| 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, 2008 |
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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: | | | | |
(September) | | | |
(September) | | |
---|
9 |
Employer Contributions | | | |
$ |
1,383,758 |
$ |
4,062,524 |
$ |
1,384,233 |
$ |
4,141,882 |
---|
10 |
Employee Contributions | | | | |
227,292 | |
689,223 | |
216,738 | |
656,805 |
---|
11 |
Investment Earnings | | | | |
43,960 | |
117,000 | |
(42,701) | |
71,873 |
---|
12 |
Net Appreciation of market value | | | | |
5,822 | |
(97,337) | |
38,000 | |
54,191 |
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13 | | | | | |
_ | |
_ | |
_ | |
_ |
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14 |
Total Revenues | | | | |
1,660,832 | |
4,771,410 | |
1,596,270 | |
4,924,751 |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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17 |
HMA Premium | | | | |
23,765 | |
71,173 | |
24,559 | |
73,652 |
---|
18 |
HMA Claims | | | | |
614,162 | |
1,826,745 | |
860,895 | |
1,934,655 |
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19 |
Sun Life | | | | |
19,912 | |
60,128 | |
22,148 | |
66,086 |
---|
20 |
ESI Prescriptions Paid | | | | |
99,756 | |
369,689 | |
133,262 | |
435,126 |
---|
21 |
Pacific Care Premium | | | | |
285,457 | |
855,192 | |
314,273 | |
942,415 |
---|
22 |
Group Health Premium | | | | |
248,143 | |
744,429 | |
260,242 | |
786,604 |
---|
23 |
Washington Dental Service Premium | | | | |
135,214 | |
406,242 | |
133,668 | |
401,435 |
---|
24 |
Williamette Dental | | |
| |
25,606 | |
77,021 | |
28,700 | |
86,746 |
---|
25 |
Metropolitan Life ($50M) Premium | | | | |
10,771 | |
33,131 | |
11,037 | |
33,352 |
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26 |
Metropolitan Life (VOL) Premium | | | | |
13,368 | |
41,103 | |
14,705 | |
43,813 |
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27 |
Standard Insurance | | |
| |
36,814 | |
113,355 | |
36,661 | |
110,765 |
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28 |
UNUM LTC | | | | |
762 | |
2,388 | |
670 | |
2,009 |
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29 |
HMA - THM | | | | |
7,708 | |
23,752 | |
0 | |
0 |
---|
30 |
Free & Clear | | | | |
0 | |
0 | |
0 | |
0 |
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31 |
Magellan Behavior | | | | |
0 | |
0 | |
14,082 | |
14,082 |
---|
32 |
Carena | | | | |
0 | |
0 | |
0 | |
0 |
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33 |
Sound Health Solutions | | | | |
0 | |
0 | |
18,063 | |
25,500 |
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34 |
Wellsource Health Solutions | | | | |
0 | |
0 | |
0 | |
50,085 |
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35 | | | | | |
_ | |
_ | |
_ | |
_ |
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36 | | | | | | | | | | | | |
---|
37 | |
Cost of Benefits Provided | | | |
1,521,436 | |
4,624,347 | |
1,872,966 | |
5,006,323 |
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38 | | | | | | | |
| | | |
|
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39 | | | | | |
_ | |
_ | |
_ | |
_ |
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40 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
139,396 | |
147,063 | |
(276,695) | |
(81,572) |
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41 | |
| | | |
_ | |
_ | |
_ | |
_ |
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42 | | | | | | | | | | | | |
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43 |
ADMINISTRATIVE EXPENSES: | | | | | | |
| | | |
|
---|
44 |
Administration | | | | |
1,515 | |
4,461 | |
2,977 | |
5,974 |
---|
45 |
Wellness Coordinator Salary | | | | |
7,382 | |
24,123 | |
7,478 | |
22,483 |
---|
46 |
Wellness Program Expenses | | | | |
1,763 | |
4,138 | |
2,546 | |
3,333 |
---|
47 |
Audit Fee | | | | |
0 | |
1,500 | |
2,000 | |
2,000 |
---|
48 |
Regulatory Fees | | | | |
0 | |
2,075 | |
0 | |
2,075 |
---|
49 |
Bank Fees | | | | |
0 | |
0 | |
(95) | |
0 |
---|
50 |
Legal Fees | | | | |
0 | |
1,403 | |
3,355 | |
14,608 |
---|
51 |
Liability Insurance | | | | |
0 | |
0 | |
0 | |
0 |
---|
52 |
Misc. Expense | | | | |
66 | |
132 | |
0 | |
66 |
---|
53 |
Office & Printing | | | | |
0 | |
0 | |
21 | |
21 |
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54 |
Consultant Fee | | | | |
21,941 | |
23,518 | |
0 | |
0 |
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