so recommendation summary on page 2 is recommending acceptance of the hartford's renewal for these insurances. you'll see the proposed rating actions illustrated below. we'll talk through the rationale on the basic life insurance increase, but also noting that overall, insurance rates in total will decline by 12% relative to what is in place today for the three-year period, 2017 to 2019. and this includes aggregate reduction in insurance rates for both the employers and members. background on page 3. the life insurance and disability programs are available to certain active employees within the city county of san francisco superior court, municipal executive populations. the basic life insurance, the l.t.d. and the supplemental life. the school district and city colleges are not part of the program. they secure the insurances through other means. and also the note that these insurances are for active employees only. we'll talk about in this packet is not available to retirees. page 4, the premium guarantee has been in place for the last three years with renewal that was approved under aetna.

these are insurable risk in the private market.you think sma, for example, a large employer pool might have one patient with it, might. they will have one heart transplant a year that is going to cost $1.4 million the problem --, as well. the problem becomes and the challenge becomes when your differential access to marquis, when private insurance patients get early access to these technologies and medicare patients don't. i think that's a problem we have if medicaidause late access to technology two or three years, that was bad. it led to bad public health outcomes. it wasn't so measurable. but when technology assistance fund and the destiny of a child, -- altered the destiny of a child, if medicaid can't get on -- and we seen that with car t which they have put under formulary, that can alter the destiny of a child who has an inherited disorder that has chronic disability. that occurs over time. that is the challenge companies should be solving for. how at the time of launch do they ensure access to all components of the market a

insurer still on the hook for all the payments? it seems a lot more complicated. >> it gets back to i think, again, these are insurable risks of privatet. for insurance pool. i think to me the bigger challenge is the medicaid market. medicaid does have some capacity depending who we do federally, allow ability to contract this way, contract these things more like a licensing model or service agreement where a company agrees to provide a product to a state for a number of years and maybe gives them an option on future technology. if you look at a lot of companies developing these products, they are developing multi-generational iterations of these gene therapies and they are going to pull through innovation down the road that might be improvement on what they first launched. you can think of contracting by the state, give an option on future technology at some preferential rate, that allows them to smooth out prevalent population therefore the contract can go in and treat everyone who had a disease and basically amortize the cost of that one time administration for everyone with the disease over the three or four years because the inci

. >> we can deal with these insurance companies by putting insurance executives in jail for the misleadingn: some of what was said last night, what stands out to you? >> joe biden was terrible. he had no energy. he looked confused and lost, kind of watching a pro athlete who should have retired two years ago. we talked about this even back in march, probably wasn't going to be it and look at it now and 6 out of 10 democratic voters want somebody new, a fresh face. jillian: the question when you have that conversation, we want someone new but don't know who we want, who that fresh face is. that is why people were hanging onto joe biden and bernie sanders. before the debate you will see joe biden had a 32% followed by bernie sanders at 13%. kamala harris was 8%. do you expect that to take away from joe biden? >> i don't think there is any question. i think a lot of the spin is going to hurt joe biden because what you saw was the real energy is with the other candidates but the other thing i am looking at, i think it will be tough for any of the candidates we saw the last two nights to have t

the other thing is, folks, look, we can deal with these insurance companies. can deal with insurance companies by, number one, putting insurance executives in jail for their misleading -- their misleading advertising, what they're doing on opioids, what they're doing paying doctors to prescribe. we could be doing this by making sure everyone who is on medicare -- that the government should be able to negotiate the price for whatever the drug costs are. we can do this by making sure that we're in a position that we in fact allow people -- you mean time's up? amy: that was joe biden. for more, we go to miami, where we're joined by andrea mercado, executive director of the new florida majority. what was and was not raised in these two nights of debates. you whose organization is part of a number of organizations that were responsible, for example, for bringing a number of these candidates, less than an hour away, to homestead, where the caliburn detention facility is, where more than 2000 children, migrant children, are incarcerated. among those who went there wa

agree with bernie sanders when he says that, you know, there's a lot of profit that goes into these insurance companies and big pharma. we need to put more of those resources into actually providing care for americans. so, you know, we agree on a lot of it. i think that people i think that people can hold on to some sort of private, supplemental plan if they want. there's no reason we shouldn't allow them to do that. >> julian, thanks very much. >> thank you. >>> bernie sanders is up next. next. here's another cleaning tip from mr. clean. cleaning tough bathroom and kitchen messes with sprays and wipes can be a struggle. there's an easier way. try mr. clean magic eraser. just wet, squeeze and erase tough messes like bathtub soap scum and caked-on grease from oven doors. now mr. clean magic eraser comes in disposable sheets. they're perfect for icky messes on stovetops, in microwaves, and all over the house. for an amazing clean, try mr. clean magic eraser, and now, new mr. clean magic eraser sheets. welcome to fowler, indiana. one of the windiest places in america. and home to three bp wind f

these are insurable risk in the private market.or example, large employable might have one patient with it, might. they will have one heart transplant a you is going to cost $1.4 million the problem becomes and the challenge becomes when your differential access to marquis, when private insurance patients get early access to these technology and medicare patients don't i think that's a problem we have to solve because in and of private with the wasn't this transformative, if medicaid late access to technology two or three years, that was bad. it was led to bad public health outcomes. but when technology assistance fund and the destiny of a child, if medicaid can't get on for late and i is accessed by a year or two and we seen that with car t which they have put under formulary, that can alter the destiny of a child who has an inherited disorder that has chronic disability. at the time of launch to the nature the secure access to all composed in the market and not just the private market. >> i don't think anyone will wod argue what

there might still be private insurance to cover supplemental benefits, but these -- the sponsors of these bills are saying we're kind of done with private insurance now. and this universal medicare program would replace most other public coverage, including most or all of the medicaid program. although, the bills vary somewhat on that. this universal medicare program would have very comprehensive benefits. everything that medicare covers now, plus dental, vision, hearing, long-term care services that are community based in both bills, all long-term care services in the house bill. so very, very comprehensive benefits, and all of this would be tax financed. nobody would pay premiums. nobody would have deductibles, no co-pays. a little in the sanders' bill. people would not pay premiums. they would not pay at the pump. pretty much all doctors and hospitals and other pharmaceutical companies, if they wanted to get paid for providing health care, this is where they would get paid. there are provisions for kind of private contracting between patients and providers, but for the most part, this

insurance program on that. that is something we've seen in a lot of these situations. the homeowner will get the regular policy. you are to make sure also getting the national flood insurance program. that's one of the things we've seen time and time again in these disaster zones. people don't have flood insurance. they are really relying on nonprofit groups or state and federal government to help them rebuild. these community develop and block grants are important because that's one of the broad help states can use to rebuild these homes. if you have electrical problems or mold that needs to be addressed, that's what these programs are designed for, to help these people rebuild their lives, essentially. host: he doesn't think they are being used wisely. does the government monitor how the money is spent? can they recoup the money if it's not spent appropriately? guest: i'm not sure. on the first question, yes, there very close monitoring -- there's very close monitoring. every federal department has an office of the inspector general. these are the watchdogs to determi

also in sharing with our allies in the region; singapore, vietnam, all of these countries in east asia and southeast asia. insuringrisks so they can be part of the team, part of the alliance that pushes back against this chinese threat. maria: what are the implications of no trade deal? do the two largest economies have to be to have a partnership? >> you know, we may not get a deal. i couldn't tell you the answer to that. much will turn on whether china's prepared to do what president trump has asked them to do. it's pretty simple, right? fair, reciprocal, a set of trading rules that apply to both countries. president trump is perfectly prepared to allow american companies to compete, but he's not prepared to allow them to steal our intellectual property, to allow them to put tariffs on american goods when there aren't any on their goods coming into our country. i hope there's an arrangement that will work to benefit of each of our two countries, but i'm very convinced the american economy will continue to grow. maria: should we be worried about them lashing out at the united states? now we know china is consider

that's why prices are up so high because rates are so low the issue is that these are insurance rate cuts that the fed are talking about, which means these rate cuts could stave off a recession. not only are rates low, but also reduce the probability of a recession going forward which means default risk in corporate bonds goes down. >> shouldn't rates go back up? i mean, at some point, it doesn't make sense >> sorry so, we're in this sweet period right now in the sense that rates are coming down and recession risk is coming down, as well. that's boosting asset prices up higher whether it's equity equity prices are high, but are earnings also going up, as well maybe not. >> what do you think valuations here overall >> i think we have to put it into context 2% ten year note goes higher and drifts lower, than valuations might seem about right >> where are we on the multiples? >> probably around the 17 mark and in order to get a lot higher than that, then rates have to go down further, but for good reasons. if they start going down for the wrong reasons, that's when we start having to wor

through that part of the world given how risky it is and how costly it is now on the back of these higher insuranceiums in. >> certainly concern they're reassessing. they are still trading trade was is constricted by the u.s. sanctions, particularly on the use of the dollar. we would expect to see much caution among owners, but for the time being trade continues it is a major oil route and 40% of the oil comes through there >> so 40% as you said, 40% of oil shipment comes through those shipping lanes in particular you just mentioned that the premium for shipping in na part of the world has been up what type of pass through would you expect into ultimate oil prices here if you go on historical standards >> not directly connected. we saw the oil price move yesterday that will feed through much quicker to the consumer than any particular insurance increase. >> generally speaking, when you think about the insurance environment and just taking yesterday's geopolitical developments aside, have insurance premiums been going up anyway due to the slowdown that we're seeing in global trading activity due to

it is a tax that is placed on health insurers by the federal government, because these are full insured plans, it's the health insurers responsibility to compensate the tax back to the federal government. every plan differs in terms of their approach as to whether they choose to cascade it in they're rates. >> is there a health care representative here? >> united health care care? >> this is a huge addition to our increase. >> they all have to pay it. >> we understand that. >> good afternoon. hi, so from our perspective we see the hit tax, it is something we have to pay. so we see it as a pass-through only, so we're just calculating the tax based on the equation given to us by the federal government and then passing that on to the client based on the premium. it's a 2.01%. and each firm is taxed differently, depending on their tax status. we are for-profit company, so we get the full impact of the tax. >> but that's very much like some of the mandates that we have here in san francisco and whether a person in a restaurant setting decides to pass on the full amount and increase their men

and what that's going to do is show a lot of these private insurance companies do profiteer off of peoplesmessage do you think democrats are sending by saying they want to do away with private -- >> the overhead for private insurance is about 15%. the over head for medicare is about 2%. if we're really talking about lowering costs, we could do that by providing a public option. look, there were people who negotiated for their health insurance like the culinary union in nevada and people who are happy with their insurance. i think we have to make progress by first providing a solid public option that's going to start to lower costs for americans drive down prescription drugs. we're going to massively expand access to health care as a process to getting us to the ultimate goal where everybody has coverage in america. >> senator cory booker, thank you for joining us this morning. the first debates are over. the next round right here on cnn in a couple of weeks. we look forward to seeing you on our stage. we're going to hear from senator kamala harris, her campaign just minutes from now. "new

melissa: i know in terms of these lawsuits, they insure themselves for stuff like this. of a hit is it? you have insurance for liability. but at some point how much could you have given how much exposure they have. and just the horrible things that have happened. how do you sort through that. >> unlike suing an airline which there is a cap for suing a particular airline, for a manufacturer there is no cap. boeing can go after suppliers who might have been involved or sub contractors. we heard of the alleged allegation of falsification of documents as far as components on the airplane. those were sub contractors or suppliers. so not necessarily boeing. melissa: they have to figure that out for sure. it's their reputation and money. thank you. wow. coming up, joe biden, bernie sanders and pete buttigieg set to take the stage tonight for round two of the 2020 dem debate. we'll take to you miami for a preview. why bernie sanders claims president trump is the worst kind of socialist. at comcast, we didn't build the nation's largest gig-speed network just to make businesses ru

what calabria is worried about is these things are out of control again, insuring all sorts of stufft have the wherewithal to basically withstand the 2008 financial crisis. but that debate right now is huge and it's important. by the way, this public offering's important because it allows them to get out of government control and keep doing what they're doing and we don't know the structure, and the deal, i'm telling you, if they do it, it's going to be bigger than anything. it's the largest, if they do it, it's clearly going to be the largest public offering ever, $125 billion, maybe more. that's a lot of money. it comes amid an election year. people hate screwing around with housing during an election year. liz: they sure do. charlie, thank you very much. charlie gasparino. >>> inside a very special relationship with the closing bell ringing in 28 minutes and the dow climbing higher still, up 453 points, president trump standing side by side with british prime minister theresa may for what might be the last time. but with brexit still up in the air, can the self-described negotiato

they are going to take legal citizens of this country who did not have health insurance to pay forsu these people's -- illegal peoples' insurance. as you noted, it's only for poor illegal immigrants of a certain age. young people, not for older people. are they saying those people are more valuable than the elderly people? i mean it's just sort of a cacophony of conflicting viewpoints that -- it all sounds good, we all have one home, and all these things. this is what we've consistently seen the left wing over the last couple of years. everything sort of seems like a rational position that is for poor people, for women, for black people, et cetera, et cetera. most of it is an excuse to give the state moreiv power. >> tucker: i wonder if it's sustainable. i think your analysis is absolutelyst right. but long term, if you open your borders to the world and provide the most offensive service you can provide which is health care, how long can he do that before it doesn't work anymore? >> well, mathematically you obviously can't do it. but this theme is something we are seeing all over the plac

no choice of insurance. these are nonstop pandering to buy votes. this is dangerous.troy the prosperity of this country. frankly, the reason the straits are not that meaningful to us as they were because this president made us energy independent for the first time in 75 years. we are now an exporter of energy. this is the greatest wealth creator we have available. our energy which we have an abundance of, we could bring iran to its knees and not get involved in foreign conflicts for the free flow will oil. we can bring putin to his knees because the president is smart. we have it. it could raise everybody's standard of living. coming up president trump calling out crazy uncle joe questioning why obama won't endorse him. you will love this. coming up. ♪ -motor? -it's pronounced "mo-tour." for those who were born to ride, there's progressive. -it's pronounced "mo-tour." when it comes to reducing the evsugar in your family's diet,m. coke, dr pepper and pepsi hear you. we're working together to do just that. bringing you more great tasting beverages with less sugar or no

no choice of insurance. these are nonstop pandering to buy votes. this is dangerous.will destroy the prosperity of this country. frankly, the reason the straits are not that meaningful to us as they were because this president made us energy independent for the first time in 75 years. we are now an exporter of energy. this is the greatest wealth creator we have available. our energy which we have an abundance of, we could bring iran to its knees and not get involved in foreign conflicts for the free flow will oil. we can bring putin to his knees because the president is smart. it could raise everybody's standard of living. coming up president trump calling out crazy uncle joe questioning why obama won't endorse him. you will love this. coming up. with the freestyle libre 14 day system just scan the sensor with your reader, iphone or android and manage your diabetes. with the freestyle libre 14 day system, a continuous glucose monitor, you can check your glucose levels any time, without fingersticks. ask your doctor to write a prescription for the freestyle libre 14 da

exclusion we didn't necessarily have a direct strategy around that that was in partnership with these companies to insure we were able to place people from the community into these companies. i know you are new to the job and doing a great job answering these questions in light of that. do you have a sense of that? we have the community benefits. we also, i think, hoped there would be job benefits as well. are there any sort of direct relationships either that you have seen maybe with some of these companies that seem like they may be come out of the tax exclusion? what job benefits can you see directly from these companies for people within the community within the programs you have direct oversight over or others? >> yes, thank you, supervisor. there is definitely job benefits. i think one of the things that you can do when you are looking at it is two-fold. you can look at data as we have tried to present here and discuss during the dialogue and there is the individual experience in every life that is changed. every job matters. someone who comes through, men and women, there are 40 out of city build

but they also say they do not want to eliminate private health insurance. are these candidates who still see a role for private insurance true supporters of your medicare for all plan? >> once again, dana, i'll let the voters decide. >> you're the creator of the plan. >> dana, i'm not here to attack cory booker. he's a friend of mine. kamala harris is a friend of mine. >> your vision to have private insurance or not? >> let me tell you what it is. it is to do what every other major country on earth does, and that is to guarantee health care to every man, woman and child in this country right now. we spend twice as much per capita on health care as do the people of any other nation. we should talk about that. spend twice as much. we pay by far the highest prices in the world for prescription drugs, millions of people cannot afford the drugs that they desperately need because we're getting ripped off by the greed of the pharmaceutical industry. meanwhile, 34 million uninsured and underinsured. this is a system that is failing. the function of the current system is to m

these individualized profiles can help banks landlords or insurance companies determine how likely it is a customer will pay. meanwhile the ad industry makes use of the profiles to micro target their hands. the basic rule is the more specific and current data is the more valuable and expensive it becomes and corporations are particularly interested in new chapters in our lives weddings pregnancies severe illness anything that changes our lives significantly also changes or consuming behavior and that's what companies want to know from a data broker knows if i'm single or married healthy or sick rich or poor they know what i do when i'm alone and when i'm with all of us. up to 10000 corrector estates in my profile and i know nothing about them i can't even verify if they're accurate still i get categorized according to my profile and is used to make decisions about me like whether i should get a specific car insurance or a bank loan and you advances in privacy software are meant to protect users from excessive data tracking at least in europe everything is supposed to be completely tra

greg: this is a case that has to do with payments to insurance companies that they did not receive. a very complicated law. these are some of the payments that insurers were supposed to get from the federal government to cover the rest of putting policies on the exchanges. they say they were entitled to these payments and congress did not appropriate the money the way it was supposed to. it does not affect the ongoing operations of obamacare. it could be a check to mostly nonprofit insurance companies. david: we have that to look forward to next term. thank you so much for your reporting from the supreme court. now let's find out what is going on the markets with abigail doolittle. abigial: the last trading day of the month end of the quarter, we do have gains for the major averages. the s&p 500, the dow, nasdaq. the dow up for the first day in three. the s&p 500 up for the second day in the nasdaq up for the third day. on the week, small losses. today we see outperformance for the bank index, up 1.8%. that is not being helped out by falling yields but the fact that banks did-- these pass the second round of str

schifrin: these values, colonels that we're talking about that we pay out of our pockets, these are proprietary. the insurers say they don't want toisive us thecause they don't want us to shop around. how bad will they fight this? >> they're fighting it very hard. they s you release the prices, the insider deals, prices cou go up, which is counterintuitive. but in healthcare we often see if one persois charge less and they see the company next door is charging twice as much they raise the price to the sticky ceiling, it's called stickyic g. so it depends on whether there's a consumer market where we the patients, the insured can go compare price and go for the bottom one. >> schifrin: will these executive orders crea that market? >> not in and of itself. it ioas a longbefore that. i think any transparency is good. technology can help us get to aningful prices in competition, but whether there's usthe will to ge there, hospitals, insurers may not want that out in the open because, you know, they don't really want the market to work here always. >> and bottom line, why have these issues become such a pocketboo

we have a lot of people who want health insurance. these kinds of things i'm talking about which i don't think are divisive. i'm talking about how we solve a problem. >> how would you deal with the fact that the president now has delayed for two weeks sending i.c.e. out to apprehend illegal immigrants? how would you, in those two weeks if you were at the table, what would you say would be the immigration policy that could bring the republicans and democrats together on this issue? >> i think we have to go back to 2013 where, as you know, we had a bipartisan comprehension immigration reform bill. it actually got a lot of public support in the u.s. senate. it would have passed the house of representatives where i was serving but john baynor never gave it a vote and president obama would have signed it into law. it was big. it performed every aspect of our immigration system. i think the majority of the american people are still behind that approach and that's where the democratic party comes in. we have to beat trump in 2020 and then we have

insurance. but our visioning exercise was pointing toward our downtown core. and these are questions you are constantly asking, how you fit into the recovery framework, how you adapt to it. you want to do a visioning exercise but you want to do the right one. we had 3,000 single homeowners, most, remember, only 1% have developed a property from scratch. they have no experience. they bought into a planned community. and we had to start visioning to understand that. so we restructured in a way to meet our need, which is what brian said, we added work load, or correctly, i added work load to existing staff. the county went out to hire staff to do additional work. i knew if i was competing against the county to hire staff and environment where there isn't housing, there is already diminished resources, that was not going to meet our needs immediately. so, we took the consultant route. we went out and we actually hired firms to help us in this process. and one of the early decisions council made was to help advance and make a bet on those single-family home recovery by inves

the only one serious about going up against the special interests and big pharma and insurance, because the money of these conglomerates run this country. that was my,. i am still with bernie and will continue to be with bernie. thank you. host: how do you think you did last night compared to the other candidates? caller: as short a time as they all were able to speak, he did well. he got his messages across and let the people know his ideas. medicare for all is another good one. i am part of the military system because of my husband. it is basically a government run insurance and i would not trade it for private sector in a minute. i am well aware of how it works and how it can work. am for bernie. host: wheel for bernie sanders in 2016? caller: yes -- were you for bernie sanders in 2016? caller: yes, i voted for him in the primary but when he lost i did vote for hillary. host: let's listen to the senator from vermont last night when he is asked about socialism. [video clip] thatat is your response nominating a socialist would reelect donald trump? >> the responses at the poll had us 10 points ahead of d

secretary point blank, i said these short-term junk plans, they allow insurance plans to discriminate, right, mr. secretary? he said yes. the law of the land, after we passed the affordable care act says that no longer are we going to allow insurance companies to discriminate our neighbors. so how can the trump administration be moving forward? they are moving forward with a proposed rule that would allow these plans to operate for one year, two years, three years, that's a short-term limited duration plan. just over a month ago, democrats stood up and passed a bill h.r. 1010 that would halt the trump administration's plan that weaken the protection for americans who have a pre-existing conditions. we are building on this by to ring on this amendment prohibit any funds being used to implement, administer and force the expansion of jumping plans because you see we are going to safeguard families from republican attempts to push them into junk plans that don't cover the essential health insurance they need. they value affordable health care and the bed rom protection of the affordable c

insurance companies. you w can emulat it's like. >> and how widespread are some of these issues? >> depression is actually the lding cause oof disability on earth. 10 to 12% ared aversely effected by depression. they have people who love them and effect theirl falife, marriages, their interactions with people at work. so it's absolutely something that shoul be prioritized in the health care system but it isn't. we spend about 1% of our entire health care budget on addiction so on be another 5% or ntal health. >> what about psychotic disor rrs? >> they'e. about 1% of the population have a risk for things likehr schizia where you lose touch with reality and are unable to takef care of yourse orrer fend for yourself. they're rare but on the other hand they're extremely disabling. and for their fami ses. you walk around san francisco eo, you mention this. you see people who seem like they're suf from some kind of mental health disord oers. as opposed to those who are homeless entirely due to economic displacement? >> i think myndstanding is 30 to 40% of people who are homeless have m

bill cassidy says his bill does a better job of balancing the concerns of doctors insurance companies and hospitals with thesech other they shouldn't go out each other through the patient, the patients should harmless president trump recently voiced support for the legislation. >>making it one of the few issues that could clear but the democrat controlled house and his desk in washington, i'm just eats nor. >>after finding success here in the bay area how coach is now making history and the nba what she has to say about her trailblazing accomplishments will tell you why some members of the sonoma county law enforcement he may be rethinking where they do their aquatic training exercises from now on next at 6.30 a transgender woman dies in ice custody in texas and her family is now seeking justice family is now seeking justice here in the bay area. ♪ ♪ family is now seeking justice here in the bay area. ♪ this is how driving should feel. the tech-advanced nissan leaf. the best selling electric vehicle of all time. this is nissan intelligent mobility. ♪ >>the transgender woman johan a medina leone died on june f