| 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 | |
2008-2009 | |
Current Month | |
2009-2010 |
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10 |
REVENUES: | | | | |
(February) | | | |
(February) | | |
---|
11 |
Employer Contributions | | | |
$ |
1,401,147 |
$ |
11,808,223 |
$ |
1,589,745 |
$ |
11,285,787 |
---|
12 |
Employee Contributions | | | | |
220,526 | |
1,814,196 | |
219,239 | |
1,748,150 |
---|
13 |
Investment Earnings | | | | |
51,453 | |
488,278 | |
(8,192) | |
49,157 |
---|
14 |
Net Appreciation (Depreciation) of market value | | | | |
(42,537) | |
(71,726) | |
51,575 | |
280,268 |
---|
15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
Total Revenues | | | | |
1,630,590 | |
14,038,970 | |
1,852,368 | |
13,363,362 |
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17 | | | | | |
_ | |
_ | |
_ | |
_ |
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18 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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19 |
HMA Premium | | | | |
24,687 | |
191,305 | |
24,732 | |
195,265 |
---|
20 |
HMA Claims | | | | |
390,970 | |
4,447,054 | |
249,501 | |
4,702,103 |
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21 |
Sun Life | | | | |
20,447 | |
127,799 | |
27,808 | |
188,028 |
---|
22 |
Other Benefits | | | | |
1,313 | |
1,313 | |
0 | |
(553) |
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23 |
ESI Prescriptions Paid | | | | |
119,259 | |
1,021,608 | |
194,154 | |
1,254,678 |
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24 |
Pacific Care Premium | | | | |
309,824 | |
2,347,594 | |
356,751 | |
2,580,840 |
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25 |
Group Health Premium | | | | |
260,209 | |
2,032,083 | |
296,704 | |
2,154,033 |
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26 |
Washington Dental Service Premium | | |
| |
135,557 | |
1,080,423 | |
141,401 | |
1,102,507 |
---|
27 |
Williamette Dental | | | | |
29,059 | |
221,597 | |
28,563 | |
230,292 |
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28 |
Metropolitan Life ($50M) Premium | | | | |
11,297 | |
89,466 | |
11,031 | |
88,504 |
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29 |
Metropolitan Life (VOL) Premium | | |
| |
12,560 | |
109,284 | |
14,773 | |
116,821 |
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30 |
Standard Insurance | | | | |
37,504 | |
303,180 | |
36,558 | |
293,495 |
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31 |
UNUM LTC | | | | |
919 | |
6,907 | |
670 | |
5,356 |
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32 |
HMA - THM | | | | |
0 | |
47,872 | |
0 | |
0 |
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33 |
Free & Clear | | | | |
0 | |
9,125 | |
0 | |
1,637 |
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34 |
Magellan Behavior | | | | |
0 | |
14,082 | |
0 | |
28,164 |
---|
35 |
Carena | | | | |
0 | |
0 | |
450 | |
4,383 |
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36 |
Sound Health Solutions | | | | |
0 | |
0 | |
0 | |
35,063 |
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37 |
Wellsource Health Solutions | | | | |
0 | |
0 | |
0 | |
59,085 |
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38 | | | | | |
_ | |
_ | |
_ | |
_ |
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39 | |
Cost of Benefits Provided | | | |
1,353,603 | |
12,050,693 | |
1,383,095 | |
13,039,700 |
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40 | | | | | | | | | | | | |
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41 | | | | | |
_ | |
_ | |
_ | |
_ |
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42 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
276,987 | |
1,988,278 |
|
469,273 | |
323,662 |
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43 | |
| | | |
_ | |
_ | |
_ | |
_ |
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44 | | | | | | | | | | | | |
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45 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | | | |
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46 |
Administration | | | | |
1,535 | |
12,133 | |
1,603 | |
13,338 |
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47 |
Wellness Coordinator Salary | | | | |
7,504 | |
61,604 | |
8,061 | |
62,934 |
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48 |
Wellness Coordinator Expenses | | | | |
1,241 | |
14,948 | |
590 | |
32,580 |
---|
49 |
Audit Fee | | | | |
0 | |
8,950 | |
0 | |
8,950 |
---|
50 |
Regulatory Fees | | | | |
0 | |
4,150 | |
0 | |
4,150 |
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51 |
Bank Charges | | | | |
0 | |
0 | |
1,661 | |
2,409 |
---|
52 |
Investment Fees | | | | |
0 | |
0 | |
7,916 | |
18,436 |
---|
53 |
Legal Fees | | | | |
0 | |
66,726 | |
0 | |
44,039 |
---|
54 |
Liability Insurance | | | | |
8,700 | |
8,700 | |
0 | |
9,150 |
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55 |
Misc. Expense | | | | |
33 | |
646 | |
33 | |
240 |
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