| A | B | D | E | F | G | H | I | J | K | L | M |
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1 |
EVERETT SCHOOL EMPLOYEE BENEFIT TRUST |
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2 |
STATEMENT OF OPERATIONS AND FUND BALANCE |
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3 |
For the Year Ended June 30, 2008 and June 30, 2009 |
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4 | | | |
| | | | | | | | |
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5 |
FOR COMPARISON ONLY |
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6 | | | | | | | | | | | | |
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7 | | | | | | | | | | | | |
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8 | | | | | | | | | | | | |
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9 | | | | | |
Current Month | |
2007-2008 | |
Current Month | |
2008-2009 |
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10 |
REVENUES: | | | | |
(February) | | | |
(February) | | |
---|
11 |
Employer Contributions | | | |
$ |
1,991,625 |
$ |
11,123,970 |
$ |
1,401,147 |
$ |
11,808,223 |
---|
12 |
Employee Contributions | | | | |
233,698 | |
2,031,452 | |
220,526 | |
1,814,196 |
---|
13 |
Investment Earnings | | | | |
642,650 | |
1,034,535 | |
51,453 | |
488,278 |
---|
14 |
Net Appreciation (Depreciation) of market value | | | | |
(513,395) | |
(470,272) | |
(42,537) | |
(71,726) |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
Total Revenues | | | | |
2,354,578 | |
13,719,684 | |
1,630,590 | |
14,038,970 |
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17 | | | | | |
_ | |
_ | |
_ | |
_ |
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18 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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19 |
HMA Premium | | | | |
23,814 | |
195,536 | |
24,687 | |
191,305 |
---|
20 |
HMA Claims | | | | |
699,248 | |
4,386,901 | |
390,970 | |
4,447,054 |
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21 |
Other Benefits | | | | |
0 | |
(1,170) | |
1,313 | |
1,313 |
---|
22 |
Symetra - Stop Loss Premium | | | | |
0 | |
(59,568) | |
0 | |
0 |
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23 |
Sun Life | | | | |
20,496 | |
160,188 | |
20,447 | |
127,799 |
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24 |
NMHC Paid Prescriptions | | | | |
(330) | |
(28,793) | |
0 | |
0 |
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25 |
ESI Prescriptions Paid | | | | |
134,347 | |
952,445 | |
119,259 | |
1,021,608 |
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26 |
Pacific Care Premium | | | | |
277,211 | |
1,998,618 | |
309,824 | |
2,347,594 |
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27 |
Group Health Premium | | | | |
243,229 | |
1,847,623 | |
260,209 | |
2,032,083 |
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28 |
Washington Dental Service Premium | | |
| |
137,102 | |
1,073,554 | |
135,557 | |
1,080,423 |
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29 |
Williamette Dental | | | | |
25,129 | |
186,707 | |
29,059 | |
221,597 |
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30 |
Metropolitan Life ($50M) Premium | | | | |
11,115 | |
86,830 | |
11,297 | |
89,466 |
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31 |
Metropolitan Life (VOL) Premium | | |
| |
13,645 | |
103,846 | |
12,560 | |
109,284 |
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32 |
Standard Insurance | | | | |
38,104 | |
276,039 | |
37,504 | |
303,180 |
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33 |
UNUM LTC | | | | |
821 | |
5,784 | |
919 | |
6,907 |
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34 |
HMA - THM | | | | |
7,992 | |
62,884 | |
0 | |
47,872 |
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35 |
Free & Clear | | | | |
0 | |
0 | |
0 | |
9,125 |
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36 |
Magellan Behavior | | | | |
0 | |
0 | |
0 | |
14,082 |
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37 | | | | | |
_ | |
_ | |
_ | |
_ |
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38 | |
Cost of Benefits Provided | | | |
1,631,923 | |
11,247,424 | |
1,353,603 | |
12,050,693 |
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39 | | | | | | | |
| | | | |
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40 | | | | | |
_ | |
_ | |
_ | |
_ |
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41 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
722,655 | |
2,472,260 |
|
276,987 | |
1,988,278 |
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42 | |
| | | |
_ | |
_ | |
_ | |
_ |
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43 | | | | | | | | | | | | |
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44 |
ADMINISTRATIVE EXPENSES: | | | | | | |
| | | | |
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45 |
Administration | | | | |
1,432 | |
11,344 | |
1,535 | |
12,133 |
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46 |
Wellness Coordinator Salary | | | | |
0 | |
0 | |
7,504 | |
61,604 |
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47 |
Wellness Coordinator Expenses | | | | |
1,475 | |
1,588 | |
1,241 | |
14,948 |
---|
48 |
Audit Fee | | | | |
0 | |
7,695 | |
0 | |
8,950 |
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49 |
Bank Charges | | | | |
0 | |
0 | |
0 | |
0 |
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50 |
Regulatory Fees | | | | |
1,223 | |
2,446 | |
0 | |
4,150 |
---|
51 |
Legal Fees | | | | |
0 | |
2,006 | |
0 | |
66,726 |
---|
52 |
Liability Insurance | | | | |
0 | |
8,700 | |
8,700 | |
8,700 |
---|
53 |
Misc. Expense | | | | |
33 | |
230 | |
33 | |
646 |
---|
54 |
Office & Printing | | | | |
0 | |
171 | |
0 | |
98 |
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