i called delta dental last week to enroll my husband and me. i was told i can opt in but i was told my husband could not. i asked them why, i was psalming that dependents were covered. the person i spoke to delta dental, said call the agency you get your insurance from. i called hhs and spoke to a benefits analyst. he said, oh, we assume dependents were covered. i'll have to check with delta dental and get back to you. no one gotten back to you. i want to know if dependents covered? >> anyone from delta dental can answer that? >> she wasn't able to be here today? >> does anyone on your staff know? >> i assumed the same thing actually. >> it is affirmed that dependents are eligible. i did hear about this from the staff. we've been getting other question about that. we confirmed with delta dental at that time. [indiscernible] >> thank you. >> i name is gale ow. i'm a retired teacher. i got the flier regarding kaiser's support with the hmo providing fitness membership and health extras. it's not a problem that it's actually listed for ccsf califor

third is delta dental of california active employee ppo plan. you look at the change from our prior calculations as of june 30, 2017 to june 30, 2018, for instance you will see decrease on the blue shield plans. that is primarily driven by a change of administrative possessing that took place actually in february 2018 by blue shield on how they process pharmacy claims. they used to have a couple week claim lag. with the administrative change that eliminated the claim lag. pharmacy claims are add used indicated and played instantaneously. that is for the blue shield plan. for united healthcare city we saw substantial increase in the population between 2017 and 2018 so that is the primary driver of the city plan increase. then continued favorable experiences as pamela commented earlier was a key driver behind the slight reduction in delta dental plan. in total, the reserve recommendation for june 30, 2018 is almost identical to where it is at for all three plans as of june 30, 2017. >> one question for the chair. this has been reviewed and audited

on november 1, the health plan, the department of public health and delta dental, hosted a peri-natal roundtable protecting the health of san francisco pregnant women and their babies. 50 dental and medal providers attended and ensure early access to dental care and it included a number of leaders from the department of public health. and then lastly, the behavioral health during october 22-26, pharmacy and other key stake holders did a value stream mapping event, one of our tools to focus on performance improvement and that event was a week-long event focused on mapping the current state and designing a future state map centered on improving services. so that's an important piece and a big step forward for behavioral health and their pharmacy program. with that, we can answer questions if you have them, or close the presentation and refer you to the documents available to the public. >> commissioners, i had one question concerning the fires and problem with the air. do we have any thoughts or focus on whether or not there were increases into the emergency rooms or how, you know -- yo