this report is given by mitchell griggs, the chief operating officer. >> mitchell griggs, chief operating officer of the san francisco health system. i want to highlight our executive directors report here, and the first thing is we are doing our member focus groups. we have already started sending out the invitations. this is going to a wide variety of members. we are asking them about their experience with the healthcare delivery system, and our benefits and hope to get information about what can hss benefits look like going forward. this includes san mateo county and alameda county. i also want to mention that we have worked with the health plans on development communications on second opini opinion. as you know in 2020 we will not be contracting with best doctors. we wanted to make sure we had readily available information for people to get second opinions, if that is what they would like to do, through their health plans. i also -- just to make a clarification about trio and what blue shield's trio hmo will look like in 2020. we talked about this a couple of times and there has been

presented by mitchell griggs, chief operating officer. >> mitchell griggs, chief operating officer at h.s.s. this is the section 125 cafeteria plan. this is a federal requirement from entities that have a cafeteria plan, like we do, where money is set aside pretax for certain benefits. it is important that we keep this document up to date, and in compliance with the irs. if we don't, that we have issues of potentially losing that pretax status. this is why we have the documents, and this is why we approve it every year, if there any in your summary here, the summary indicates all of the changes that are in a very large document behind the summary, section b3.1, the most material change that we are making here. we are increasing the amount of pretax dollars, and employee -- an employee can set aside for healthcare spending account, that is a federal irs regulati regulation. they said those maximums every year, they are inching up about we try to stay up with that come and give employees that benefit. section d5.2, we updated the flex credit amount, for biweekly employees, this is a who