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Board adopts $705.92 10‑county employer contribution for 2020 rating after Aon presentation
Summary
Aon told the San Francisco Health Service System Board the 10‑county employer contribution average for plan‑year 2020 is $705.92 per month; the board approved the actuary's recommendation unanimously. The figure will be used in upcoming rate setting for retirees.
The San Francisco Health Service System Board voted to adopt an actuary recommendation that uses $705.92 per month as the 10‑county employer contribution for Plan Year 2020.
Mike Clark of Aon presented the required "10‑county" survey (the 10 most populous California counties) and said the $705.92 figure is about "5% greater than the amount that was used in 2019" and consistent with broader marketplace trends. He described the methodology and noted variability among counties, with a low of $455.88 (San Bernardino) and a high near $1,078.20 (Santa Clara) in the underlying county data.
The board moved to accept the actuary's recommendation and approved the use of $705.92 in upcoming rate development. Clark told commissioners the 10‑county amount is one element that feeds into employer contribution calculations, particularly for retirees, and that the number reflects both calendar‑year experience and survey averages.
Aon staff said the figure will be embedded into the May rate development work and that detailed county‑by‑county data and methodology are available in the appendix of the presentation. The board did not amend the recommendation; the motion carried with ayes recorded and no opposition.
Next steps: the $705.92 amount will be used in the system's 2020 rating calculations and reflected in the May plan‑rate materials for further review.
