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1 EVERETT SCHOOL EMPLOYEE BENEFIT TRUST 
2 STATEMENT OF OPERATIONS AND FUND BALANCE 
3 For the Year Ended June 30, 2010 
4            
5            
6       Current Month  2009-2010   
7 REVENUES:      (September)     
8 Employer Contributions     $ 1,384,233 $ 4,141,882    
9 Employee Contributions      216,738   656,805    
10 Investment Earnings       (42,701)  71,873    
11 Net Appreciation (Depreciation) of market value      38,000   54,191    
12       _  _   
13 Total Revenues      1,596,270   4,924,751    
14       _  _   
15 COST OF BENEFITS PROVIDED:            
16 HMA Premium      24,559   73,652    
17 HMA Claims      860,895   1,934,655    
18 SunLife      22,148   66,086    
19 ESI Prescriptions Paid      133,262   435,126    
20 Pacific Care Premium      314,273   942,415    
21 Group Health Premium      260,242   786,604     
22 Washington Dental Service Premium       133,668   401,435     
23 Williamette Dental      28,700   86,746    
24 Metropolitan Life ($50M) Premium      11,037   33,352    
25 Metropolitan Life (VOL) Premium       14,705   43,813    
26 Standard Insurance      36,661   110,765    
27 UNUM LTC      670   2,009    
28 Free & Clear      0   0    
29 Magellan Behavior      14,082   14,082    
30 Carena      0   0    
31 Sound Health Solutions      18,063   25,500    
32 Wellsource Health Solutions      0   50,085    
33       _  _   
34  Cost of Benefits Provided     1,872,966   5,006,323    
35       _  _   
36 Excess (Deficiency) of Revenues over Cost of Benefits       (276,695)  (81,572)   
37        _  _   
38 ADMINISTRATIVE EXPENSES:            
39 Administration      2,977   5,974    
40 Wellness Coordinator Salary      7,478   22,483    
41 Wellness Program Expenses      2,546   3,333    
42 Audit Fee      2,000   2,000    
43 Regulatory Fees      0   2,075    
44 Bank Fees      (95)  0    
45 Legal Fees      3,355   14,608    
46 Liability Insurance      0   0     
47 Misc. Expense       0   66     
48 Office & Printing      21   21     
49 Consultant Fee      0   0    
50 Investment Consultant Fee      4,375   8,750    
51 Trustee Expense      0   0    
52       _  _   
53  Total Administrative Expenses     22,657   59,309    
54       _  _   
55 Excess(Deficiency) of Revenue Over Expenses      (299,352)  (140,881)   
56 Adjusted Fund Balance 9/01/09      13,460,933   13,302,462    
57       _  _   
58 Fund Balance 9/30/2009     $ 13,161,581 $ 13,161,581    
59       =  =   
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