follansbee mentioned. i think something in the open enrollment materials in the benefits booklet needs to indicate that not all services will be available through dignity. that might've been of able otherwise. may be specifically indicate thaat obstetrical services, but this also i think i guess part of my question is, will this impact retirees, because among early retirees, but also even our medicare retirees, we have split families where there will still be independent who might be under blue shield and if they have the option than to opt into trio while they are still in that split situation, this does impact us and believe it or not, obstetrical services do impact retirees, especially early retirees. these are issues that concern us. i think there needs to be something indicated in the material so that people understand, or, they can ask the questions about what kinds of services may not be available through dignity. we are very very sensitive to that and that primarily is that since we have some split

commissioner follansbee >> i'm confused by your question about recertification. when i read this it says recertification process says every year and thereafter and then upon request. so it sounds like every year health plan has to re-certified, which-that's not actually what i thought her but maybe i heard wrong? >> so,, yes our rules do say every year, or upon request. it probably should say, instead of saying, and, it should say, or, on request because we may not get to it every year. but it could be >> yes. >> all right. other questions from the board regarding any of the rule changes? if not, >> i want to highlight to those wonder change which we do every year. we change the cover periods in the index in the back of the rules which is the second one on your summary. >> right. any other questions? i am willing to take-entertain a motion to >> i move we accept the change. >> is there a second >> second. >> properly moved in second we accept the changes as presented for the rules-in the rules, for the plan year 2018. any further discussion by members of the boar

commissioner follansbee >> sorry i sound like a

roll call president trent scott present, lim here, breslin here, ferrigno, follansbee here, sass expected sheehy we have a quorum. >> thank you will take up action item 1. >> item one action item approval of the possible modifications of the minutes of the meeting set forth below. regular meeting of august 10, 2017, special close session of august 24, 2017. >> is there any discussion of the item by members of the board? hearing none, i'm ready to entertain a motion. >> moved approval >> second. >> moving approval for both sets of minutes. we've done properly second. at the regular meeting minutes of we've done properly second. at the regular meeting minutes of august 10, 2017 special close session of august 24, 2017 the approved. is there any discussion? any public comment? seeing none, we are now ready to vote. all those in favor say, aye. [chorus of ayes.] opposed, nay. it carries unanimously >> [gavel] >> we are now ready to go to discussion item 2. >> thank you. item 2 discussion item, general public comment on matters within the board's jurisdiction not appearing on today's agenda. >

commissioner follansbee, excused. commission sass expected. >> we don't have a quorum but we will by the time we get to an action item i've been assured by those expected commissioners. we do have some opening remarks so if you'd call on discussion item 1 please. >> item one opening remarks, health service board president and acting director. >> mitchell, i'll take the privilege of going first, if i may. thank you. this forum is designed to do several things. not only to provide more in depth information on certain tommics and issues that topics and issues that will bear on the work and policies in part as well as the issues as we work win providers. some of these are not unique to the system but there's changes year to year we'll be addressing today. we began to do this three years ago. the premise was we weren't going to try to cover everything. the landscape has changed dramatically with the election of this new president and this administration. exactly where we're headed strategically from a health care standpoin

roll call president trent scott present, lim here, breslin here, ferrigno, follansbee here, sass expected will take up action item 1. >> item one action item approval of the possible modifications of the minutes of the meeting set forth below. regular meeting of august 10, 2017