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SFHSS board approves governance updates, removes active dental PPO contingency reserve and launches evaluations
Summary
The Health Service Board voted unanimously Dec. 12 to (1) not disclose closed‑session discussion or report actions taken, (2) approve removal of the contingency reserve for the active employee dental PPO plan, (3) adopt SFHSS rules and Section 125 cafeteria plan updates for 2025, (4) initiate the executive director’s 2024 evaluation and (5) begin the board’s 2025 self‑evaluation.
The San Francisco Health Service Board on Dec. 12 took several governance actions, all approved by roll‑call vote, including removing a contingency reserve for the active employee dental PPO plan and initiating two formal evaluations.
After a closed session to hear a member appeal, the board — chaired by Vice President Zavansky after President Howe temporarily stepped out — voted unanimously not to disclose "any or all" discussion held in closed session and then voted not to report actions taken in closed session.
The governance committee recommended and the full board approved a permanent removal of the contingency reserve for the active employee dental PPO (policy 2‑10) following a presentation from Mike Clark, lead actuary at Aon. Clark said the timing was intended to align with forthcoming reserve calculations for the fiscal year ending June 30, 2024; the board approved the recommendation by roll call.
The board also approved updates to the SFHSS health service rules and the Section 125 cafeteria plan for plan year 2025. Staff said the updates include alignment with IRS FSA regulations, MOU flexible credits standards and routine date and plan‑cleanup edits. The board voted to adopt those updates by roll call.
Governance items concluded with motions to initiate the public‑employee evaluation of the SFHSS executive director for 2024 and to begin the board’s annual self‑evaluation for plan year 2025 (the self‑evaluation includes eight categories and 42 questions). Both motions were seconded and approved unanimously.
Roll‑call tallies recorded affirmatives from President Howe, Vice President Zavansky, Commissioners Kremen, Howard, Sass, Wilson and Supervisor Dorsey on the contested items.
