. >> mike clark from am. we are going to review the rating and renewal for the two blue shield california plans that are offered to active employees and early retirees. on page 2 i am reviewing the hmo plans offered. we work with blue shield to assess bell the information and calculated increases 10.5% on the total cost rate across the access plus rates and 5.6% increase for the trio plan across all elements of the rate cards. for both plans this represents increase of 8.8% including all components including medical and pharmacy costs with pharmacy rebates. the captiontation charges for certain services under a fixed cost in the blue shield plans, fees at attributable to the programs and large plan pooling cost. manage care organization tax in 2019 that will not apply after 2019. that is built in, and then per discussion that we had in the march health service board meeting, up for rate stabilization and amortization of $3,162,000. the healthcare sustainabilities fee and best doctor fee we reviewed earlier to

. >> mike clark. we present the recommendation for 2019 renewals for kaiser california enrollees. active employees and early retirees. >> i notice you specify for kaiser california. when will be anticipate seeing the multi regional rates? >> we will present that in june. >> i want to be sure no one would be left out. thank you. >> indeed. page 2 we recommend that the health service board approve .3% premium decrease from 2018 to 2019 for active employees and early retirees in california. the active rate cards like we did with the blue shield. the 19683 contribution strategies page 3. >> i am ready to entertain a motion. >> i move to approve the non-medicare rates for 2019 plan year. >> second. >> properly moved and seconded that we accept the recommendation of this rate decrease. is there discussion? >> nice to see good news. >> any public comment? >> we are ready to vote. signy fiby aye. the motion carries unanimously. now knowing what is ahead of us is going to be a foot slog. we have to be out of here in one hour by 5:00. i recognize that we are still pending the trio update. i

. >> mike clark with aon, so, if you think about the change and assumptions and how that impacts the total cost rates, first of all, removing 2% margin, 2% right there, and we also take 24 months of experience and projects it forward, so we are reducing our trend assumption by 1% per year and so based on the time frame of the claims that we look at, it's approximately 2.5% impact there. so, in total about 4.5% impact, the 4 to 5% range that tom stated, earlier we talked about how every 1% of cost equates to about $450,000, and so approximately 4.5% is going to be 2.1 or so, impact and the change and assumption and the rate making will have on kind of naturally drawing down what's in the stablization reserve as we go to the 19-20. >> the amount coming out is about 2 million less typically each year than the amount going into the stablization reserve. so, approximately $2 million impact on growth in the stablization. >> correct, for the 2019 plan year. it's not going to impact how 2018 plays out, but 2019 that's correct. >> commissioner lim. >> what if you could take the slide for the

clark. i think you're ready for steve paulson's weather forecast. steve is in his office. >> unless you don't like any wind. a lot of people don't. >> wind is irritating after a while. you and mike mibach. >> you feel like you've been beaten up. >> it's not too

clark. i think you're ready for steve paulson's weather forecast. steve is in his office. >> unless you don't like any wind. a lot of people don't. >> wind is irritating after a while. you and mike mibach. >> you feel like you've been beaten up. >> it's not too bad right now. it will pick up later on. high wind watch has been downgraded to a wind advisory. it does not include the santa cruz mountains. warmer friday. wind picks up. it will be breezy to blustery. then tonight, this evening is one things pick up. this is mainly for downed trees, power lines concern. about above thousand feet. the hills are still relatively green. not all the way, but there's still some green in there so that will help. temperatures bumping up, though. the city, 76. livermore, 83. san jose, 73, 81. a jump for some. not too bad for others. the coast will get lots of sunshine. is the fog will get light -- -- sunshine because the fog will get wiped out. you can see the airflow starting to develop. it will be offshore, northerly. nothing too strong yet. out of the north. fairfield, west, southwest. 40s, 50s and 60s, at least not for all. right out of the north, that's going to drive that system into nev