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SFHSS presents expanded 2019 demographics and annual report; medical RFP delayed to allow better planning

San Francisco Health Service Board · February 14, 2019
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Summary

SFHSS released a more detailed 2019 demographics report showing 122,547 medically enrolled lives (128,506 total including waivers), growth in dental and voluntary benefits, and plans to delay a major medical plan RFP until May to allow better design for 2021. The board accepted the annual report with minor edits.

Marina Coleridge, Enterprise Systems and Analytics Manager, presented the 2019 demographics report, highlighting a more granular breakout of non‑Medicare retirees and five‑year trend lines. Key figures: 122,547 medically enrolled lives and 128,506 total lives when waiver counts are included; dental enrollment increased by 1,861 lives; Kaiser remains the largest plan carrier with nearly 60% of lives. Coleridge said the demographic work will inform rates, plan design, and future strategic initiatives such as social-determinants analysis.

Executive Director Abby Yount presented highlights from the annual report: trust fund contributions exceed $900 million, self-service eBenefits launched successfully, and the medical-plan RFP was delayed to May to permit a more considered solicitation for the 2021 plan year. The board asked staff to add the executive‑director search and the actuary contract renewal into the final annual report; staff agreed to make those edits.

Outcome: the board approved the annual report (with two requested content edits) and received the demographic report; staff will publish the reports online and consider additional drilldowns for future updates.