Executive Committee Agenda

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Executive Committee Agenda 222 Sansome Street San Francisco, CA 94104 THURSDAY, DECEMBER 6, 2018 11:00 A.M. A Roll Call (Jacques De Jager)... B Public Comment... Under Government Code Section 54954.3, members of the public may address the BETA Council and/or one of its Committees on any item of interest to the public and within their purview, or any Agenda Item before or during the BETA Council and/or one of its Committees consideration of that Item. If you wish to address the BETA Council and/or one of its Committees during the meeting, please fill out a Speaker Identification sheet available from Jacques De Jager and hand the sheet to the Committee Chair. C Approval of Agenda... A CLOSED SESSION PURSUANT TO HEALTH & SAFETY CODE 32106(b) D Update on 2018 Business Plan and CEO Goals (Tom Wander)... Meeting packet E Discussion Regarding 2019 Business Plan and CEO Goals (Tom Wander)... F G Recommendation to Approve 2019 Business Plan and CEO Goals (Tom Wander)... Recommendation to Approve Resolution 2018-04 and QSERP Sixth Amendment Effective January 1, 2018, Updating Actuarially Calculated Allocations and Interest Adjustments (Tom Wander)... - and Handout H Recommendation to Approve SPP and GEBA Contributions (Tom Wander)... I Update on Retiree Medical Trust (Tom Wander)... * This is being noticed as a BETA Council meeting as a quorum may be present. Non-committee members cannot vote on any item if attending a committee meeting of which they are not formal members, whether or not a quorum of the BETA Council is present. ** If any other reports or documents for this meeting, deemed to be public records, are distributed to the BETA Council or Committee members less than 72 hours before the meeting, those reports or documents for this meeting will be available for public inspection at BETA Healthcare Group Risk Management Authority at 1443 Danville Blvd., Alamo, CA 94507 (SB 343, effective July 1, 2008). If you need a disability-related modification or accommodation, including auxiliary aids or services, to participate in this meeting, please contact Jacques De Jager at jdejager@betahg.com at least 48 hours prior to the meeting.

A CLOSED SESSION PURSUANT TO GOVERNMENT CODE SECTION 54957 AND 54957.6 J Discussion Regarding Succession Plans (Tom Wander)... Oral K Discussion Regarding BETA Council Composition and Vacancies (Jim Raggio)... L Election of BETA Council Member to Fill Officer Vacancy (Jim Raggio)...

Finance Committee Agenda 222 Sansome Street San Francisco, CA 94104 REGULAR BETA COUNCIL MEETING* THURSDAY, DECEMBER 6, 2018 11:00 A.M. (12:45 P.M. 1 ) A Roll Call (Jacques De Jager)... B Public Comment... Under Government Code Section 54954.3, members of the public may address the BETA Council and/or one of its Committees on any item of interest to the public and within their purview, or any Agenda Item before or during the BETA Council and/or one of its Committees consideration of that Item. If you wish to address the BETA Council and/or one of its Committees during the meeting, please fill out a Speaker Identification sheet available from Jacques De Jager and hand the sheet to the Committee Chair. C Approval of Agenda... D Quarterly Treasurer s Report and Recommendation to Approve Exceptions to Investment Policy (Mike Wallace)... Consent Calendar E Investment Manager Report (Rob Lund and Mike Sheldon, Income Research + Management)... F Recommendation to Approve Amended Disbursements Approval Authorities (Dan Sevilla)... G Recommendation to Approve Investment Policy (Dan Sevilla)... Handout H Financial Summary (Dan Sevilla)... YTD October 31, 2018 2018 Forecast Recommendation to Approve 2019 Budget 1 Estimated start time is 12:45 P.M. * This is being noticed as a BETA Council meeting as a quorum may be present. Non-committee members cannot vote on any item if attending a committee meeting of which they are not formal members, whether or not a quorum of the BETA Council is present. ** If any other reports or documents for this meeting, deemed to be public records, are distributed to the BETA Council or Committee members less than 72 hours before the meeting, those reports or documents for this meeting will be available for public inspection at BETA Healthcare Group Risk Management Authority at 1443 Danville Blvd., Alamo, CA 94507 (SB 343, effective July 1, 2008). If you need a disability-related modification or accommodation, including auxiliary aids or services, to participate in this meeting, please contact Jacques De Jager at jdejager@betahg.com at least 48 hours prior to the meeting.

Underwriting Committee Agenda SAN FRANCISCO 222 SANSOME STREET SAN FRANCISCO, CA 94104 THURSDAY, DECEMBER 6, 2018 11:00 A.M. (2:30 P.M. 1 ) A Roll Call (Jacques De Jager)... B Public Comment... Under Government Code Section 54954.3, members of the public may address the BETA Council and/or one of its Committees on any item of interest to the public and within their purview, or any Agenda Item before or during the BETA Council and/or one of its Committees consideration of that Item. If you wish to address the BETA Council and/or one of its Committees during the meeting, please fill out a Speaker Identification sheet available from Jacques De Jager and hand the sheet to the Committee Chair. C Approval of Agenda... A CLOSED SESSION PURSUANT TO HEALTH & SAFETY CODE 32106(b) D Healthcare Professional Liability (Corey Grove)... 2018 Liability Underwriting and Marketing Results Oral E Ratification of New Member (Corey Grove) F BEST Report (Tom Wander)... 1 Estimated start time is 2:30 P.M. * This is being noticed as a BETA Council meeting as a quorum may be present. Non-committee members cannot vote on any item if attending a committee meeting of which they are not formal members, whether a quorum of the BETA Council is present. ** If any other reports or documents for this meeting, deemed to be public records, are distributed to the BETA Council or Committee members less than 72 hours before the meeting, those reports or documents for this meeting will be available for public inspection at BETA Healthcare Group Risk Management Authority at 1443 Danville Blvd., Alamo, CA 94507 (SB 343, effective July 1, 2008). If you need a disability-related modification or accommodation, including auxiliary aids or services, to participate in this meeting, please contact Jacques De Jager at jdejager@betahg.com at least 48 hours prior to the meeting.

Claims Committee Agenda 222 SANSOME STREET SAN FRANCISCO, CA 94104 THURSDAY, DECEMBER 6, 2018 11:00 A.M. (3:30 P.M. 1 ) A Roll Call (Jacques De Jager)... B Public Comment... Under Government Code Section 54954.3, members of the public may address the BETA Council and/or one of its Committees on any item of interest to the public and within their purview, or any Agenda Item before or during the BETA Council and/or one of its Committees consideration of that Item. If you wish to address the BETA Council and/or one of its Committees during the meeting, please fill out a Speaker Identification sheet available from Jacques De Jager and hand the sheet to the Committee Chair. C Approval of Agenda... A CLOSED SESSION PURSUANT TO GOVERNMENT CODE SECTION 54956.95 (SEE ATTACHED LIST OF CASES) D Recommendation to Approve Settlement Authority over $500,000: Claim #16-001422M (Andrea Raub)... E Recommendation to Approve Settlement Authority over $500,000: Claim #15-000246 (Andrea Raub)... F Ratification of Emergency Authority over $500,000: Claim #15-000867M (Andrea Raub)... 1 Estimated start time is 3:30 P.M. * This is being noticed as a BETA Council meeting as a quorum may be present. Non-committee members cannot vote on any item if attending a committee meeting of which they are not formal members, whether or not a quorum of the BETA Council is present. ** If any other reports or documents for this meeting, deemed to be public records, are distributed to the BETA Council or Committee members less than 72 hours before the meeting, those reports or documents for this meeting will be available for public inspection at BETA Healthcare Group Risk Management Authority at 1443 Danville Blvd., Alamo, CA 94507 (SB 343, effective July 1, 2008). If you need a disability-related modification or accommodation, including auxiliary aids or services, to participate in this meeting, please contact Jacques De Jager at jdejager@betahg.com at least 48 hours prior to the meeting.

G Claims Reports (Andrea Raub)... Cases with Indemnity/Expense Reserves over $500,000... Case Summaries... Cases Settled for More Than $500,000... Cases Tried or Arbitrated... H Claims Activity Graphs...

Risk Management Committee Agenda 222 SANSOME STREET SAN FRANCISCO, CA 94104 THURSDAY, DECEMBER 6, 2018 11:00 A.M. (4:15 P.M. 1 ) A Roll Call (Jacques De Jager)... B Public Comment... Under Government Code Section 54954.3, members of the public may address the BETA Council and/or one of its Committees on any item of interest to the public and within their purview, or any Agenda Item before or during the BETA Council and/or one of its Committees consideration of that Item. If you wish to address the BETA Council and/or one of its Committees during the meeting, please fill out a Speaker Identification sheet available from Jacques De Jager and hand the sheet to the Committee Chair. C Approval of Agenda... D Risk Management Department Update (Heather Gocke)... 1 Estimated start time is 4:15 P.M. * This is being noticed as a BETA Council meeting as a quorum may be present. Non-committee members cannot vote on any item if attending a committee meeting of which they are not formal members, whether or not a quorum of the BETA Council is present. ** If any other reports or documents for this meeting, deemed to be public records, are distributed to the BETA Council or Committee members less than 72 hours before the meeting, those reports or documents for this meeting will be available for public inspection at BETA Healthcare Group Risk Management Authority at 1443 Danville Blvd., Alamo, CA 94507 (SB 343, effective July 1, 2008). If you need a disability-related modification or accommodation, including auxiliary aids or services, to participate in this meeting, please contact Jacques De Jager at jdejager@betahg.com at least 48 hours prior to the meeting.