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HSS board approves Kaiser fully insured renewal, accepts 2% multi‑year rate guarantee
Summary
The San Francisco Health Service System board approved Kaiser Permanente’s fully insured renewal for 2015 and accepted a two‑year, minus‑2% rate guarantee after Aon Hewitt recommended a multi‑year lock to reduce volatility. Board members pressed staff for clarity on Medicare timing, pharmacy costs and employer contributions for early retirees.
The San Francisco City Health Service System board voted to approve a fully insured Kaiser Permanente renewal proposal for plan year 2015 and accepted a multi‑year rate guarantee that locks rates at roughly 2% below current levels for 2015–2016.
Aon Hewitt actuary Anil Kosher told the board the vendor’s case‑specific trend was 3.72% but that, after blending active, early‑retiree and Southern California pieces, the one‑year blended option produced a -2.77% result and the two‑year guarantee provides a -2% rate for each year. “So if the rate’s 100, it’s then going to be 98 and…
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