each speaker is allowed three new limi concerning the [ç itemresented. health service bo minutes of remote publcomment for queue and you will the prompt you ask a question.se wait to speak until the host calls on you. when the syst says your your time to speak. you will be muted time is or thoswaching on a raise hand will appear next to your name. when you are unmute will appear on the screen. once you hear welcome caller you begin time is expired state i will give a warning wi 3 minutes thank e on mute.thank media service.gin with in person public comment and one dium

public comment. we have two callers on the one caller raised haa brief pause the caller.. welcome caller. >> good afternoon commissioners. this richard rothman, red worker ang items about before.is the vsp vision care w:@çn alk to each other. i hatwice and wait a hour in kaiser. be in kaiser then you need to find a to have to each my opthu [indiscernible]the other is about kaiser ansportation.had llon friday to-i urgent, important to go on tuesday and ,y when i called up they sa e days. if you read the three days or a urgent apoppointment they can do it. t a then services and they took of it. kaiser needs to explain to the

members that have urgent medi appointment yoan appointment instead of just department or employees t three days. to read their evidence of coverage anyou can make an appointmemortation within three days. this also there should be a way without how i guess the only way i can find out i?is if thank you for coth no callers raised their hand. with now closed. >> great. item 4 pleas >> item 4, vote on he close session for member appeal. this is action item and presented by president hao. appeal f2hear at today' like into closed session. u8 >> madam chair, i will make go into closed session to heth appeal. >> second. >> great. been moved and seconded. we'll take public comment. aní+d enteowed by po to raise your hand. click on th we'll begin with in person no one approached the podium.

we'll move to remote puthere is anyone in our public commen time. we have one caller on the phone line. o this time. ia 5 pause for anybody considering entering public comment at this time. no callers raised their hand at time that, public co >> thank you. roll call. >> president hao, aye. vice president commissioner cremen, aye. commissioner sass, aye. commissioner wilson, aye. >> great. holly, please go ahead and secure the tech for closed thank you. >> thank you. at thisask all blic participants to room the room.h[are reconvening in opn. t one of these, i well use it. and now i guess we go number

6. thank you. i want to note for the record ing at 251 p.m. and =our president hao needed to be excused from vice presmeeting and i'll pull up our to disclose closed session. this is san code 67.12a. it is an action item and by >> okay. is there-the motion us is vote whether to disclose any scussion held the motion i would make as chair is not disclose. ere any discussion on the motion? thank you. any all those in favor item 6 not disclose discussion held in sesay aye. ñ5 do we need to take a roll call? en for public comment. >> pub is open. raise your hachbltd ck

placed in the queue.rson public comment and will approached the i'll check to see if there are is one caller in the queue, no etcallers raised their hand. for any changes in the public mment queue. raised their blic comment is now >> great thank you. not that-i keep forgetting. i apologize. not that i don't want ent.to keep through. okay. so, we have no us is determination before us is whether or not to disclose discussion held in closed session to not disclose. is there any discussion on 38 thank we have not heard discussion from the public with regardthe motion either.to last chance.ing once, gone. thank yo and so now it is on us all those in of supportint disclose any or all discussion held in any opposed? we can move forward.

it unanimous to go forward to report on action closed session. this is government section 54957.1. administrative code 6712b. this is action item and will be vice just got through the ethenot to disclose discussion, and now it is a matter of whether or tion taken in would recommend that the isort on any is therfurther discussion? >> i second the motion. >> it any further discussion? seeing none, comment? en up for comment. call 415-655-0001 access code fallowed by pounand pound again.star 3 to raise and.raise hand icon. in person is first mote public comment. anyone may approach the no one approached the podium public comment and callers in the queue at this time. er in the one raised lvtheir hand.wait 5 seconds for changes in the

queue. no one raised their hand in the public comment queue. public comment is closed. >> great. noclosed public comment. now we take our vote on action session.dation was no. any further discussion?nofavor no. any opposisay ou. okay. moving forward.of +othe way. okay. m we 8 approval is modifisé meforth below.is is action item.14, 2024 special regular ar . have minutes? >> i believe th the agenda. mber what? >> november 14, 20 >> 14th okay. >> those terial. >> second. >> seconded to approve.

any public comment now open. >> ñthose calling in 415-655-0001codebyagain. watch raise hand icon to be placed in the public comment and anyone can approach the podium now and by public comment. e podium. we'll mo and any the queue. we have no one raised their hand. i'for one raised their hand. seeinno callers, public closed. >> good. u. the motion on the floor to of and november 14. rect in that? okay any further comments from anyone on the board? no. and probably thank you-my guess is this ay be wrong. th the motion is to draft al l in >> aye. any oppo%jsiti seeing none, we got that taken care of. numberare approved. ne with item number 8. are going to item 9. item 9, president's

report. this is discussion and is presented-will be presen vice president zvanski if you have notes from president hao. . is there any issues to ngcan move with that. >> yes. >> call 415-5-0001 enter to speak. approach the podium. 'll hear from in person comment first fallowed by ] remote public no one approached the podium. we'll move to remote public comment and i'll notify any callers in#uthe this time. there is one caller on the phone lin no callers raised their hand at time. i'll give a 5 s8second the queue. no callers raised their hand. therefore public comment is closed. . sz vethere is be move on to item 10. >> item this is discussion item and by abby yabt.

yant. commissioners. >> good afternoon. >> i will be brief because we had a i just wanted to note for my retirement is on track.91 >> who is counting? d be done in the 90 days. i did want to will be having an announcement official service on for one of at will kick off january 9 and fis claire positions now and the year fr2024 through may hard to imagine that far out. thank you. june 2025. the other thing wanted st highlight re about in thwe are going to ÷m be y mayor iftikhar's team putting internally we will be grappling with over ll be a challenge for us and city departments so call those things out anthere ppy to >> what is the perc for dr is it a 5lflat hi, tikhar. >> that >thank you.

>> that's going be run pretty ?aq i think the city needs take not all departments can in the same way.deal with and actions r that are íj already on bare bones. does that conclude your rort? >> yes. >> thank you very much.the public? seeing none. okay. person lnpublic comment because no one approached the remote public comment which anyone dialing in can call 415-655-0001 and enter accessand poyour watching on webex you can be and no one approaching the "ypodium and i'll check to see if there are we have one caller on the line, i'll give a 5 second p anyone change

no callers raised their hand cht public comment is closed. >> great. thank you very much %zhss financial report as of this item by iftikhar joining remotely. looking around, going where is he. okay. the ceiling. good aftern. you have the trust balance due to activity and it is just the normal fluctuation in the month of we achavity so we are projecting a balance. is not quite year we had a large taab but the fund ba$5 million at the end, so we'll watch see if it smooths out. the early indications in novee trend is [indiscernible] estimating $16

million. actual num received the first quarter. we typically receive 3& [indiscernible] h5hearing speaker] we m it ease, but we have sufficient funds fonext and as part budget, we will are ahead et and it is because of [indiscernible] we are developing a plan presented to you in the pl with that, that is my report and anwehappyy questions. >> any questions? >> yes, healthcare time you mentioned the reason the wellbeing thcare, is that correct afte with mayor? >> yes, so the general fund budget [indiscernible] )f

we decided to the trust. >> okay, so the mayor office making a decision thatand we >> yeah, and ] we'll bring it up again as part of this year's budget. >> okay thank you. >> okay. any other questions? making myself a little úw about that. and we hope it is just a one okay. fine. seei >> i can open up for public comment.se diin, call 415-655-0001 pound and pound aiy/those on webex, click raise queue. in person will be first fallowed by blic comment and no one approached the podium and mo to remote public comment. there is one caller on the raised their hand at this point. i'll pause for changes in the queue. w closed.

>> thank you anybody wants to come forward? moving right along to item 12. >> item 12, blewlifornia medi drug ma pd ppo transion plan update. presented olga aya-velasquelee withof california senior manager grou >> great. welcome. >> goodternstavinskaya-velasquez operation manager system. for thwe wills implemen rix fallowed by ee are ex board we of our major milestones implemeio@+ ppo nth. our two outstanding items continue to be on track with deadlines januarof 2025. through the relationship between hss implementation team, rejanuary 1. as we move into janua continue to work together the blue am sufficiecommunicaticthe emphasis maintaining outstanding member experience

timely effective manner. to address the next slide is lo your printed packet. there were a few updates re support of members, i like to point we percent first contact resolution on for members calling on the topic of the planransition. we do see a overall vfin ivinrp the calls we able to support 137 members the phone with the hss call center and 11 members person. put forth the ort to insure our er limited to no health journey and for those need support, we ld to ers issues are timely and fully. i will pass the presentation over from blue shield. >>h4 >> charles lee, blue group to the hss slide on on track for everything. we are listing week weed

the enrollment file from hss and so we-h continued to process successfullytually change at een. once again,' the entire wow, okay. ' >> also //hss call metrix, you see here that we've receive0 calls month of november, those 900 by the various support calls as you notice it is provide a network n items i'll touch upon this re detail later, but enrollment, 6 individuals retirees in person duhad 184 to d also them to hss for add and questions. speed tiis 35 seclittle more then--still way below the al 180 seconds,till a gootrre.e handle time above 10 minuminutes, which me time and helping them reassure them on the transition. first contact resolution, which means

they dont have tocall back multiple times and we are able to concerns or they can call eyback ions. >> yes. >> >> you'll see similar metrics cro side foof folks were moa doctor with iders ñ$ ne take a at member b5 als downloaded ence of of benefits to look and research plan benefits and ons-should they have queestions answered. >> when we telephone number we possibly 8 colonize to the system? >> eight meanin there is a on section they can cli number, so if they they click on it and you go. >> okay. >> we wanted to start here on the next slide for this is should expect. on december 4 and we are as we so our the week of 12-16, so next the th members will receive their idñ= as a dpot a small batch of folks we processed may report having received cards over the weekend aslgood news. g with the id card, there is separate mailing welcome ugh that kit it gives additional

details about in there as onal data on amazon ph delivery service for the prescription so they will get more information thehekit and id card separate mailings, just to be clear. and worst case scenariob if a r does not receive their card by 1-1, they can llblue shield concierge wethrough their member portal and get them they can directly id card ld portal, or two, we can download their pdf of their id card and e-mail them directly to them as well. >> so, are we assuming that members are first or second or third month, didn't get my 2025 card, i will call out anything that says to them, by the way, if you didn't gea call? that members will receive all cards they don't center have to use this as e a card that 3medicare

advantage plan? >> say medicare advantage, but at the same time, there formation there for contract. it is in small print, you can't see it there. there is additional ppo type language a se therthe plan type as well. >> we are supposed to what the suitcase means? int.the card throughout the u.s. >> th say ma? >> yes.r >> medicare advantage ppo. [indiscernible] without confirming first. my copy is small. at xutoo, going, ma. alright. good. okay. i guess we wait and find out.r and not everybody figures it >> right.y! try to make that apthe wall. thank you for still being and ers. >>

so we want-the next slide we wanted to share the member experience on the support on. r example, the on-site during e open enrollment during the office, we were able to d osome high level things here.a specific retirewith numerous prescr we were able to reassure them their medications were covered and retiree was appreciative of the ion and thoroughness.i will ski and go number 3. we also educated a retir as i mentioned earlier, onj1are self-help and download the materials and take a look at the at their we also poted out specific parts o site from benefits, providers an the retiree was happy we showed themline resourcel though, we also connected services and were le to materials as well. that obviously is a option when folks call in, they can either ey and l. >> that is very that is good to offer, because

not everybod >> exactly. and so going back to the second +# that unfortunately not be part of our network, but what we did is diwork and confirmed are eligible and were willing to bill gblue xd so they we seeing the provider under the out of network benefit or flexibility so, i wanted to pause there for us:lwe questions about a particular and so we wanted to good news is john isl active site, thare ly contracte that happens infrequently, happen thrz is no impact to tter of fact, folks with commercial thus, not medicare, because the provider typically had any access for medicare advantage members. they know how to it is an educational item which educate them that even without a contract, we reimburse 100 percent fee bz for service schedule without a the same as original medicare their members. this case where it is t only crwe educate members,

but also pr understand they got retirees vere and bued hundred percent fee for servicbecause if the provider doesisn't ing to ha sometimes you run a situation where you have dichotomy between the [indiscernible] and that is where we need [%to reach out to folks rcent you see the member through original medicare, continue to your members. j- that is really good to know. no an >> no. correct. there is no ri >> the balance billing issue has come up a few times here and >> correct. >> i said to members, there is no bal >> correct. >> ifa provider are going back, they should ying it is medicare, you are supposed to take medicare an . i have been seeing on the internet some people complaining ider isn't taking blue shield, but we have to they take shouldn't matter?

>> we then educatethis u"is a plan y1just as medicare would be, 96 or 102 original that os to continue seeing at say they dont deal with blue shield? this is their right, yes.wright as well novvt being contracted.7 it is theirirefuse services since they not contracted, but like with isting members, typically continue that relationship. it is a little more challenging frankly to see i:a be mor existing anonthat typically isn't feedback is that what i e edon't want to deal with blue shield. if they don't want to that right. >> absolutely. >> you can't force them. that is where our member services--we are want those particular prov want d vp them understand and ask them to have any--we additional for contacts so if they have claims issues es they have a point ]b of ou they have usually that is all it takes to receive care.

>> if a member were to with blue er contact blue shield or hss tothis doctor? >> the most efficient ably to contact us the name of we would do is the outreach >> are you j>an se facebook pages for members try-th saying their providers dont take blue shield. memb >> it isn't our hea h service our health service members? >> they are our health service members? >> may not be retirees. we have few [indiscerniblewith pre th >> eyto educate the providers and hopefully they--so we can tell them ield, have them talk see the card, the aused to your old card re in on the knows. thank you. >> and then we al share held various in son town halls with retiree groups and one particree r& assist with providers in the san francisco area and leabthem are iree is had

>> that utilize providers so be very happy with the experience helping her and share the ws basically. >> okay. you are not anticipating 10 ms? we areanticipating 10 plus happy phone calls. >> looking d, we transitioned in total 19.100 members enrolled in a blue shield. we will continue to support those e2members and rk with a ahn score card progress to we provide services and expectations meet expectations of members movingfoard. we are very excited if t can'the opportunity to ose expectatio we get >> great. additional questions? >> on looks like we :qare going ahead okay. >> back good, thank you. we'll take public comment now. >> publdial 415-655-0001, enterax ses and pound again and star 3 to

in person pubcomment will fallowed by remote. we'll begin with in person public no one approached the podium. move to remote we have two callers on the phone line. both callers raised their hand. there is a brief pause un welcome caller. >> good my name is christopher, ez questions about the blue shield what is the plan on or appeals related tod how can members navigate this process? with all questions and the board can or not. >> how does the blue "#shield plan ad there were town center, but are there anymore resources that's it. thank you. >> thank there is >> we have two callers on the phone line.

transition to the >> [indiscernible] additional resources available mbers to better understand the new i know a presentationdi >> i unmuted the second caller.e caller wis be a slight delay kkand we could hear that delay online. unmute the cond caller. eah. this is herbert winer and just have [indiscernibhearing speaker] blue shield can >> caller, i'm unsure if you finished your comments. i beli

the background with a delay. mute g$your computer. i can unmute you and you about 0ú you are unmuted. >> can you hear nee? me? >> yes, we can hear you coqmment. is there anything you would like to add? k you caller.you back two callers on the phone line. no callers . public comment is closed. , please. >> i want to note president hao p.mg.">r next agenda ich is report on open enrollment activi this is discussion (k presented by sfwho announce themselves virnoon commissioners.ion manager, service system open enrollment presentation i olleagues [indiscernible] will review the activitlt of the open enrollment for plan a brief

review of the purpose ofop lment what it to run successful open enrollment from nce, contract projem and wrap member facing activi vitiesmber enrollment support and flu clinics. we have also put together a preview oof the appendix for your review. opollment allows members for the next plan year. duration of can only be changed if they are qualifying life events.ction 125 of the internal coderequirements regarding irvocable of plan election year and governs the health service system ability to allow members to pay for on a pre-tax basis. the health service system provides benefits to of the city and co fran city college of san and retireóh mecare retirees. the overall population grewlast year before we jump to the contribution s of each health division, i like ghts tofrom pastopen enrollment. this year our open

transition united healthcare medicare advantage with anticipated increase in call volu the health service system member service team along shield call center and our call center partner, vsa. the call centers handled al thousand calls with another consideration this year emerjed from partnership and support the unified school district and request for system and rate support pay frequency change requested by the after the approval by the vision boargecalculates =and approve rates for member and system updates. they alrates in member communications, a proce establisheinsure accuracy. the upcoming plan year 2025, the contract team inhip with our benefit partners viewed modified an pieces l, necessary plan document like evidence of coverage, certificate ofbenefits and coverage.

this process insuwith board approved benefits and individual plan renewal and uphold the department high standard of clear to understand description of member benefits. at presentation to our enterprise system good afte to provide the it componthe presentation. llment as a full year, so coming wrapping up activities for 2025 cked off rates and benefits of which in that."r my team provides dedicated projcan ure e are completed on time. addition to that, we do have tirfbties of annual beé]fit ministration system and some years we do. this year of course we have the heavy lift with the plan as well labors of the united plans we have and olga alluded deduction schedules for all the unified school districtees preparation for new pay roll system scheduled it for them july 1.

to with updates out the issues with unified school district due toare still working throh issues. terface file. we do anticipate testing another file in the coming couple weeks. finall t the work and effort that supporting n communication ve that targeted messages. to get there and here is examples to get to all the lists and hand that over r all the great do with tr÷t. turning it over. >> thank you. gommissioners. health my team has the honor then members with their custom letters. this year that involved creating 89 with coated [indiscernib not do this without the support of [indisof course with finance who helps the rates. we thank i want to take the ti jay [indiscernible] really hard to create and develop all t pefully you have

all seen and the letters, collateral materials including our wete quite impressive. >> thank yo vó and of course every year2 worel our members and that includ il in addition hope everyone received and our benefit fairs. flu clinics and webinars./9health plan vendors to provide office hours for one on one we did sodid get feedback from membn't open enrollment ended last year, so 2 thousand and 2 thtents distributed to 103 different city departments with the help of on soopen ntmiss deadliny, for our webi benefits fair thisnged our strate vendor hosted webinars. we noticed particition was a little to webinars and invited multiple members to present and attendance by 300 percent on averr2íxed from atteebinaralso six benefit fairs more detailed >> that was prudent the staff. thank everybody. >> thank you commissioner. >> nooff to colleague.

>> dpood te carrie. well being manager hss. this y we nths of ñ4 and execution, so not quite as long as oe, but al most of the year. additionally, 20 flu clinics this year and as had about 74 onin attendance huge part re additionally, created 21 clinics around flu specifically.p# this year we partnered with two health plans to execute it is new. we alwa stuck with to know where we need it. we ended up typically doi62 po they have because they e 24/7.total of 1700 vaccines this year and we had 2 new clinic locations, so one at department of homelessness and housing and the was and mta at the that concludes flu. i'll turr member services. you carrie. i like to a to

express gratitude to member service staff for not only did they volume a bday to day wee board our throug here i like to highlight some of the staff are responsi0ble for and continue open enrollment. over 1 applications and 1500 supporting documents were procd to accurate ts.romber processed 25 queries weekly and 17 additional que$'ies with hundreds of member records review and update todata is passed or transmitted to2 efficiency initiative to support membefor enrollment. n1uh members dependents through e benefit but did supporting document were scent twoe insure the requires documented were submitted y and second, initiated the enrollment process rough e benefits but did e-mail reminders to in properly submitted. this initiative resulted in 162 members not having thelection submitted. compared to 400 last year.

over 400 last a huge difference. >> th is what we wanted to make sure we were it is a generic e-mail sent out. phi to those them all over the system ections confmed. good thinking. >> as we wrap up presentation, i emphasize the administrating open enrollme ion as large as the city and county of san district and city college of san fransco, including our this presentation is only a snippet of the ucation of collaborative mind fp frame wet"0mality benefits to the next plan year. i invite the board to the answer any questions. the number 16.940 members who changed plan blue shield changes, or that does not include them? >> turn to ren. thank you. >> it was included? kt >> okay. i received a phone call for i understand

why. it was about phone call with the wait a very and after 20minutes they were disconnected. 10 phone calls everyb getting-received quickly or immediately i should say. have problem you heard from our memb they getting timely manner the phone calls answer >> prior to end of open enrollment we had voice mail turned on at 20 minutes. the work load associated cleanup of all the files we have to handle the ditional work load after open enrollment so thatthe call r specific information for currently and for plan year 2025 goes to that [ ththat are dedicated to staff right now e ou if a to my staff, ha order to take care of the workload, they would have that experience. however, through the end of the month we do have the support of the

vsa off ite call center and i believe their call data as meeting with them not have high call wait ti able to >> okay.have been hearing from other members? 0o >> if the member is queue large issue. understand.for all the hard f do. >> thank you, i'll passon the message. >> i want i think every year you give rollment went and evessica and carrie cease to impress us so thank you. thank you for the hard work you do on behalf of the members. >> thank you. tell the rest of the staff as well. we appreciate it very very much u. we have video playing in r] you commissioners. >> thank you. questions or comments for if not we'll go to public comment. >> public comment for those dialing in call 5-00001 code and pound and pound again and star 3 to raise

foline, click raise hand icon person public comment is fallowed by remote.rson approached the podium remote public comment. i'll check the remote public comment queue. we have one caller the phone line. i'll pause as the caller may enter the time by pressing star 3 to raise your hand icon. one caller raised their hand. caller, i will the person may be listening and having the background. >> is and [indiscernible] trying address wato change that [indiscernible] off and i waable to get the die number and then when i got , enme to all these other procedures and it was very difficult to n.make cowish it could

you caller. we have onone line who has spoken on public comment. with that, thank you. item please. view and approve the health service bo contingency reserve policy 210 revisions. presen committe>> who is asleep okay. 1item 14. you all have--okay. colleagues. can jump in, because we are fellow committee and chair zvski. g i thinwe heard from mike clark at a recommendation to delete rve for the active dental a reserve is not necessary. we had

we it for >> yeah. >> and this recommendation, which approved would be foboard to agree to delete provision from and mike, pl any gaps that we failed to flesh out. >>is goin >> yean commissioners. mike this is a permanently removent plan an employee plan among the dental plans ed dental plan. all other s cluding lfun posed rnance committee abotiming, the intent after the meeting is get through the and upon the first meeting of the governance committee this for the timing is i'll stand you all proposing both the of jm most ye recently completed fiscal so that is the importance of having this on and last week's vernance fo approval today. any other questions any commissioner may have.

>> do we have questions for >> i think we 'lentertain a motion to approve remove om the rvic we are-that the motion and i'll second that. >> chair zvanski,$ i can open up for public comment. please do. comment is open. r those dialing in call by pound and pound again, star raise hand icon to be placed in the queue to speak. in person public comment will be first gin with public mapremote public comment. we have phone line. one caller raised their hand. there rs welcome caller. we arhearing some reverberation, the calmay be listening online and

xói] welcome caller. p8 doesn't seem to be ind caishz the caller is the raise public wi that thank you. roll call vote, please. up cremens aye. supervisor dorsey, aye. comm cowilson, aye. >> great. thank you. >> item 14, reviapprove the tearier plan for 2025 revision. this by >> okay. and i just-where did i just have it and just lost it? r me. >> so, help because you can flush out the details. the commwe do have to make updates to our

plan documents and some of them are just based on the years and any plan descriptions. some also provide clarification. if you want to provide onal summary or additional flushing out please do. thank you. the san service rules have been erall the inclusions if there are questions on that a request to approve ke effect as of january 1 so we they are approved today and happy iu questions on each individual update item and for 125 cafete%÷ria plan,we have a th we have alliance with-excuse me, with the fsa,ire rs along with the mou flexibility credit standaof is mostly dates updated, right? >> in >> for these documents, is tes thaforward to the but are substantive updates in health service rules and in terof irs regulations for

accounts, mou alignment for flexible credit and plan changes. >> they are cumetion, thank you. >> thank you. very well done. bstantive chaichcks to eligible 49 participants? >> that is correct. >> right.we have any questions from the this document? none.e3public comment. >> hopefullwemore user frndly. >> that is the intentblic comment is open. call 415-655-0001 enter ss and pound, star 3 hand. for those raise hand in person is first fallow we'll begin with in person public comment and no one approached tremote public comment. we have on on the line. i'll pause seconds the public comment queue. callers raised their hand. public commennow closed. >> great. let's call, pl >> roll call-did we take a motion? sorry, my apology. i wanted to make sure. with

zvanski, aye. commissioner cremens, aye. superv commissioner howard aye. commissioner sass, aye.wilson aye. governance committee. fil two items. >> item 15, initiate employee evaluation of sfhss executive director for 2024. this is action item. quick recap. cuis despite the fact [irequeundergo evaluation, so there a that begins once 9d januiefly the will utive director. leadership and vision, reand governance, of people, and communication and client service focus. there is a formal ce we approve this any queso >> i can see abby is it. a motion. >> i malaunch the evaluation of the ]! >> second.

public comment. comment is open. for those dialing , cess code and pound and and star tee to raise your cht those watching on webex be placed in the queue. in person public comment by remote public comment.person one approached to the podium and move remote puer comment. we have i'll give 5 second se changes in the queue. public comment is now closed. >> great. now we are on the final item of 2>v right? >> to ve. c$to vote.e. >> roll call vote starting with president hao, aye.es commissior cremen, aye. commissioner howard, aye. wilson, aye. >> thank you. can move to item 17. >> item 96ate annual health

servic year 2025. this is action item and sue committe >> happy to is more self-reflectivthe and it has 8 main categories with 42 questiodo some serious self-evaluation and with us we i questions on this and entertain >6it, >> yep are. ve service board self-evaluation process. second. >> moved cowe'll take public comment. >> public comment is o415-655-0001, access code by star 3 to raise your hand.k those on webex click raise hand queu in person public comme will be first by remote public comment.no one podium and this point. i'll 5 in the e. no callers raised their hand at this time. public comment is now closed. >> thank you.

now we can do roll call vote, roll call vote, esiden>> hao,ye.ident zvanski, aye. commissioner cremen, aye. supervisor dor commissir. commissioner sass, aye.60 the to re=xports and updates from s. this is discussion item and presented >> are there members of our health plans who like toany announcements? no? journ everybody a very happy holiday season and january meeting adjourned. >> adjournment at 41] jxy ñw4good

ome to decembere last uoe accomplishment, and at this time the commissioner would whole under the director colfax's leadership, and

everything that has been done to advanc