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Health Service Board recommends moving Blue Shield active coverage to flex-funded model; supervisors send rate package to Board

Budget and Finance Subcommittee, San Francisco Board of Supervisors · July 18, 2012
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The Health Service Board recommended a move to a flex-funded (self-insured/managed) Blue Shield product for active employees and early retirees to lower premium increases and increase transparency; Catherine Dodd and actuaries presented stochastic modeling, reserve targets and trade-offs that the Budget Committee sent to the full Board without recommendation so members can review.

The Budget and Finance Subcommittee reviewed a Health Service System rate package and a major policy shift recommended by the Health Service Board: moving Blue Shield active and early-retiree coverage from a fully insured arrangement to a flex-funded (managed self-insured) model.

Catherine Dodd, Health Service Board staff, presented the board’s recommendation and actuarial work. She said the aggregate rate increase for city benefit plans is roughly 1.4% and that moving Blue Shield to a flex-funded model reduces…

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