1. Sheet1

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1 Everett School Employee Benefit Trust                   
2 Contribution History                   
3                    
4           10/1/2002 - 10/1/2001- 10/1/2000 - 10/1/1999 - 10/1/1998 - 10/1/1997 - 10/1/1996 - 10/1/1995 - 10/1/1994 - 
5    2010 2009 2008 2007 2006 2005 2004 12/31/2003 9/30/2002 9/30/2001 9/30/2000 9/30/1999 9/30/1998 9/30/1997 9/30/1996 9/30/1995 
6           *         
7 PPO 1            
8  Employee Only  $158.05 $158.05 $159.68 $168.44 $168.44 $135.13 $128.73 $112.97 $114.67  
9  Employee & Spouse or Child(ren)  $344.11 $344.11 $346.36 $366.38 $366.38 $297.26 $284.46 $248.94 $266.84  
10  Employee & Family  $529.16 $529.16 $532.04 $564.32 $564.32 $459.39 $440.19 $384.91 $414.01  
11             
12 PPO 2            
13  Employee Only  $45.04 $45.04 $49.89 $64.44 $64.44 $54.19 $52.58 $45.63 $47.96  
14  Employee & Spouse or Child(ren)  $118.08 $118.08 $126.78 $158.38 $158.38 $135.38 $132.16 $114.26 $133.42  
15  Employee & Family  $190.12 $190.12 $202.67 $252.32 $252.32 $216.57 $211.74 $182.89 $213.88  
16             
17 PPO 3            
18  Employee Only  $9.00 $9.00 $13.00 $29.50 $29.50 $27.00 $27.00 $23.00 $35.00  
19  Employee & Spouse or Child(ren)  $46.00 $46.00 $53.00 $88.50 $88.50 $81.00 $81.00 $69.00 $107.50  
20  Employee & Family  $82.00 $82.00 $92.00 $147.50 $147.50 $135.00 $135.00 $115.00 $175.00  
21             
22 Group Health Cooperative                   
23  Employee Only  $4.00 $4.00 $23.48 $29.86 $29.86 $25.96 $25.96 $20.93 $25.05 $22.04 $22.55 $76.84 $58.11 $34.56 $24.89 $12.07  
24  Employee & Spouse or Child(ren)  $28.00 $28.00 $65.96 $80.19 $80.19 $77.89 $77.89 $62.79 $87.60 $61.58 $62.60 $161.18 $116.22 $69.12 $49.78 $24.14  
25  Employee & Family  $51.00 $51.00 $109.44 $130.55 $130.55 $129.82 $129.82 $104.65 $145.15 $96.12 $97.65 $245.52 $174.33 $103.68 $74.67 $36.21  
26                    
27 PacifiCare           
28  Employee Only  $16.54 $16.54 $8.00 $20.50 $20.50 $18.00 $18.00 $15.00  
29  Employee & Spouse or Child(ren)  $53.08 $53.08 $35.00 $61.50 $61.50 $54.00 $54.00 $45.00  
30  Employee & Family  $88.62 $88.62 $63.00 $102.50 $102.50 $90.00 $90.00 $75.00  
31            
32 PPO Plan    Gen Am Regence Regence Regence 
33  Employee Only  $5.00 $5.00 $0.00 $0.00 $0.00  
34  Employee & Spouse or Child(ren)  $27.50 $27.50 $17.50 $10.00 $0.00  
35  Employee & Family  $45.00 $45.00 $35.00 $20.00 $0.00  
36         
37 Traditional Plan        
38  Employee Only  $43.31 $33.16 $19.63 $15.00 $0.00  
39  Employee & Spouse or Child(ren)  $104.12 $83.82 $56.76 $40.00 $0.00  
40  Employee & Family  $159.93 $129.49 $93.89 $65.00 $0.00  
41                    
42 SCPC (Snohomish County Physicians Service)     
43  Employee Only  $0.00 $0.00  
44  Employee & Spouse or Child(ren)  $0.00 $0.00  
45  Employee & Family  $0.00 $0.00  
46                    
47   * Plan Year changed from Oct. through Sept. to a calendar year basis. We assume the contributions remained unchanged to 12/31/2003.                

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