| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S |
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1 |
Everett School Employee Benefit Trust | | | | | | | | | | | | | | | | | | | |
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2 |
Contribution History | | | | | | | | | | | | | | | | | | | |
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3 | | | | | | | | | | | | | | | | | | | | |
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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 - | |
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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 | |
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6 | | | | | | | | | | |
* | | | | | | | | | |
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7 |
PPO 1 | | | | | | | | | | | | | | | | | | | |
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8 | |
Employee Only | |
$158.05 |
$158.05 |
$159.68 |
$168.44 |
$168.44 |
$135.13 |
$128.73 |
$112.97 |
$114.67 | | | | | | | | |
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9 | |
Employee & Spouse or Child(ren) | |
$344.11 |
$344.11 |
$346.36 |
$366.38 |
$366.38 |
$297.26 |
$284.46 |
$248.94 |
$266.84 | | | | | | | | |
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10 | |
Employee & Family | |
$529.16 |
$529.16 |
$532.04 |
$564.32 |
$564.32 |
$459.39 |
$440.19 |
$384.91 |
$414.01 | | | | | | | | |
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11 | | | | | | | | | | | | | | | | | | | | |
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12 |
PPO 2 | | | | | | | | | | | | | | | | | | | |
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13 | |
Employee Only | |
$45.04 |
$45.04 |
$49.89 |
$64.44 |
$64.44 |
$54.19 |
$52.58 |
$45.63 |
$47.96 | | | | | | | | |
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14 | |
Employee & Spouse or Child(ren) | |
$118.08 |
$118.08 |
$126.78 |
$158.38 |
$158.38 |
$135.38 |
$132.16 |
$114.26 |
$133.42 | | | | | | | | |
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15 | |
Employee & Family | |
$190.12 |
$190.12 |
$202.67 |
$252.32 |
$252.32 |
$216.57 |
$211.74 |
$182.89 |
$213.88 | | | | | | | | |
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16 | | | | | | | | | | | | | | | | | | | | |
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17 |
PPO 3 | | | | | | | | | | | | | | | | | | | |
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18 | |
Employee Only | |
$9.00 |
$9.00 |
$13.00 |
$29.50 |
$29.50 |
$27.00 |
$27.00 |
$23.00 |
$35.00 | | | | | | | | |
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19 | |
Employee & Spouse or Child(ren) | |
$46.00 |
$46.00 |
$53.00 |
$88.50 |
$88.50 |
$81.00 |
$81.00 |
$69.00 |
$107.50 | | | | | | | | |
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20 | |
Employee & Family | |
$82.00 |
$82.00 |
$92.00 |
$147.50 |
$147.50 |
$135.00 |
$135.00 |
$115.00 |
$175.00 | | | | | | | | |
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21 | | | | | | | | | | | | | | | | | | | | |
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22 |
Group Health Cooperative | | | | | | | | | | | | | | | | | | | |
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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 | |
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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 | |
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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 | |
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26 | | | | | | | | | | | | | | | | | | | | |
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27 |
PacifiCare | | | | | | | | | | | | | | | | | | | |
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28 | |
Employee Only | |
$16.54 |
$16.54 |
$8.00 |
$20.50 |
$20.50 |
$18.00 |
$18.00 |
$15.00 | | | | | | | | | |
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29 | |
Employee & Spouse or Child(ren) | |
$53.08 |
$53.08 |
$35.00 |
$61.50 |
$61.50 |
$54.00 |
$54.00 |
$45.00 | | | | | | | | | |
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30 | |
Employee & Family | |
$88.62 |
$88.62 |
$63.00 |
$102.50 |
$102.50 |
$90.00 |
$90.00 |
$75.00 | | | | | | | | | |
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31 | | | | | | | | | | | | | | | | | | | | |
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32 |
PPO Plan | | | | | | | | | | | | |
Gen Am |
Regence |
Regence |
Regence | | | |
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33 | |
Employee Only | | | | | | | | | | |
$5.00 |
$5.00 |
$0.00 |
$0.00 |
$0.00 | | | |
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34 | |
Employee & Spouse or Child(ren) | | | | | | | | | | |
$27.50 |
$27.50 |
$17.50 |
$10.00 |
$0.00 | | | |
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35 | |
Employee & Family | | | | | | | | | | |
$45.00 |
$45.00 |
$35.00 |
$20.00 |
$0.00 | | | |
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36 | | | | | | | | | | | | | | | | | | | | |
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37 |
Traditional Plan | | | | | | | | | | | | | | | | | | | |
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38 | |
Employee Only | | | | | | | | | | |
$43.31 |
$33.16 |
$19.63 |
$15.00 |
$0.00 | | | |
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39 | |
Employee & Spouse or Child(ren) | | | | | | | | | | |
$104.12 |
$83.82 |
$56.76 |
$40.00 |
$0.00 | | | |
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40 | |
Employee & Family | | | | | | | | | | |
$159.93 |
$129.49 |
$93.89 |
$65.00 |
$0.00 | | | |
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41 | | | | | | | | | | | | | | | | | | | | |
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42 |
SCPC (Snohomish County Physicians Service) | | | | | | | | | | | | | | | | | | | |
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43 | |
Employee Only | | | | | | | | | | | | | | | |
$0.00 |
$0.00 | |
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44 | |
Employee & Spouse or Child(ren) | | | | | | | | | | | | | | | |
$0.00 |
$0.00 | |
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45 | |
Employee & Family | | | | | | | | | | | | | | | |
$0.00 |
$0.00 | |
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46 | | | | | | | | | | | | | | | | | | | | |
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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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