thank you. >> dr. dodd? >> thank you, elisa. i wanted to just underscore one thing and thank supervisor ferrel for his leadership for calling the hearing on transparency and say we are the first local government to really tackle this and hopefully our leadership will have other local cities and counties fall into line. i think margaret's work with the treasurer's office on the healthy city and resolution by supervisor ferrel and passed by the board increases our liasons with the public employees. we are the leaders and it's great to be not only out in front but including other public agencies. i wanted to publically say when we were in the old prop b hearings or c hearings, but the unions made it very clear that they didn't want to have one health care at the civic center, they wanted us to take things to them. we did four health fares and 17 flu shot clinics out and about the city in different departments is amazing. if we are not thanked by the people who asked us for it, i want to point out that we did it and saying thanks fo

. >> dr. dodd, i think commissioner scott what you are asking is should the board make a request to the controllers office by next october. the processing, that we should be able to process everyday of the week at least from october 1st through december 1st. that should be one of the goals because clearly i know the last 3 years even before the people soft implementation, it required us to have over time which is an extra expense to the city and it certainly would save the over time dollars in terms of getting things processed and if we don't have it this year, we'll have over time as well. you have people working hard in the 85-day period and it's really unfair to expect them to put in evenings and weekends because the city can't figure out people soft. >> if we are going to make a formal request, it maybe that it's completely down or maybe it's down for half a day versus the whole day. i recognize these systems implementations are always bigger than god. there are ways that we can say we want ful

thank you. >> dr. dodd? >> i just did one last announcement. on the tragedy in the philippines. if our department has circulated that and contributing through the sfgovtv.org website. please pick up one of those press releases and go to our website and contribute at this time. >> other comments? i would like to suggest anybody who has had a chance to read through this document that was presented at the transparency hearing. there is some really interesting statistics. one that jumps out is the difference on the metabolic panel. $1700 in we are area and the lowest was $451 on another. a tylenol tab was no charge in one area and $7.06 in another. one tylenol tab. this is a real statistic and shows you the cost of things. i don't know if there is a copy of this out there for the public or not. yeah. okay. very good. thank you. that's all i have to say. >> i just wanted to give another personal example of the importance of transparency and the work we are doing. i am being treated as many of you know at stanford

. >> dr. dodd? >> would it have been easier if there was more transparency from our vendors? >> i probably couldn't say yes or no. but what i will tell you that it's difficult in any trust that changes from one plan year and to the fully funded to a flex fund. we had the same type of challenges we would have had doing the audit for any two of the significant transactions taking place. it is a learning experience not only for management but the third party vendors in the plan. the challenges we had is somewhat known and expected in what we can work through in the year. >> any other comments? thank you very much. >> thank you. >> now, i would like to go over the actual financial statements. jamie mentioned several items, but i'm just going in a linear basis on building up from where we were in net assets at the beginning of the fiscal year 2012-2013 and where we ended the year. as you know and you just heard that the one of the goals of the audit is to look at our financial statement, see if there is any weaknesses and look at for backup what we are stating what's in famous and

>> dr. dodd? >> i apologize for not bringing this up on the call when we went through this. it occurs to me now, i forget the actuarial term but we even out our uhc claims over a 3-year period, like a 3-year averaging. would that also be a consideration given the idea that we might get hit with 7 percent increase in 2017 that we'll put the money. >> that will smooth it out. that was the intent. yes. >> rather than do a full one in 2016. >> i would recommend we do a 3-year amortization when we have a cash applied to a rating structure so it will smooth it all out. so that the trim line stays at 3 percent a year which is what we want our medicare rates to do, to never go up. >> just to be clear, we can see a decrease, a loss on this line item next year? >> going down because of the appropriation of $3 percent a year which is what we want our medicare rates to do, to never go up. >> just to be clear, we can see a decrease, a loss on this line item next year? >> going down because of the appropriation of the $2.8 million. it would be a decrease in the rate. >> the reconciliation

dr. dodd? >> i just wanted to thank commissioner scott for his participation in the meetings. not only do you bring a perspective from kaiser but an employer perspective and it adds to have a member of this decision making body present who talks the talk. so it's been great to have your participation. i know president brez lan has participated. it's like you are standing behind the staff and it makes a different. >> our actual rates and benefits, when do you think that will start? >> it starts in january through june. we are looking to get rolling in february. >> usually february. so you expect that same type of scrutiny out of the other vendors that we've been doing with kaiser? >> absolutely. we are working with blue shield and united health care as well. this is the one where we are restructuring the funding and looking at different funding mechanisms which you heard in the audience that it's a big challenge to do and it takes a lot more work to do the funding part of it. there is a lot of work to see if we can redesign the active employee products for united health care be

dr. yellin's views on what dodd- frank fixes congress ought to consider and how she intends to achieve an appropriate balance between the regulation and economic growth in confirmed. in addition to the previously mentioned issues, the makeup of the board itself will change in the near future. governor sarah bloom raskin nominated. if governor yellin is confirmed as chair, the fed will need a new vice chair. moreover, dodd-frank created a vice chair of supervision which has not yet been officially filled. the appointments will shape the direction of the federal reserve policy making for years to come. i look forward to working with the chairman to see that the positions are filled in a way that provides the proper balance and expertise at the fed. thank you, mr. chairman. >> thank you, senator crapo. we have agreed, to allow for sufficient time for questions, we are limiting opening statements to the chair and member. all senators are welcome to submit an opening statement for the record. we will now swear in dr. yellin. please rise and raise your right hand. do you swear or affirm that th

dr. yellin's views on what dodd frank fixes congress ought to consider and how she intends to balancean appropriate between the regulation and economic growth in confirmed. addition to the previously mentioned issues the makeup of in board itself will change the near future. kinernor sarah bloom ras nominated. if governor yellin is concerned will need a new vice chair. moreover, dodd frank created a super vision which has not yet been officially filled. the appointments will shape the federal reserve policy making for years to come. i look forward to working with thechairman to see that positions are filled in a way that provides the proper balance and expertise at the fed. thank you, mr. chairman. you, senator crapo. we have agreed to allow for sufficient time for questions we limiting opening statements to the chair and member. senators are welcome to sub smit an opening statement for the record. now swear in dr. yellin. please rise and raise your right hand. that theear or affirm testimony that you are about to give is the truth, the whole but thend nothing god?, so help you >> do you agree to a

. >> as you can see we have dr. dodd back with us today. i'm happy about that. [ applause ] and in the interest of time we'll move on to item no. 3. >> item 3, discussion item, directors report. >> lisa got pee. directors office. we are very happy to see her today. we have some very good news on the personnel front, our well ness manager is starting on december 9th. her name is now stephanie fisher because she was married last week. she'll be starting december 9th as our wellness manager. we are interviewing the compliance manager and our service manager position closes on monday and we'll start interviews on that as well. we have hired an 1844 to work on our contracting team. actually for the first time in 3 years that i have been with health service system, we lost one of our 1210's to mta. one of our super star ben fits analyst. we'll surely miss her. moving on to operations for beginning of december has been delayed to mid-january because of the law library also went in on our building and pushed us back a month. we have a significant e