| A | B | D | E | F | G | H | I | J | K | L |
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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, 2011 and June 30, 2012 |
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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 | |
2010-2011 | |
Current Month | |
2011-2012 |
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8 |
REVENUES: | | | |
(January) | | | |
(January) | | |
---|
9 |
Employer Contributions | | | |
1,416,118 |
$ |
9,815,922 |
$ |
1,388,301 |
$ |
9,703,001 |
---|
10 |
Employee Contributions | | | |
294,756 | |
1,696,444 | |
318,250 | |
2,030,609 |
---|
11 |
Dividend Income | | | |
98 | |
4,812 | |
595 | |
1,492 |
---|
12 |
Interest Income | | | |
6,417 | |
136,019 | |
4,628 | |
119,249 |
---|
13 |
Corporate/Govt Obligations - market value adj | | | |
(9,912) | |
(77,605) | |
(7,846) | |
22,193 |
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14 | | | | |
_ | |
_ | |
_ | |
_ |
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15 |
Total Revenues | | | |
1,707,476 | |
11,575,591 | |
1,703,927 | |
11,876,544 |
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16 | | | | |
_ | |
_ | |
_ | |
_ |
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17 |
COST OF BENEFITS PROVIDED: | | | | | |
| | | |
|
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18 |
HMA Premium | | | |
23,855 | |
170,447 | |
0 | |
179,667 |
---|
19 |
HMA Claims | | | |
850,223 | |
5,678,239 | |
651,816 | |
4,928,603 |
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20 |
Sun Life | | | |
(3,893) | |
(489,779) | |
(41,078) | |
(264,392) |
---|
21 |
ESI Prescriptions Paid | | | |
221,829 | |
1,405,920 | |
90,409 | |
1,370,609 |
---|
22 |
Pacific Care Premium | | | |
396,819 | |
2,524,586 | |
0 | |
2,333,408 |
---|
23 |
Group Health Premium | | | |
367,543 | |
2,182,375 | |
457,702 | |
2,608,427 |
---|
24 |
WEA/APA Insurance | | | |
0 | |
0 | |
1,188,835 | |
1,188,835 |
---|
25 |
Washington Dental Service Premium | | |
|
138,742 | |
977,067 | |
0 | |
804,538 |
---|
26 |
Williamette Dental | | | |
29,147 | |
201,764 | |
36,409 | |
211,383 |
---|
27 |
Metropolitan Life ($50M) Premium | | | |
10,810 | |
76,014 | |
10,556 | |
74,308 |
---|
28 |
Metropolitan Life (VOL) Premium | | |
|
15,611 | |
109,088 | |
15,776 | |
113,241 |
---|
29 |
Standard Insurance | | | |
35,921 | |
252,786 | |
35,305 | |
246,949 |
---|
30 |
UNUM LTC | | | |
583 | |
4,164 | |
713 | |
4,990 |
---|
31 |
Alere Wellbeing | | | |
1,511 | |
4,422 | |
0 | |
4,445 |
---|
32 |
Magellan Behavior | | | |
14,082 | |
42,246 | |
9,724 | |
37,889 |
---|
33 |
Carena | | | |
450 | |
900 | |
0 | |
0 |
---|
34 |
HealthForce | | | |
0 | |
0 | |
0 | |
26,478 |
---|
35 |
Wellsource Health Solutions | | | |
5,330 | |
5,330 | |
0 | |
0 |
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36 | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | |
2,108,563 | |
13,145,568 | |
2,456,167 | |
13,869,378 |
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38 | | | | | | |
| |
_ | |
_ |
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39 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
(401,087) | |
(1,569,977) | |
(752,240) | |
(1,992,833) |
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40 | |
| | |
_ | |
_ | |
_ | |
_ |
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41 |
ADMINISTRATIVE EXPENSES: | | | | | | | | | |
|
---|
42 |
Administration | | | |
1,673 | |
11,655 | |
1,736 | |
11,868 |
---|
43 |
Wellness Program Salaries | | | |
9,849 | |
65,634 | |
8,437 | |
63,429 |
---|
44 |
Wellness Program Expenses | | | |
11,610 | |
37,684 | |
60,526 | |
80,789 |
---|
45 |
Audit Fee | | | |
0 | |
9,142 | |
0 | |
10,470 |
---|
46 |
Regulatory Fees | | | |
2,075 | |
4,150 | |
0 | |
2,075 |
---|
47 |
Bank Fees | | | |
160 | |
4,099 | |
0 | |
2,776 |
---|
48 |
Investment Fees | | | |
0 | |
10,637 | |
0 | |
8,831 |
---|
49 |
Legal Fees | | | |
8,861 | |
26,421 | |
3,138 | |
28,150 |
---|
50 |
Liability Insurance | | | |
0 | |
0 | |
4,051 | |
4,051 |
---|
51 |
Misc. Expense | | | |
0 | |
197 | |
30 | |
99 |
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