| 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: | | | | | |
(November) | | | | | |
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8 |
Employer Contributions | | | | |
$ |
1,384,680 |
$ |
6,914,909 | | | |
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9 |
Employee Contributions | | | | | |
214,890 | |
1,087,081 | | | |
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10 |
Investment Earnings | | | | | |
(4,953) | |
57,040 | | | |
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11 |
Net Appreciation (Depreciation) of market value | | | | | |
115,372 | |
220,918 | | | |
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12 | | | | | | |
_ | |
_ | | | |
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13 |
Total Revenues | | | | | |
1,709,989 | |
8,279,948 | | | |
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14 | | | | | | |
_ | |
_ | | | |
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15 |
COST OF BENEFITS PROVIDED: | | | | | | | |
| | | |
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16 |
HMA Premium | | | | | |
24,050 | |
121,676 | | | |
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17 |
HMA Claims | | | | | |
523,294 | |
3,071,507 | | | |
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18 |
SunLife | | | | | |
21,874 | |
109,752 | | | |
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19 |
ESI Prescriptions Paid | | | | | |
128,536 | |
747,057 | | | |
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20 |
Pacific Care Premium | | | | | |
307,397 | |
1,559,636 | | | |
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21 |
Group Health Premium | | | | | |
260,633 | |
1,305,127 | | |
|
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22 |
Washington Dental Service Premium | | | |
| |
139,315 | |
680,480 | | |
|
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23 |
Williamette Dental | | | | | |
28,928 | |
144,821 | | | |
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24 |
Metropolitan Life ($50M) Premium | | | | | |
11,057 | |
55,432 | | | |
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25 |
Metropolitan Life (VOL) Premium | | | |
| |
14,605 | |
72,932 | | | |
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26 |
Standard Insurance | | | | | |
36,579 | |
183,902 | | | |
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27 |
UNUM LTC | | | | | |
670 | |
3,348 | | | |
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28 |
Free & Clear | | | | | |
0 | |
0 | | | |
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29 |
Magellan Behavior | | | | | |
0 | |
14,082 | | | |
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30 |
Carena | | | | | |
1,824 | |
1,824 | | | |
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31 |
Sound Health Solutions | | | | | |
2,125 | |
32,938 | | | |
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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 | | | | |
1,500,887 | |
8,154,598 | | | |
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35 | | | | | | |
_ | |
_ | | | |
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36 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | | |
|
209,102 | |
125,350 | | | |
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37 | |
| | | | |
_ | |
_ | | | |
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38 |
ADMINISTRATIVE EXPENSES: | | | | | | | |
| | | |
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39 |
Administration | | | | | |
1,440 | |
8,855 | | | |
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40 |
Wellness Coordinator Salary | | | | | |
8,104 | |
38,691 | | | |
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41 |
Wellness Program Expenses | | | | | |
4,263 | |
26,406 | | | |
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42 |
Audit Fee | | | | | |
3,475 | |
8,950 | | | |
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43 |
Regulatory Fees | | | | | |
0 | |
2,075 | | | |
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44 |
Bank Fees | | | | | |
709 | |
709 | | | |
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45 |
Investment Fees | | | | | |
7,976 | |
10,520 | | | |
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46 |
Legal Fees | | | | | |
5,550 | |
29,277 | | | |
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47 |
Liability Insurance | | | | | |
450 | |
450 | | |
|
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48 |
Misc. Expense | | | | | |
33 | |
132 | | |
|
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49 |
Office & Printing | | | | | |
44 | |
65 | | |
|
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50 |
Consultant Fee | | | | | |
0 | |
0 | | | |
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51 |
Investment Consultant Fee | | | | | |
0 | |
8,750 | | | |
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52 |
Trustee Expense | | | | | |
0 | |
0 | | | |
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