| A | B | C | D | E | F | G | H | I | J | K | L |
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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, 2010 | |
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4 | | | | | | | | | | | | |
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5 | | | | | | | | | | | | |
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6 | | | | | | |
Current Month | |
2009-2010 | | | |
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7 |
REVENUES: | | | | | |
(August) | | | | | |
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8 |
Employer Contributions | | | | |
$ |
1,378,968 |
$ |
2,757,649 | | | |
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9 |
Employee Contributions | | | | | |
219,965 | |
440,067 | | | |
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10 |
Investment Earnings | | | | | |
45,628 | |
114,574 | | | |
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11 |
Net Appreciation (Depreciation) of market value | | | | | |
54,521 | |
16,191 | | | |
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12 | | | | | | |
_ | |
_ | | | |
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13 |
Total Revenues | | | | | |
1,699,082 | |
3,328,481 | | | |
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14 | | | | | | |
_ | |
_ | | | |
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15 |
COST OF BENEFITS PROVIDED: | | | | | | | |
| | | |
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16 |
HMA Premium | | | | | |
24,508 | |
49,093 | | | |
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17 |
HMA Claims | | | | | |
596,250 | |
1,073,760 | | | |
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18 |
SunLife | | | | | |
21,950 | |
43,938 | | | |
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19 |
ESI Prescriptions Paid | | | | | |
131,582 | |
301,864 | | | |
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20 |
Pacific Care Premium | | | | | |
315,082 | |
628,142 | | | |
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21 |
Group Health Premium | | | | | |
262,593 | |
526,362 | | |
|
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22 |
Washington Dental Service Premium | | | |
| |
133,668 | |
267,766 | | |
|
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23 |
Williamette Dental | | | | | |
28,915 | |
58,046 | | | |
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24 |
Metropolitan Life ($50M) Premium | | | | | |
11,135 | |
22,315 | | | |
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25 |
Metropolitan Life (VOL) Premium | | | |
| |
14,546 | |
29,108 | | | |
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26 |
Standard Insurance | | | | | |
36,969 | |
74,103 | | | |
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27 |
UNUM LTC | | | | | |
670 | |
1,339 | | | |
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28 |
Free & Clear | | | | | |
0 | |
0 | | | |
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29 |
Magellan Behavior | | | | | |
0 | |
0 | | | |
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30 |
Carena | | | | | |
0 | |
0 | | | |
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31 |
Sound Health Solutions | | | | | |
0 | |
7,438 | | | |
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32 |
Wellsource Health Solutions | | | | | |
0 | |
50,085 | | | |
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33 | | | | | | |
_ | |
_ | | | |
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34 | |
Cost of Benefits Provided | | | | |
1,577,869 | |
3,133,357 | | | |
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35 | | | | | | |
_ | |
_ | | | |
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36 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | | |
|
121,213 | |
195,123 | | | |
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37 | |
| | | | |
_ | |
_ | | | |
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38 |
ADMINISTRATIVE EXPENSES: | | | | | | | |
| | | |
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39 |
Administration | | | | | |
1,463 | |
2,997 | | | |
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40 |
Wellness Coordinator Salary | | | | | |
7,492 | |
15,005 | | | |
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41 |
Wellness Program Expenses | | | | | |
100 | |
787 | | | |
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42 |
Audit Fee | | | | | |
0 | |
0 | | | |
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43 |
Regulatory Fees | | | | | |
0 | |
2,075 | | | |
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44 |
Bank Fees | | | | | |
95 | |
95 | | | |
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45 |
Legal Fees | | | | | |
0 | |
11,253 | | | |
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46 |
Liability Insurance | | | | | |
0 | |
0 | | |
|
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47 |
Misc. Expense | | | | | |
33 | |
66 | | |
|
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48 |
Office & Printing | | | | | |
0 | |
0 | | |
|
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49 |
Consultant Fee | | | | | |
0 | |
0 | | | |
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50 |
Investment Consultant Fee | | | | | |
0 | |
4,375 | | | |
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51 |
Trustee Expense | | | | | |
0 | |
0 | | | |
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52 | | | | | | |
_ | |
_ | | | |
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