now with that this is the page on icm. any additional questions? okay. this is where we are on this item. >> commissioner scott. >> yes, sir? >> in regard to this and i have been party to some of the discussions, not every one of the meetings in the pre-negotiation phase of this i still come away from the process slightly disappointed recognizing there is more work to do around this topic, and i say that publicly because i will be sitting in a chair during the rate -- as chair of the rates committee and i will raise rigorous questions. the fact is some of the elements, the icm, aren't clinical in nature and compare it to other plans doing for city and county of san francisco and the others that are part of the system it doesn't make a lot of sense and i have heard the explanations and they have been thoughtfully presented but we really need to keep our eye on this and i am not entirely persuaded to where we are at this moment. >> any other? >> commissioner fraser. >> i am concerned which ones uryou're talking about? >> i am talking about the whole icm. th

we had subsequent conversations about embedded in the icm and a box that does a bunch of things that we have a slide on. what is the reasonable number? right now the number for business assuming that we believe all items in that box are justified is 16% as percent of claims or 13% as a percent of premium so it's not that the icm is incredibly more expensive than the 10%. it's a difference so were we able to get the 10% agreed upon? no, sir. have we come further in our discussion if we were go to down a path of assuming risk would we agree those numbers are rational at this point? that depends when i do the arithmetic on the risk and it's about 16% now on the claim. >> are you comfortable what is in the box on the icm box? >> am i comfortable -- >> or do we have agreement what is in there because at that time they give us idea what is in the icm charges that we have now. do we have some comfort level? >>i was just going to say -- >> [inaudible] >> neil did pause at slide three but we were going to walk through each of the goals here and there is a slide on icm in addition to all of the

the icm poll shows that support for yes vote has grown 5 points to 37% during the past four months. over the same period those saying they will vote no dropped 5% to 44%. the referendum on whether scotland should break away from united kingdom will take place in september. >>> 19 workers have fallen ill from carbon monoxide poisoning in the tunnel linking britain to france under the english channel. they did rail line maintenance overnight when the welder became sick. they were september to -- sent to hospital for treatment. >>> the huge security operation is under way in the volatile russian republic of dagestan where the sochi olympic torch will soonly arrive in the capital. they're threatening to attack the games next month. the 123-day relay covers 56,000 kilometers in russia and a trip into space before it arrives in the host city. >>> dedicated traffic lanes are marked in sochi. only people with permits can drive in the lane. they urge sochi residents to make good use of public transport to ease congestion during the winter games. >>> that's all the news from europe. now back

schedule but we will have a sense of what it will be and another question presented in the may document by hss and cap icm at 10%? no we cannot fix a number but we can have a variable icn so if the claims -- the literal claim spent is less than the predetermined target should be -- 5% less and a percentage relative to that amount and the claims go down it will be less so this is a lot of information how this structure -- these funding alternatives integrate with some of the hot items brought to this board and subsequently shared with the board of supervisors. are there any questions about any of this at this time? >>i am still -- >> yes, ma'am? >> i'm a little confused between the risk sharing and the flex funding. i'm still not -- >> okay. the risk sharing you pay the agreed upon premium. it's identical to the premium determined by kaiser for the renewal. say it's $500. you constantly pay that money to kaiser and there is a reconciliation and in your case it's several hundred million dollars at the end of the day and we have a formula we agree on and the claims and the ad min and other issues are $275 mi