Charter Section A8.422 requires the Board of Supervisors to adopt health care plan contribution rates annually for Health Service System members by three fourths of its members.

The Ordinance sets the participating employer’s average contribution toward member health insurance premiums in addition to the Health Service System member health care plan contribution rates.

The total cost of the plans would be $954,209,014 or 10.27 percent more than the $865,327,866 costs in 2023.

The 'average contribution' is the average contribution made by the ten counties in California with the largest populations toward the providing of health care plans exclusive of dental or optical care for each employee of such county.

The proposed ordinance would approve the San Francisco Health Service System’s (HSS) health vision and dental plans as well as life insurance and long-term disability insurance plans and contribution rates for calendar year (CY) 2024.

The Health Service Board provides the annual health vision dental and other insurance plans and the respective plan premiums and premium equivalents to be paid by HSS employers including the City and members.