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SFHSS board unanimously approves rate stabilization buy‑downs and rejects stop‑loss purchase

San Francisco Health Service System Board · March 11, 2021
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Using favorable 2020 experience, the board approved amortizing stabilization surpluses to reduce 2022 rates (PPO $330,000; Blue Shield HMO $4.856 million; Delta Dental active PPO two‑thirds use of $12.229 million) and agreed not to buy external stop‑loss insurance for 2022; all motions passed unanimously.

The San Francisco Health Service System board approved several finance and stabilization actions informed by Aon’s 2020 experience review.

Stop loss: Aon recommended SFHSS not purchase external stop‑loss insurance for self‑funded and flex‑funded plans in 2022 because existing large‑claim pooling, contingency and stabilization policies provide protection and reinsurance premiums tend to exceed long‑run reimbursements. The…

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