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SFHSS unanimously approves multiple rate actions, declines external stop‑loss coverage
Summary
The San Francisco Health Service System Board unanimously approved several 2021 rate and plan actions — including a decision not to buy external stop‑loss reinsurance, a $729.19 monthly 10‑county employer contribution, VSP and UHC rate actions, a Blue Shield premium buy‑down, and the 2020 audit plan.
The San Francisco Health Service System (SFHSS) Board on March 12 approved a set of rate and governance actions affecting city employee and retiree health plans and auditing priorities.
In a series of unanimous voice votes, the board accepted Aon’s recommendation not to purchase external stop‑loss reinsurance for SFHSS self‑funded and flex‑funded plans for the 2021 plan year, citing existing contingency reserves, Blue Shield large‑claim pooling and plan design limits for dental coverage. Mike Clark of Aon presented the analysis and recommended relying on existing stabilization and contingency policies rather than buying an additional insurance layer.
The board also approved the 10‑county…
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