A	B	C	D	E	F	G	H	I	J
1	EVERETT SCHOOL EMPLOYEE BENEFIT TRUST
2	STATEMENT OF OPERATIONS AND FUND BALANCE
3	For the Year Ended June 30, 2012
4
5
6							Current Month		2011-2012
7	REVENUES:						(May)
8	Employer Contributions					$	1,400,745	$	15,297,050
9	Employee Contributions						317,066		3,299,599
10	Dividend Income						253		2,781
11	Interest Income						19,664		168,370
12	Corporate/Govt Obligations - market value adj						(6,353)		2,457
13							_		_
14	Total Revenues						1,731,375		18,770,256
15							_		_
16	COST OF BENEFITS PROVIDED:
17	HMA Premium						0		179,667
18	HMA Claims						41,489		5,429,073
19	SunLife						0		(244,978)
20	ESI Prescriptions Paid						358		1,334,393
21	Pacific Care Premium						0		2,333,408
22	Group Health Premium						459,162		4,458,695
23	WEA/APA Insurance						1,193,044		5,978,840
24	Washington Dental Service Premium						0		804,538
25	Williamette Dental						35,949		354,649
26	Metropolitan Life ($50M) Premium						9,593		112,682
27	Metropolitan Life (VOL) Premium						16,124		176,724
28	Standard Insurance						35,531		388,724
29	UNUM LTC						722		8,334
30	Alere Wellbeing						817		5,669
31	Magellan Behavior						0		47,613
32	Carena						0		0
33	HealthForce						3,202		43,257
34							_		_
35		Cost of Benefits Provided					1,795,991		21,411,287
36							_		_
37	Excess (Deficiency) of Revenues over Cost of Benefits						(64,615)		(2,641,031)
38							_		_
39	ADMINISTRATIVE EXPENSES:
40	Administration						1,704		21,833
41	Wellness Program Salaries						7,378		95,104
42	Wellness Program Expenses						2,696		90,437
43	Audit Fee						0		10,470
44	Regulatory Fees						0		2,075
45	Bank Fees						298		4,182
46	Investment Fees						2,420		15,415
47	Legal Fees						6,024		42,260
48	Liability Insurance						0		4,051
49	Misc. Expense						0		99
50	Office & Printing						0		4,693

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