The regular meeting of the Health Service Board of the City and County of San Francisco convened on June 9, 2022, with President Fonsby leading the session. A roll call confirmed a quorum, allowing the board to proceed with the agenda.
The primary focus of the meeting was agenda item number 14, which involved the review and approval of the Kaiser Permanente Senior Advantage (KPSA) Medicare retiree rates for 2023. Mike Clark from Aon presented the proposed rates, highlighting a significant 1.86% reduction in insured premiums for the upcoming plan year. This marks the third consecutive year of rate decreases for the 15,452 Medicare-eligible retirees and their dependents enrolled in the plan.
Clark detailed the components contributing to the 2023 rate development, noting that the early estimate for the KPSA premium is $290.35 per member per month. He explained that this figure does not yet include additional program costs, which would add approximately $11.99 per member per month. The total proposed rate for 2023 stands at $304 per month, down from $309.76 in 2022.
The board reviewed the rate card, which reflects the full employer contribution for retiree medical coverage. Clark emphasized that most retirees would see a small decrease in their contributions due to the new rates. Following the presentation, President Fonsby opened the floor for a motion. Commissioner Howe moved to accept the KPSA Medicare retiree rate card as presented, which was seconded and subsequently approved by the board.
In conclusion, the meeting successfully addressed the KPSA Medicare retiree rates, resulting in a favorable outcome for retirees with a continued trend of decreasing premiums. The board's approval sets the stage for the implementation of these rates in the 2023 plan year.