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Health Services Board authorizes $5.4M one‑time buy‑down from stabilization reserve to lower City Plan premiums
Summary
After hours of debate over who benefits from trust surplus and how to avoid the Affordable Care Act excise tax, the board approved a one‑time $5.4 million suspension of the stabilization reserve to reduce 2016 active and early‑retiree premiums for the UHC City Plan.
The San Francisco Health Services Board voted to suspend its self‑funded plan stabilization policy for one year and allocate $5,400,000 from the stabilization reserve to buy down active and early‑retiree premiums in the City Plan for the 2016 plan year.
Aon Hewitt actuary Anil Kosher had recommended the buy‑down, citing a sizable claim stabilization reserve and the board’s goal of reducing the chance that the City Plan would trigger the Affordable Care Act excise (so‑called “Cadillac”) tax in 2018. "I recommend you suspend the claim stabilization policy for the…
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