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July 6, 2015

The Health Service Board of the City & County of San Francisco has voted to approve health care benefit plans and premium rates for 2016. These recommendations will be reviewed by the San Francisco Board of Supervisors.

  • Medical plan options for employees will remain the same: Kaiser HMO, Blue Shield HMO, City Health Plan PPO.
  • There will be one additional Medicare plan choice for retirees. UnitedHealthcare's Medicare Advantage National Preferred Provider Organization (NPPO) plan will be offered in addition to Kaiser HMO, Blue Shield HMO and City Health Plan PPO.
  • There are no plan design changes for employee or retiree medical plans in 2016. Covered services, co-pays, deductibles and plan maximums will remain the same.
  • Dental plan options and plan designs for employees and retirees will remain the same.
  • Premium rates for medical plans and dental plans will change in 2016.
  • The administrator of Flexible Spending Accounts for City & County employees will change from WageWorks to P&A Group.

Health Service System member employees and retirees will have the opportunity to update their enrollment choices during October 2015 Open Enrollment, with any changes to take effect January 1, 2016.

In addition to plans and premiums, the Health Service Board reviewed reporting requirements and fees required by PPACA (Patient Protection and Affordable Care Act). Actuary Aon Hewitt reported: "Total expenditures on medical premiums for 2016 are estimated to be $718.6 million. Of this total, legislative fees and taxes are $18.92 million or 2.6% of total expenditure."

Supporting Documents:
Aon Hewitt Letter to the San Francisco Board of Supervisors
Aon Hewitt Plan Year 2016 Summary to the San Francisco Board of Supervisors
Aon Hewitt 2016 Rate Cards

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