>> item 11, discussion item, report on vendors on medical loss ratio refunds, if any, hss vendors. >> good afternoon, heather united healthcare, we did go through this with the team on the plan and we did check against it, there is no rebate from united healthcare that is relative to this. and we provieed them with the number that they can call and also, william, from your team found a great tool where you can check the website to indicate, so we did confirm that there was no refund from united healthcare. >> all right. >> all right. >> good afternoon. cindy, from kaiser. so, on our june first, medical loss ratio calculation it was above the established thresholds for both the large group which is 85 percent, and the small group, and most of the individuals, so the small and individuals at 80 percent. over all we operated above those thresholds for about 99 percent of our 9 million members and we did have one finding in the individual market and that it is a small portion of the individual market which is under our insurance projects so it is the pos and ppo portion and so it is about

hss financial reporting as of may, 31, 2014, pamela. >> the report of the actual revenues are reported based on the activity, june 8, 2014. but the projection are based on activities through june 30th. in terms of the trust, tp&g started the audit and until that is started in mid october the numbers will not be final and we usually have them come in november to present the financial audit. and in terms of the general fund budget, the books are still open, and we are in, what is called the 13th month. and in there is also a 14th month and so the 13th month, there really is just the balance sheet types of adjustments, that this is almost where we have all of the final entry and there is still probably a few that are not. and so the numbers are not completely final. and in terms of the assets for the trust fund, based on the activity through may, 2014, we project a 12.8 million increase in the trust fund and as always, it is contribution receivables and assets and unearned and liabilities and compared to last meeting, which would be june, this is 4.7 million less than the balance. and as

when the new rates were set and it is something that all of us, should be proud of, and certainly, hss and demonstrating reducing the rates, which among other things, is the right thing to do for the taxpayers, but also, it helped to cross the major driver against the wage increases and so it is a big hurtle that you hear. and trying to negotiate a new rate. and so it is a very important area for us and it is okay to miss the boat and not realize that you missed the boat is a lot worse. and we feel that we missed the boat. we should have been here to congratulate you to the new rates and to thank you and your staff for that leadership. if it makes you feel better, we were not at the board of supervisors either, when they adopted the rate. and they could be. >> and universally ignored. >> yes, they could not understand, why a year ago they had hundreds of people in the audience, and the rates were going down, and no one was there. >> so my apologies. >> thank you. for your comment. >> anyone else? >> great. >> all right. thank you very much. >> next item, please? >> item 5, discussion i

hss vendors. >> yes, so i think that the correction, while we have been fine. >> that is okay. >> and to explain to those on television or anyone else in listening, you have a powerpoint, which we have and which i believe that people attending also have a copy of? >> yes, i can get a copy of, it is just not going to up on the screen. >> heather with united healthcare and thanks for having us today and so i have some information on urgent care resources for the united healthcare members and how they can best ease to reach and yous multiple options for people to use. and so to the second page and we are talking about the tools that are available. and so number one our website for people who are using that, the my, uhc.com and i will go through that and we have a couple of apps for the smart phone users and a lot of people like to use tho and hope for me and doc gps and the people who want to know that they can call the customer service center, and those customer service representatives will help them and then lastly just so that the people that do have the tools and helping the people d

appeals language, and make sure that we are clear about the process for appeals when it comes to the hss determination of the credited service and qualification for the retiree health benefits and subsidy. and so, there is a new process that is put in place, that is clear that obviously you are not going to go through the health plan first and that appeal will come to the health service system and there was, also, some report helped us with just a clarification on that language and hopefully you will see that in front of you. >> i want to be sure that all commissioners got the updated >> yes. good. >> i want to mention that the updated does not have the back side and so you want to keep your other page. >> good point. >> the other page that is in there that was about to throw. >> yes. >> my afollowgies. >> but this was just a new language on this section. >> so it is there any questions, i think that should work, further process needs to be put in place, we will bring that back to the board, but this we think should be sufficient. >> all right. >> any other questions? for lisk. a or comm