| 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, 2009 and June 30, 2010 |
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4 | | | | | | | | | | | | |
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5 |
FOR COMPARISON ONLY |
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6 | | | | | | | | | | | | |
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7 | | | | | |
Current Month | |
2008-2009 | |
Current Month | |
2009-2010 |
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8 |
REVENUES: | | | | |
(May) | | | |
(May) | | |
---|
9 |
Employer Contributions | | | |
$ |
1,391,934 |
$ |
15,988,457 |
$ |
1,392,787 |
$ |
15,680,141 |
---|
10 |
Employee Contributions | | | | |
219,831 | |
2,473,911 | |
226,114 | |
2,206,458 |
---|
11 |
Investment Earnings | | | | |
15,657 | |
591,233 | |
(9,382) | |
24,150 |
---|
12 |
Net Appreciation of market value | | | | |
(53,757) | |
(27,021) | |
68,044 | |
424,655 |
---|
13 | | | | | |
_ | |
_ | |
_ | |
_ |
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14 |
Total Revenues | | | | |
1,573,665 | |
19,026,580 | |
1,677,563 | |
18,335,405 |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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17 |
HMA Premium | | | | |
24,636 | |
265,238 | |
24,782 | |
269,741 |
---|
18 |
HMA Claims | | | | |
832,451 | |
6,199,687 | |
627,004 | |
6,610,551 |
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19 |
Other Benefits | | | | |
6,252 | |
7,564 | |
27,865 | |
(1,391) |
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20 |
SunLife | | | | |
22,028 | |
187,349 | |
0 | |
(553) |
---|
21 |
ESI Prescriptions Paid | | | | |
126,932 | |
1,428,093 | |
195,759 | |
1,922,036 |
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22 |
Pacific Care Premium | | | | |
313,869 | |
3,284,775 | |
358,572 | |
3,648,717 |
---|
23 |
Group Health Premium | | | | |
264,553 | |
2,817,495 | |
296,352 | |
3,046,897 |
---|
24 |
Washington Dental Service Premium | | |
| |
134,012 | |
1,484,690 | |
142,399 | |
1,527,164 |
---|
25 |
Williamette Dental | | | | |
29,346 | |
309,419 | |
28,124 | |
314,884 |
---|
26 |
Metropolitan Life ($50M) Premium | | | | |
11,258 | |
123,253 | |
11,024 | |
121,609 |
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27 |
Metropolitan Life (VOL) Premium | | |
| |
12,700 | |
150,253 | |
15,403 | |
162,496 |
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28 |
Standard Insurance | | | | |
37,401 | |
415,485 | |
36,620 | |
403,314 |
---|
29 |
UNUM LTC | | | | |
670 | |
8,916 | |
670 | |
7,365 |
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30 |
HMA - THM | | | | |
0 | |
47,872 | |
0 | |
0 |
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31 |
Free & Clear | | | | |
0 | |
9,125 | |
0 | |
1,637 |
---|
32 |
Magellan Behavior | | | | |
0 | |
28,164 | |
0 | |
42,246 |
---|
33 |
Carena | | | | |
4,888 | |
5,338 | |
0 | |
4,383 |
---|
34 |
Sound Health Solutions | | | | |
0 | |
10,625 | |
0 | |
35,063 |
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35 |
Wellsource Health Solutions | | | | |
21,465 | |
21,465 | |
0 | |
59,085 |
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36 | | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | | |
1,842,459 | |
16,804,806 | |
1,764,574 | |
18,175,243 |
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38 | | | | | | | | | | | | |
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39 | | | | | |
_ | |
_ | |
_ | |
_ |
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40 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
(268,794) | |
2,221,774 | |
(87,011) | |
160,162 |
---|
41 | |
| | | | | | | | | | |
---|
42 | | | | | |
_ | |
_ | |
_ | |
_ |
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43 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | | | |
---|
44 |
Administration | | | | |
1,544 | |
16,749 | |
1,629 | |
18,226 |
---|
45 |
Wellness Coordinator Salary | | | | |
7,507 | |
84,112 | |
8,072 | |
87,131 |
---|
46 |
Wellness Coordinator Expenses | | | | |
8,276 | |
25,969 | |
3,988 | |
44,510 |
---|
47 |
Audit Fee | | | | |
0 | |
8,950 | |
0 | |
8,950 |
---|
48 |
Regulatory Fees | | | | |
0 | |
4,150 | |
0 | |
4,150 |
---|
49 |
Bank Fees | | | | |
0 | |
0 | |
0 | |
2,449 |
---|
50 |
Investment Fees | | | | |
0 | |
0 | |
(1,934) | |
16,502 |
---|
51 |
Legal Fees | | | | |
3,375 | |
91,840 | |
786 | |
53,959 |
---|
52 |
Liability Insurance | | | | |
0 | |
8,700 | |
0 | |
9,150 |
---|
53 |
Misc. Expense | | | | |
33 | |
745 | |
66 | |
339 |
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