city plan enrollees with limited plan choice due to geography. i illustrate the rating impact for those individuals later in this presentation. the lower overall plan cost uhc provider with no adverse impact on members, change for prescription drugs to match blue shield, increase out of network deductibles and the rate ratios for the city plan early retirees. to consider a and e on page 17, it would require an action to suspend the stabilization reserve policy by health service board because we are recommending the application of $1,065,000 of that remaining $1,107,000 rate stabilization balance, it would require a one-time suspension of the self

. >> last month i stood before you to discuss sustainability actions on the uhc city plans specific to early retirees. today we are going to talk about the entire population early retirees as well as active employees. that will lead to recommendations that we have suggested to the board for plan design changes, network changes, subsidy adjustment changes that will then lead into discussion on the both the status quo renewal summary for city plan. seeing the rate cards and impact of 2018-2019 projected rate change if you took no action and several scenarios for your consideration today. >> on page 3. we remind everybody of statements we made last night. of the city plan for active employee and early retirees populations with the city charter. this is a important plan for sfhsf that is our goal. our call to action knowing that there are complex issues we will discuss today the plan will continue to experience erosion in the claim experience and acseller rate to a death pieral which occurs when costs increase which then causes lower risk populations to leave the plan, leaving higher risks

city plan enrollees with limited plan choice due to geography. i illustrate the rating impact for those individuals later in this presentation. the lower overall plan cost uhc provider with no adverse impact on members, change for prescription drugs to match blue shield, increase out of network deductibles and the rate ratios for the city plan early retirees. to consider a and e on page 17, it would require an action to suspend the stabilization reserve policy by health service board because we are recommending the application of $1,065,000 of that remaining $1,107,000 rate stabilization balance, it would require a one-time suspension of the self funded stabilization reserve policy to enact our recommendations a and e. >> are there any questions until. >> no further questions. i am ready to entertain a motion. >> i would move to approve items a through e on page 16. >> moved to approve items a through e on page 16 as recommended and reviewed. >> second. >> there is a second to that motion. any discussion? >> quick question. can rate cards you have on the next few pages including the $1,065,000. >> correct. >> it would be nice if there is a rate card without