| 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 | | | | | | | | | | | | |
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8 | | | | | |
Current Month | |
2008-2009 | |
Current Month | |
2009-2010 |
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9 |
REVENUES: | | | | |
(October) | | | |
(October) | | |
---|
10 |
Employer Contributions | | | |
$ |
1,396,977 |
$ |
5,459,501 |
$ |
1,388,348 |
$ |
5,530,230 |
---|
11 |
Employee Contributions | | | | |
230,315 | |
919,538 | |
215,385 | |
872,190 |
---|
12 |
Investment Earnings | | | | |
40,714 | |
157,714 | |
(9,880) | |
61,993 |
---|
13 |
Net Appreciation (Depreciation) of market value | | | | |
(76,876) | |
(174,213) | |
51,354 | |
105,546 |
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14 | | | | | |
_ | |
_ | |
_ | |
_ |
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15 |
Total Revenues | | | | |
1,591,129 | |
6,362,540 | |
1,645,208 | |
6,569,959 |
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16 | | | | | |
_ | |
_ | |
_ | |
_ |
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17 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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18 |
HMA Premium | | | | |
23,275 | |
94,448 | |
23,974 | |
97,626 |
---|
19 |
HMA Claims | | | | |
493,426 | |
2,320,171 | |
613,558 | |
2,548,213 |
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20 |
SunLife | | | | |
(14,752) | |
45,376 | |
21,792 | |
87,878 |
---|
21 |
ESI Prescriptions Paid | | | | |
145,927 | |
515,616 | |
183,395 | |
618,521 |
---|
22 |
Pacific Care Premium | | | | |
289,383 | |
1,144,575 | |
309,824 | |
1,252,239 |
---|
23 |
Group Health Premium | | | | |
252,632 | |
997,062 | |
257,890 | |
1,044,493 |
---|
24 |
Washington Dental Service Premium | | |
| |
133,068 | |
539,310 | |
139,730 | |
541,165 |
---|
25 |
Williamette Dental | | | | |
28,198 | |
105,219 | |
29,147 | |
115,893 |
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26 |
Metropolitan Life ($50M) Premium | | | | |
11,187 | |
44,317 | |
11,024 | |
44,376 |
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27 |
Metropolitan Life (VOL) Premium | | |
| |
13,957 | |
55,060 | |
14,514 | |
58,327 |
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28 |
Standard Insurance | | | | |
38,123 | |
151,479 | |
36,558 | |
147,323 |
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29 |
UNUM LTC | | | | |
898 | |
3,286 | |
670 | |
2,678 |
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30 |
HMA - THM | | | | |
7,992 | |
31,744 | |
0 | |
0 |
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31 |
Free & Clear | | | | |
0 | |
0 | |
0 | |
0 |
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32 |
Magellan Behavior | | | | |
0 | |
0 | |
0 | |
14,082 |
---|
33 |
Carena | | | | |
0 | |
0 | |
0 | |
0 |
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34 |
Sound Health Solutions | | | | |
0 | |
0 | |
5,313 | |
30,813 |
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35 |
Wellsource Health Solutions | | | | |
0 | |
0 | |
0 | |
50,085 |
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36 | | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | | |
1,423,314 | |
6,047,662 | |
1,647,388 | |
6,653,711 |
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38 | | | | | | | |
|
| | |
|
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39 | | | | | |
_ | |
_ | |
_ | |
_ |
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40 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
167,815 | |
314,878 | |
(2,180) | |
(83,752) |
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41 | |
| | | | | |
| | | |
|
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42 | | | | | | | | | | | | |
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43 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | | | |
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44 |
Administration | | | | |
1,534 | |
5,995 | |
1,441 | |
7,415 |
---|
45 |
Wellness Coordinator Salary | | | | |
7,496 | |
31,619 | |
8,104 | |
30,587 |
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46 |
Wellness Coordinator Expenses | | | | |
1,959 | |
6,097 | |
18,810 | |
22,143 |
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47 |
Audit Fee | | | | |
7,450 | |
8,950 | |
3,475 | |
5,475 |
---|
48 |
Regulatory Fees | | | | |
0 | |
2,075 | |
0 | |
2,075 |
---|
49 |
Bank Fees | | | | |
0 | |
0 | |
0 | |
0 |
---|
50 |
Investment Fees | | | | |
0 | |
0 | |
2,544 | |
2,544 |
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51 |
Legal Fees | | | | |
20,653 | |
22,055 | |
9,120 | |
23,727 |
---|
52 |
Liability Insurance | | | | |
0 | |
0 | |
0 | |
0 |
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53 |
Misc. Expense | | | | |
33 | |
165 | |
33 | |
99 |
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54 |
Office & Printing | | | | |
0 | |
0 | |
0 | |
21 |
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