Board adopts charter‑required 10‑county survey results used to set contribution limits

The San Francisco Health Service System Board unanimously adopted the charter‑required 10‑county survey results at its March 10 meeting. The survey compares employer contributions in the 10 most populous California counties and is used to set contribution limits for eligible employees, principally retirees.

CFO Iftikhar Hussain summarized the results, saying the net increase from last year’s survey is about 3.1% and that rates were broadly consistent across counties, with San Diego showing a larger increase (attributed to higher claims experience across products) and Riverside showing a decrease after expanding plan offerings. Commissioners moved to adopt the results, noting the adoption is a board charter requirement.

The item included no public comment and passed on a unanimous roll call. Staff said the survey results will be used in forthcoming rate and benefits calculations for plan year 2023.

Why it matters: The 10‑county survey determines contribution limits used in plan rate‑setting and affects retiree benefit contribution levels. A small net survey increase will feed into budget and rate recommendation work this spring.

Next steps: Staff will use the survey findings as part of the rate‑setting process and incorporate them into the May rate presentations.