| 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, 2009 and June 30, 2010 |
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4 | | | |
| |
Revised | | | | | | |
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5 |
FOR COMPARISON ONLY |
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6 | | | | | | | | | | | | |
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7 | | | | | |
Current Month | |
2008-2009 | |
Current Month | |
2009-2010 |
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8 |
REVENUES: | | | | |
(April) | | | |
(April) | | |
---|
9 |
Employer Contributions | | | |
$ |
1,393,048 |
$ |
14,596,522 |
$ |
1,393,898 |
$ |
14,287,354 |
---|
10 |
Employee Contributions | | | | |
217,275 | |
2,254,080 | |
222,007 | |
1,980,344 |
---|
11 |
Investment Earnings | | | | |
51,013 | |
575,576 | |
(8,630) | |
33,532 |
---|
12 |
Net Appreciation (Depreciation) of market value | | | | |
8,492 | |
26,736 | |
68,127 | |
356,611 |
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13 | | | | | |
_ | |
_ | |
_ | |
_ |
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14 |
Total Revenues | | | | |
1,669,829 | |
17,452,915 | |
1,675,402 | |
16,657,842 |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
---|
17 |
HMA Premium | | | | |
24,484 | |
240,602 | |
24,808 | |
244,959 |
---|
18 |
HMA Claims | | | | |
458,218 | |
5,367,236 | |
605,194 | |
5,983,547 |
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19 |
SunLife | | | | |
22,145 | |
165,321 | |
(30,430) | |
(29,256) |
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20 |
Other Benefits | | | | |
0 | |
1,313 | |
0 | |
(553) |
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21 |
ESI Prescriptions Paid | | | | |
175,180 | |
1,301,161 | |
284,219 | |
1,726,277 |
---|
22 |
Pacific Care Premium | | | | |
310,240 | |
2,970,906 | |
353,566 | |
3,290,146 |
---|
23 |
Group Health Premium | | | | |
259,833 | |
2,552,942 | |
298,080 | |
2,750,545 |
---|
24 |
Washington Dental Service Premium | | |
| |
134,956 | |
1,350,678 | |
141,764 | |
1,384,765 |
---|
25 |
Williamette Dental | | | | |
29,202 | |
280,074 | |
27,905 | |
286,759 |
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26 |
Metropolitan Life ($50M) Premium | | | | |
11,258 | |
111,995 | |
11,037 | |
110,585 |
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27 |
Metropolitan Life (VOL) Premium | | |
| |
14,201 | |
137,553 | |
15,172 | |
147,092 |
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28 |
Standard Insurance | | | | |
37,422 | |
378,084 | |
36,600 | |
366,694 |
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29 |
UNUM LTC | | | | |
420 | |
8,246 | |
670 | |
6,695 |
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30 |
HMA - THM | | | | |
0 | |
47,872 | |
0 | |
0 |
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31 |
Free & Clear | | | | |
0 | |
9,125 | |
0 | |
1,637 |
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32 |
Magellan Behavior | | | | |
0 | |
28,164 | |
14,082 | |
42,246 |
---|
33 |
Carena | | | | |
0 | |
450 | |
0 | |
4,383 |
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34 |
Sound Health Solutions | | | | |
5,313 | |
10,625 | |
0 | |
35,063 |
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35 |
Wellsource Health Solutions | | | | |
0 | |
0 | |
0 | |
59,085 |
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36 | | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | | |
1,482,872 | |
14,962,347 | |
1,782,667 | |
16,410,669 |
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38 | | | | | |
_ | |
_ | |
_ | |
_ |
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39 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
186,957 | |
2,490,568 | |
(107,264) | |
247,172 |
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40 | |
| | | |
_ | |
_ | |
_ | |
_ |
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41 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | | |
|
---|
42 |
Administration | | | | |
1,536 | |
15,204 | |
1,629 | |
16,597 |
---|
43 |
Wellness Coordinator Salary | | | | |
7,506 | |
76,605 | |
8,067 | |
79,060 |
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44 |
Wellness Coordinator Expenses | | | | |
1,217 | |
17,692 | |
3,488 | |
40,522 |
---|
45 |
Audit Fee | | | | |
0 | |
8,950 | |
0 | |
8,950 |
---|
46 |
Regulatory Fees | | | | |
0 | |
4,150 | |
0 | |
4,150 |
---|
47 |
Bank Fees | | | | |
(77) | |
0 | |
0 | |
2,449 |
---|
48 |
Investment Fees | | | | |
0 | |
0 | |
0 | |
18,436 |
---|
49 |
Legal Fees | | | | |
825 | |
88,465 | |
2,708 | |
53,174 |
---|
50 |
Liability Insurance | | | | |
0 | |
8,700 | |
0 | |
9,150 |
---|
51 |
Misc. Expense | | | | |
33 | |
712 | |
0 | |
273 |
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