We are on the verge of this. I have been woring closely with our council to try to be clear about what the role of the executive director and the hss staff is in this process as well as what our responsibilities are as a board as we go forward. So i thought with the guidance of council, after going through other it its other things i thought we wanted to do. To provide opportunity for the board if there are any concerns or articulated issues that we feel we would like to at least be sure that the staff at the beginning of the process and i dont see the board getting diagnosis muddling around in interviews and that sort of things but at the beginning of this process, before the recommendation is brought back, if there are issues and concerned that we wish to at least vocalize and be sure they are made note of as the staff undertakes it work, this would be time to put that on the table. So floor is open for commissioners comments around this particular topic. Are there any . Commissioner brezland . I would like to propose we change the government rules so the board appoints the actual weaactuary instead of the director. It would make it appropriate they report to us in our response to us. Tourial i hear the action. Thats a starting point but i hear you going further. Are there any other comments by commissioners on this topic . The only comment i would make is that the processing to hire the director was very constrained and that we could not have any discussions on you know as a group expect in board meetings we have to be very careful about the brown act and other thing. We find ourselves it is difficult for us to work as a committee or a subcommittee to evaluate our recommendations to the rest and i guess i would prefer we not get overly involved in Management Issues myself. Number one, i dont think we are structured to be able to do that effectively. But maybe more importantly, i think to the extent that we are able to receive presentations on the rfp process and as long as we can rely on the city processes to review and interview and approve a contract. Im very comfortable with that myself. I would like to see howitt done at the retirement board. Im sure they may hire somebody. But i think its important we cant hear you guys. I think its important considering what happened. Some thing that happened last year. Is it didnt seem to be clear that the tou actuarial didnt seem to be clear. I hope we are searching for respond environments to the rfp and one of them is that the actuarial is a key resource for that to happen. We do not have the brain power, the expertise, the level of underring of the requirements that actuarial insights and professional services provide. So we rely very heavily on the guidance that is provided by the du actuary. That they have an accountability to the board as well as to the staff of the hss system. And i realize that that accountability may manifest itself in different ways in different times but there is an accountability to both unities. I also want to be very, very clear that there need to be by whoever the responsents are to this, confidence and expertise and its not to be, in my view, some sort of ad hoc capability that they can go out and get. But rather they have the experience and the resources, the staff, the reach, if you will, to engage in broad matters that would help to shape the strategy for hss as we are going to be facing undoubtedly in the coming years additional issues that we cant even imagine in the health care market. So theres got for a core confidency for Strategic Support and trying to figure out what is next. Not what happened but what is next and what we august to be thinking about as a board kind of on a longerterm horizon. So that requires research. That requires relationships. That requires an expertise of not only the california market but the National Health care market and the issues that attend to. That both in washington as well as in provider communities as well as with the Insurance Industry and so forth. So that as we are dealing with Health Care Policies and understandings for our members programmaticcally we have the confidence that this respondent would bring. I also feel that the tou actuaries relationship with this board is not just a compliance function, a cracking function with helping us to get to a better understanding of our claims and experience with providers but also trying to gain an understanding of the best practices as a relates to the accountabilities that this board has. So that too, it should be a core confidence in terms of the actuary they have some awareness and knowledge of what other large, private and public employers are doing, that we would gain a benefit from. And in some ways this system has been a an innovator and we think we need to maintain that type of role going forward. I think this board relies on our board council, currently eric, he does an outstanding job in providing legal guidance and assurance to our acts as we execute our role as a if h feduciary and then the requirements of what we need to do as being responsible for this trust. But also the actuary in the same component in my mind provides us with program assurance. And that means that we will wind up having quality affordable benefits for our members. So those are levels of expertise that are not possessed by this board but we rely on others to provide. And the actuary, if you will, or that group is providing a real strong key component for us to be able to meet our if h feduciary responsibilities. So the strong contracting manager michael and others get involved in this process, i hope that they will take those matters into account as we go through this rfp, and when we get to the end of the process that these factors will have been taken into account, and they will present us with their best guidance for the recommendation we will be considering. So i shot my mouth off about that. And thats where i would like to stop. So is there any action that we need to take other than the discussion that we had . I dont think so. I have one comment. The actuary is a feduciary who has a duty to the members first and for most. I just want to make sure that is clear. President scott and we are here acting on behalf of the members, so the actuary has a connection to us. A very closeknit circle. Is there a Public Comment . Den nit krueger, active retired firefighters and spouses. Part of this is an outside person myself trying to investigate inside the Insurance Industry. Very baffling. Second of all, experience. What i would like to ask this board to do is try and get a level one level for cataract surgery. Having just gone through it, ive had a number of things told to me. One Insurance Company tells me we only pay for surgery with a knife. Another Insurance Company tells me you have a choice of later surgery or a surgeon with a knife. Third Insurance Company, all they do as i believe ive been told, is laser surgery. So we have three of our providers with three different types of surgery. What i would like to see is the bottom line be laser surgery for everybody. If you want to choose a surgeon with a knife, go ahead. But when you read the data and you look at everything, the precision of laser surgery is a benefit to all members. One of our providers, thats all they give. Another one, ive been told, no. We will give you a surgeon with a knife. I would like to see the bottom floor be everybody has a choice of laser surgery. And then if you want to choose a surgeon with a knife you can. On top of that, they offer you an array of enhancements above basic cataract surgery. You have your eyes cut open. You are laying on a table and they could fix your eyes. So you never have to wear glasses again. But it cost you extra money. If you haves astigmatism we can fix that but it will cost you extra money. Or if you want 20 20, it will cost you money. What i would like to ask if any of these members choose to do enhancements thats a cost sharing measure is in our benefits that the Insurance Company offset some of these costs. They can range as much as 2,500 an eye. I think our members are entitled to the best that we can provide them. And when one of our providers is giving lasik surgery and another one of our providers say you get a surgeon with a knife. Theres a huge discrepancy that i would like this board to take into consideration to stabilize that, if they could. Thank you. President scott thank you. The topic is the rfp for actual actuarial services. Getting back to the topic at hand, i happen to notice that. I have two comments, one, in the past, commissioner, you have commented on the actuary and i was surprised you didnt bring it up under the rps an independent actuary thats what im talking about a feduciary to our members. I would then expand on that, that you really look at that beyond just the feduciary measure, that is true but that you commit to the members for the other departments, especially working for other departments that serve management. And the last thing is at the retirement board, the last couple of meetings the City Attorney that sits as eric does here, has been doing a feduciary program. He had a number of exhibits and was reviewing feduciary responsibility with that board. I think its worth get ahold of that. I dont know that we need that City Attorney to come in and do the preparation i think that eric is capable of doing it. But its already written up but it may be something you can have. And what it does, it not only remind all of you of feduciary responsibilities but it helps education everyone here as to what that means and the extent of how that impacts all the decisions that you all make and all the considerations we have regard to your feduciary responsibility. President scott thank you for those comments and i think i can remind everyone that this board did go through precisely that presentation in a november forum about two years ago and we may rich to have a refresher so thank you for your comment. Are there any other comments on this topic . Wye just like to say as to the members suggestion about laser, maybe that could be brought at the end here as far as adding it to the next agenda. President scott thank you for that suggestion. We will proceed accordingly. Are there any other Public Comments on this topic, item 4, the actuarial rfp . Hearing and seeing none we will move on. Turm 11. Directors report. Executive director griggs. President scott by my likes, director griggs, this is you are i dont final acting executor directioner report. Is that correct . I believe that is correct it. President scott i would like to take the opportunity again to commend you on your leadership and work on behalf of the system during this transition. So thank you. Thank you. Appreciate that. So on this directors report i wanted to focus on a few thing we started talking about on the budget and other issues we are starting for 2018 but just to start with our personnel. We currently have a 1209 position and three 1210 positions that we are looking at or starting reviews and these are benefits analyst so these work on the Member Services. The 5320. We let the Communications Department stay in the Department Today instead of coming to the meeting because theyve been work really hard on the next item which is the annual report and the demographics report but abbey, the new director had an opportunity to meet the new staff at the february 1st all staff meeting. And our 1823 which is Senior Analyst position. The position was posted and closed with 67 appear cants and they are currently being reviewed for minimum qualifications and the assistant Health Education which is a project laced position has been filled. Briefly in operation we are seeing our Service Levels being excellent at this time of year, which is big to say as open rollment was and i think that has a lot to do whereabouts and conner concurs this has a lot to do with the communications and the processing of the applications that were accurate and correct so that always is decrease in calls and therefore we are able to keep the Service Levels in check. Pamela, the cfo mentioned talk that we are expanding the Services Lobby area. That is specifically for self service. So we can put kiosk in there. People who typically dont work on computers and may not have computers at home can come into our office and access their benefits online. And administer their benefits online. When we get that going. We are take advantage of the fact that our paper file room which held about 100,000 files. Which is about 2 million pieces of paper. Now that we scanned all of that and put it into our Management System we have a little additional real estate. So we will expand that area and have a, laker area for members to interaction either face to face or electronically in our self service. So that in the report it says midmarch. We have changed that since i wrote this report and moved it up to february 26th so construction will begin in the lobby on february 26th so for the 6 to 8 weeks it will take to complete that construct our Member Services face to face interaction will be on the first floor. And the wellness conference room. This is exactly the protocol we take for open rollment when we have 5,000 and 6,000 people come into our office. So we will set up open rollment and of course people come in and sign in at the security desk and they will direction them to there instead of up to the third floor. So that will be for about 6 to 6 8 weeks. Independent systems and analytics area. We continue to make modifications on the 2018 plan year. It does take a long time to configure people and test and get it going. Theres lots of little programs and reports that provide us with all kind of wonderful information but when we make one change we have to modify each one of those. So it does take a long time. This is tax season. Getting ready for tax season. We have produced cs. This is the third year. Which is the employer requirement under the Affordable Care act. Once we get through our Customer Service calls, because people do call. I do need my t95 or want a copy. We are going to put together some spends and how much it cost us operationally to produce these and we have done this pretty much every year since the first year we implemented it. And of course Enterprise Service an lit i objects was very involved in producing the demographics report for this month which was also a big task. Finance and accounting youve heard lately what they have been up to during the budget talk and they are also continuing fsp conversion and data cleanup. That can be the way it is when you are dealing with peoplesoft and as far as communications is concerned, we of course spent time on boarding a new graphic designer. We have to do that. In communications and do a lot of training. How people are our membership need to read and be able to understand our benefits and of course extremely Diverse Membership it is with active employees and retirees and many different types of jobs and living in many different areas of the city. We are also already beginning to prepare for open rollment in 2018. We are taking up we are meeting and taking a lot of suggestions and thing that. Had in 2017 and we will perfect a few processes and communications for open rollment in october 2018. There are a couple thing i want to mention that i will ask stephanie fish to give us a very brief overview of her annual report which will work with my annual report which is the next agenda item but one thing i do want to mention that i was able to attend the 2017 wellbeing work award yesterday d that was yesterday. And it was a very great event where many, many departments who participate were able to receive certain award for their participation. And the reason i wanted to mention it, its one of the few times i had the opportunity to go to one of our wellbeing events. So im one of those that will start crossing over to the other side and be very supportive of wellbeing. I saw the engainment of the departments and the other departments and it was very inspirational. With that being said i would like stephanie to give us a very short overview of her annual report which is included in the management report if you are looking at your ipad, its page 180. If you are looking at a hard copy its page 20 once you get into the wellbeing second. The first page looks like our team and theres a great picture of the wellbeing team on that slide. There is. Stanley fisher being manager. Im actually taller than somebody. I guess to raise the mic. That doesnt happen often. Im going to ask you to head to slide 4. So our slide are numbered a little bit different. At the top. What is it . You will be fine, i promise. Its slide 181 if that helps you. Go right ahead, please. So to piggyback on what mitchell was saying about yesterdays eachs we launched a new framework last year to help departments. So theres 60 departments in the city. They all have different need. They all have different assets. They all have ditch size populations, different leadership structure. So we wanted to create a framework that allowed them all to work on wellbeing for their employees but to do it in their own way so that it would be appropriate for their locations. So we created this framework. Some of the features we asked for a department lead for wellbeing so in addition to the champions having a leadership level person to work with, we received 23 department lead which was fantastic. We also instituted award. We wanted to recognize departments for taking on this extra challenge of focusing on employee wellbeing. Obviously city departments do a lot. So asking them to do something along these lines, although very important and beneficial to them, it is an extra ask, so we created an awards structure which is what the ceremony yesterday was for and we were able to distribute 19 award to 19 different departments. In addition to that we asked them for their stories and this was the part of yesterday that iing for to see coming. I should have seen coming but it was neat to see everybody share their story and the that is what got everybody else excited. They were like, i wa