Locunity/San Francisco, CA·Health Benefits
Administers health benefits for City employees and retirees.
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Recent updates from Governing Board
The board voted to enter closed session on the midyear performance evaluation, then voted not to report action taken or disclose discussion.
Why it matters: The public record contains no detail of the closed session outcome.
Blue Shield's account executive said the state fine concerned timeliness of responses to regulator inquiries, while a retiree advocate described bureaucratic delays in accessing care.
Why it matters: Retirees report delays for acupuncture and hearing aid reimbursement, raising questions about plan administration even when benefits are unchanged.
A four-week physical activity challenge drew over 3,000 registrants versus just under 1,400 in 2019, with 47 of 55 departments participating.
Why it matters: The turnout suggests demand for workplace wellness programming; a produce-focused challenge follows in November.
Commissioners approved Cherryroad, top-scoring RFP bidder, for Phase 2 of PeopleSoft HCM optimization, mostly funded by COIT, with a 10-12 month timeline.
Why it matters: The system, live since 2012, manages benefits for about 139,000 lives; modernization targets manual workload, data gaps and erroneous terminations.
Staff and Aon propose an RFP for a standalone Part D plan for 2028 to capture added CMS funding; no decision was sought and staff will return in November or December.
Why it matters: Aon estimates $60-$70 monthly extra federal funding per member, with trade-offs in two ID cards and possible effects on members with chronic conditions.
Retiree advocates asked for Medigap information, a city dollar credit toward supplement plans, outreach contacts and answers on dental and catastrophic coverage.
Why it matters: Retiree advocacy is the main driver of the Medicare supplement discussion and shapes what data staff will bring back.
Staff and consultants outlined Medicare options and OPEB costs, concluding a supplement plan's added value doesn't justify higher premiums and administrative burden; commissioners asked for age-band data.
Why it matters: Retirees have asked for a Medigap option; an illustrative 24% premium hike would raise some retirees' monthly contributions by $69 to $169.
CFO projects a $64.5 million fiscal-year-end decrease in the Employee Benefit Trust Fund driven by large medical claims, while the annual audit shows no findings to date.
Why it matters: A large early projected drop signals rising care costs that commissioners said they feel 'helpless' about.
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