| 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, 2010 and June 30, 2011 |
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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 | |
2009-2010 | |
Current Month | |
2010-2011 |
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9 |
REVENUES: | | | | |
(October) | | | |
(October) | | |
---|
10 |
Employer Contributions | | | |
$ |
1,388,348 |
$ |
5,530,230 |
$ |
1,402,383 |
$ |
5,577,801 |
---|
11 |
Employee Contributions | | | | |
215,385 | |
872,190 | |
222,829 | |
894,970 |
---|
12 |
Dividend Income | | | | |
0 | |
0 | |
552 | |
4,013 |
---|
13 |
Interest Income | | | | |
(9,880) | |
61,993 | |
34,680 | |
86,830 |
---|
14 |
Corporate/Govt Obligations - market value adj | | | | |
51,354 | |
105,546 | |
(6,981) | |
(36,710) |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
Total Revenues | | | | |
1,645,208 | |
6,569,959 | |
1,653,463 | |
6,526,903 |
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17 | | | | | |
_ | |
_ | |
_ | |
_ |
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18 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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19 |
HMA Premium | | | | |
23,974 | |
97,626 | |
24,134 | |
98,532 |
---|
20 |
HMA Claims | | | | |
613,558 | |
2,548,213 | |
1,207,986 | |
3,130,518 |
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21 |
SunLife | | | | |
21,792 | |
87,878 | |
15,408 | |
(48,614) |
---|
22 |
ESI Prescriptions Paid | | | | |
183,395 | |
618,521 | |
144,748 | |
821,377 |
---|
23 |
Pacific Care Premium | | | | |
309,824 | |
1,252,239 | |
349,471 | |
1,428,371 |
---|
24 |
Group Health Premium | | | | |
257,890 | |
1,044,493 | |
302,400 | |
1,194,912 |
---|
25 |
Washington Dental Service Premium | | |
| |
139,730 | |
541,165 | |
137,921 | |
562,306 |
---|
26 |
Williamette Dental | | | | |
29,147 | |
115,893 | |
29,074 | |
114,469 |
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27 |
Metropolitan Life ($50M) Premium | | | | |
11,024 | |
44,376 | |
10,699 | |
43,726 |
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28 |
Metropolitan Life (VOL) Premium | | |
| |
14,514 | |
58,327 | |
15,377 | |
62,539 |
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29 |
Standard Insurance | | | | |
36,558 | |
147,323 | |
35,531 | |
145,227 |
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30 |
UNUM LTC | | | | |
670 | |
2,678 | |
624 | |
2,497 |
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31 |
Free & Clear | | | | |
0 | |
0 | |
0 | |
411 |
---|
32 |
Magellan Behavior | | | | |
0 | |
14,082 | |
0 | |
28,164 |
---|
33 |
Carena | | | | |
0 | |
0 | |
0 | |
450 |
---|
34 |
Sound Health Solutions | | | | |
5,313 | |
30,813 | |
0 | |
0 |
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35 |
Wellsource Health Solutions | | | | |
0 | |
50,085 | |
0 | |
0 |
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36 | | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | | |
1,647,388 | |
6,653,711 | |
2,273,373 | |
7,584,885 |
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38 | | | | | |
_ | |
_ |
|
_ | |
_ |
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39 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
(2,180) | |
(83,752) | |
(619,910) | |
(1,057,982) |
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40 | | | | | |
_ | |
_ | |
_ | |
_ |
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41 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | | |
|
---|
42 |
Administration | | | | |
1,441 | |
7,415 | |
1,672 | |
6,637 |
---|
43 |
Wellness Program Salaries | | | | |
8,104 | |
30,587 | |
9,889 | |
36,032 |
---|
44 |
Wellness Program Expenses | | | | |
18,810 | |
22,143 | |
(86) | |
2,367 |
---|
45 |
Audit Fee | | | | |
3,475 | |
5,475 | |
5,117 | |
9,142 |
---|
46 |
Regulatory Fees | | | | |
0 | |
2,075 | |
0 | |
2,075 |
---|
47 |
Bank Fees | | | | |
0 | |
0 | |
3 | |
1,832 |
---|
48 |
Investment Fees | | | | |
2,544 | |
2,544 | |
0 | |
5,367 |
---|
49 |
Legal Fees | | | | |
9,120 | |
23,727 | |
1,897 | |
9,163 |
---|
50 |
Liability Insurance | | | | |
0 | |
0 | |
0 | |
0 |
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51 |
Misc. Expense | | | | |
33 | |
99 | |
33 | |
132 |
---|
52 |
Office & Printing | | | | |
0 | |
21 | |
93 | |
93 |
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53 |
Consultant Fee | | | | |
0 | |
0 | |
11,676 | |
21,796 |
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