| 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: | | | | | |
(May) | | | | | |
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8 |
Employer Contributions | | | | |
$ |
1,392,787 |
$ |
15,680,141 | | | |
---|
9 |
Employee Contributions | | | | | |
226,114 | |
2,206,458 | | | |
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10 |
Investment Earnings | | | | | |
(9,382) | |
24,150 | | | |
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11 |
Net Appreciation (Depreciation) of market value | | | | | |
68,044 | |
424,655 | | | |
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12 | | | | | | |
_ | |
_ | | | |
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13 |
Total Revenues | | | | | |
1,677,563 | |
18,335,405 | | | |
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14 | | | | | | |
_ | |
_ | | | |
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15 |
COST OF BENEFITS PROVIDED: | | | |
| | | |
| | | |
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16 |
HMA Premium | | | | | |
24,782 | |
269,741 | | | |
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17 |
HMA Claims | | | | | |
627,004 | |
6,610,551 | | | |
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18 |
SunLife | | | | | |
27,865 | |
(1,391) | | | |
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19 |
Other Benefits | | | | | |
0 | |
(553) | | | |
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20 |
ESI Prescriptions Paid | | | | | |
195,759 | |
1,922,036 | | | |
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21 |
Pacific Care Premium | | | | | |
358,572 | |
3,648,717 | | | |
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22 |
Group Health Premium | | | | | |
296,352 | |
3,046,897 | | |
|
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23 |
Washington Dental Service Premium | | | |
| |
142,399 | |
1,527,164 | | |
|
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24 |
Williamette Dental | | | | | |
28,124 | |
314,884 | | | |
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25 |
Metropolitan Life ($50M) Premium | | | | | |
11,024 | |
121,609 | | | |
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26 |
Metropolitan Life (VOL) Premium | | | |
| |
15,403 | |
162,496 | | | |
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27 |
Standard Insurance | | | | | |
36,620 | |
403,314 | | | |
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28 |
UNUM LTC | | | | | |
670 | |
7,365 | | | |
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29 |
Free & Clear | | | | | |
0 | |
1,637 | | | |
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30 |
Magellan Behavior | | | | | |
0 | |
42,246 | | | |
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31 |
Carena | | | | | |
0 | |
4,383 | | | |
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32 |
Sound Health Solutions | | | | | |
0 | |
35,063 | | | |
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33 |
Wellsource Health Solutions | | | | | |
0 | |
59,085 | | | |
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34 | | | | | | |
_ | |
_ | | | |
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35 | |
Cost of Benefits Provided | | | | |
1,764,574 | |
18,175,243 | | | |
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36 | | | | | | |
_ | |
_ | | | |
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37 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | | |
|
(87,011) | |
160,162 | | | |
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38 | |
| | | | |
_ | |
_ | | | |
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39 |
ADMINISTRATIVE EXPENSES: | | | | | | | |
| | | |
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40 |
Administration | | | | | |
1,629 | |
18,226 | | | |
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41 |
Wellness Coordinator Salary | | | | | |
8,072 | |
87,131 | | | |
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42 |
Wellness Program Expenses | | | | | |
3,988 | |
44,510 | | | |
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43 |
Audit Fee | | | | | |
0 | |
8,950 | | | |
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44 |
Regulatory Fees | | | | | |
0 | |
4,150 | | | |
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45 |
Bank Fees | | | | | |
0 | |
2,449 | | | |
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46 |
Investment Fees | | | | | |
(1,934) | |
16,502 | | | |
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47 |
Legal Fees | | | | | |
786 | |
53,959 | | | |
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48 |
Liability Insurance | | | | | |
0 | |
9,150 | | |
|
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49 |
Misc. Expense | | | | | |
66 | |
339 | | |
|
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50 |
Office & Printing | | | | | |
0 | |
686 | | |
|
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51 |
Consultant Fee | | | | | |
0 | |
0 | | | |
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52 |
Investment Consultant Fee | | | | | |
0 | |
17,500 | | | |
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