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Health Service Board previews 2025 rates & benefits process, including methodology education
Summary
SFHSS and its actuary presented the annual rates and benefits calendar, explained funding approaches (self‑funded, flex‑funded, fully insured), timing for actuarial work and Board and Board of Supervisors review, and walked the board through the methodology used to project costs and translate total plan rates into employer and member contributions.
San Francisco’s Health Service Board received an overview of the 2025 rates and benefits calendar and a methodology briefing from SFHSS staff and Aon actuary Mike Clark, intended to explain how plan costs are projected, segmented and converted to employer and member contributions.
The calendar presentation outlined the annual timeline: SFHSS develops plan cost projections and reserve recommendations in the winter; the Health Service Board reviews plan cost experience, benchmarking and proposed rates in March–June; the Board of Supervisors reviews the package in July (first and second readings per city charter) and the mayor signs the final rates so open…
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