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1 EVERETT SCHOOL EMPLOYEE BENEFIT TRUST 
2 STATEMENT OF OPERATIONS AND FUND BALANCE 
3 For the Year Ended June 30, 2009 
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10       Current Month  2008-2009   
11 REVENUES:      (February)     
12 Employer Contributions     $ 1,401,147 $ 11,808,223    
13 Employee Contributions      220,526   1,814,196    
14 Investment Earnings       51,453   488,278    
15 Net Appreciation (Depreciation) of market value      (42,537)  (71,726)   
16       _  _   
17 Total Revenues      1,630,590   14,038,970    
18       _  _   
19 COST OF BENEFITS PROVIDED:            
20 HMA Premium      24,687   191,305    
21 HMA Claims      390,970   4,447,054    
22 Other Benefits      1,313   1,313    
23 SunLife      20,447   127,799    
24 ESI Prescriptions Paid      119,259   1,021,608    
25 Pacific Care Premium      309,824   2,347,594    
26 Group Health Premium      260,209   2,032,083     
27 Washington Dental Service Premium       135,557   1,080,423     
28 Williamette Dental      29,059   221,597    
29 Metropolitan Life ($50M) Premium      11,297   89,466    
30 Metropolitan Life (VOL) Premium       12,560   109,284    
31 Standard Insurance      37,504   303,180    
32 UNUM LTC      919   6,907    
33 HMA - THM      0   47,872    
34 Free & Clear      0   9,125    
35 Magellan Behavior      0   14,082    
36       _  _   
37  Cost of Benefits Provided     1,353,603   12,050,693    
38             
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40 Excess (Deficiency) of Revenues over Cost of Benefits       276,987   1,988,278    
41        _  _   
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43 ADMINISTRATIVE EXPENSES:            
44 Administration      1,535   12,133    
45 Wellness Coordinator Salary      7,504   61,604    
46 Wellness Program Expenses      1,241   14,948    
47 Audit Fee      0   8,950    
48 Bank Charges      0   0    
49 Regulatory Fees      0   4,150    
50 Legal Fees      0   66,726    
51 Liability Insurance      8,700   8,700     
52 Misc. Expense       33   646     
53 Office & Printing      0   98     
54 Consultant Fee      0   57,290    
55 Investment Consultant Fee      0   4,375    
56 Trustee Expense      0   128    
57       _  _   
58  Total Administrative Expenses     19,013   239,748    
59       _  _   
60 Excess(Deficiency) of Revenue Over Expenses      257,974   1,748,530    
61 Adjusted Fund Balance 2/01/09      12,997,023   11,506,467    
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64 Fund Balance 2/28/2009     $ 13,254,997 $ 13,254,997    
65       =  =   
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