Votes at a glance: Board approves renewals, vendor engagement, program authorizations and fund increase

San Francisco — Below are the results of major actions taken by the Health Services Board at this meeting.

- Minutes (03/10/2016): Approved unanimously. - Aetna Life & Long-Term Disability contract renewal (2017 plan year): Approved unanimously. - Delta Dental stabilization reserve recommendation and active PPO renewal (2017): Actuary recommendation to use $2.3M from stabilization reserve to reduce the 2017 renewal accepted unanimously; overall renewal accepted with a 0.8% increase for self-funded active PPO. - VSP (Vision Service Plan) five-year renewal: Approved unanimously; new primary eye care benefit adds services at no cost and reduces rates in years 1–3. - Best Doctors second-opinion vendor: Approved 4–2; preliminary pricing estimated at $1.00–$1.50 PMPM; staff to finalize headcount and insert final rate into rate cards. - Surrogacy & adoption reimbursements: Board authorized staff to develop a program with a $15,000 lifetime cap per employee funded from vendor performance guarantees; passed 4–2; policies to return for approval. - Health Care Sustainability Fund charge: Increased from $2.05 to $3.00 PMPM for 2017; projected incremental revenue ~$750,000; approved 4–2.

Several items were continued or deferred: the rate-relativity item (Item 7) was continued to the call of the chair and actuary confirmed there will be no changes to rate relativities for plan year 2017. The board also voted unanimously to enter closed session to hear a member appeal and later voted not to disclose closed-session deliberations.

These actions will be reflected in rate cards, vendor contracts and forthcoming staff reports as appropriate.