. >> item 14 action item follow-up on the national ppo i'm neil an actuary at the last meeting to bring the rates the u a to nicole but in the presentation as part of my responsibility i need to share that, and, secondly, it is very exciting that was presented last time the value of the promise by the health care the gadsby number has been reduced that's the actions taken by the board that was presented last week and as a point of contact as you listen to the presentation what are the rates for the full replacement and the slice we talked about we'll add the plan okay. as a point of context how much do the other plans cost in 2015 blue shield costs $378 right now city plan with the stabilization is $315 and kaiser is 3 hundred and thirty there's and $0.52 etc. what we're asking once you hear the prediction to come back in june with a rate card i'll clear the decks with the slides it is too late in the game to do a full replacement but it's your decision to proceed with the slice or future determine whether we want to do the ppo at the future time >> i want to be clear on the terminology

was talking about today in terms of how how risk medications are treated different under the national ppo plan again, we would get more information for you on exactly what that looked like in terms of clinic terms and as i said if you move everyone from the current plan into this national ppo plan it would be 9 hundred members plus if you offer this in open enrollment they don't have to move but we don't know who is impacted. >> on this point i say you say you haven't filled the cms your formula for 2006 when will- >> that will be foiled over the summer. >> that would be important this is a business prospective you've got to get an approved by certain dates i'd put a red star besides that one i don't know how long is take for powerful they motive fast tracking track you through the process but knowing again, we're kind of doing this without kind of the full detail is from a policy standpoint raises a question. >> of we'll get more information on that, too. >> can i ask the mechanic formula is the same as the other. >> it would be the same formula last year, it is the treatment of high-ris

plans the carries are delta dental and u h c delta dental race a self-insured ppo plan ann and retiree plan on a basis for retirees we've had many meetings on the retirement plan to make it as fair and rich as we can we went to the vendors that participated in those plans offers and discussed what we want to be able to present i have steel good news to offer in terms of my history with the board and what the rates have begun and where we are going to be going to 2016 i think this is great i wanted to say that we don't generally do this the representative for delta dental has been a staunld individual and appropriate to say his name. >> raymond lee would you stand up raymond a strong advocate for the reduction that we will discuss briefing in the retiree rates for retirees in that program which i think is phenomenal he deserves that recognize okay so as we go through this whole thing i'll keep it brief we look at first on page the union rates let's go on page 4 yeah. that's correct page 4 are two d m h over dental our rate passes through 2016 so no change to rates okay that's good nothi

capacity i was unaware of significant increases that would be faced in the city ppo plan namely for the local 21 it went from one dollars 8 if to january $2,015,189 that increase from $4 to $400 is approximately 10 thousand percent increase i did the math semester over 10 thousand percentage inflicting increase i understand it is necessary for the sfoifks i did want to go ahead and put a face to that decision someone like myself that doesn't open an enrollment package i thought everything was fine and never a reason to word otherwise i was shocked when it hit hi paycheck it forced me to seek additional employment that has to occur outside of my working for the city i come to you today is it fair to say nothing to be done i understand i put many a po we read about working families drive out of city and county of san francisco one e-mail could have solved interest problem less than 10 percent on the ppo plan or the most recent numbers indicate one e-mail having could have stopped this in m in class 1244 clarification i ask you consider a notification outside of the some pact that is sent

plan seems like it is, oh and as well i have the city plan and it seems to function like a national ppo i mean, if i'm visiting family in new york i can go to doctor i can still do it how is this different in other words, the money is coming out of something where it the money coming out of maybe it is how am i going to pay my doctor, if i have to get a new doctor they're not going to like me if i've offering them appointees and i'd be happen to pay a little bit more i mean i feel grateful i'm not paying that much you guys will have done a great job but a little bit more i don't find that completely you know push me away. >> thank you thank you. >> any other public comment? judy a retired city employee i'm not activity retired i have a house keep issue and possibly a charter legal issue earlier, you mentioned the font has to be a certain any reasonable human being said they did a poor hours keep job even they kaunt couldn't read i want on the web for the health services board those pages i can't read in person i want to go into in and read them before the next meet >> that's our commitm

. >> david pill ppo i'm going 0 i'm not going to get an answer to my question i still believe our violating ceqa by taking this action and the advice of the city attorney to accept and expend items have an increased dollars amount it requires to renotice the item if it was not noticed at the other meeting that was an increase in psychologically or within the scope and no details of how members of the public can get information to this. >> questions or comments. >> (inaudible). >> never mind. >> so - >> we have a motion to approve. >> second. > all in favor, say i. > i. >> opposed? not item has it. >> i'm sorry you're not answering my question. >> moving on to the presentation and possible action for vision zero. >> good afternoon. >> director reiskin. >> yeah. so you can ask us awhile back we periodically come and give you an update on implementing the vision zero i'll remind this the board has permission from the city to adapt that and have a meeting so tom maguire will give a brief update. >> good afternoon directors i'm happy to give you an update on the issue you may are remembered reme

. >> $45 million for the self-fund ppo which guess 27 thousand of those vast group of people we're talking about underneath this board and the trust okay. so what are we talking about - >> we're doing the same thing so this is a standard exercise we go through where this applies we review the data and turns out we generated $3 million on page $23 million $$23,800,000 plus we need to amortize this over 3 years if we do exactly as we're charged to do this amortization comes to one million dollars plus for 2016 for the self-funded program and to cut to the chase i'd like to make a recommendation that you approve the additional reduction in the rates because of the requirements of the health services of reducing the rates by one million dollars plus in 2016. >> all right. you've heard the recommendation are there questions. >> so this is the firefighter through the chair it will be having the affordability utilization. >> yes, sir. >> we don't want to put the $3 million as a reduction in one year. >> is ample. ly appointment we've done the pay as you go and now decided to get back to the basic

if you have a ppo it's the department of insurance. hmo, department of healthcare. you contact either the department or insurance or department of managed healthcare. otherwise nothing is going to get fixed. >>> now for a look at what's ahead on the cbs evening news. >> scott pelley is in new york. >> great to be with you in the bay area. here's the cbs evening news tonight. deadly tornados strike the heart of america. we'll take you to the scene where they are still looking for victims. plus in los angeles an airliner attempts an emergency landing without all of its landing gear. and we will have the first lady's surprising and deeply personal comments on life in the spotlight. >>> ken bastida in the kpix 5 news room. new at 6:00 tonight fancy new pool. well you can forget the water. a bay area city's tough new rules that could put some people out of business. >> b.a.r.t. workers taking sides in a heated bay area race but did they cross the line? photos that could cost them their jobs. join us for those stories tonight at 6:00. >> we'll see you in 30 minutes. thank