| 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, 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 | | | | | | | | | | | | |
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8 | | | | | |
Current Month | |
2010-2011 | |
Current Month | |
2011-2012 |
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9 |
REVENUES: | | | | |
(October) | | | |
(October) | | |
---|
10 |
Employer Contributions | | | |
$ |
1,402,383 |
$ |
5,577,801 |
$ |
1,376,390 |
$ |
5,547,920 |
---|
11 |
Employee Contributions | | | | |
222,829 | |
894,970 | |
271,449 | |
1,120,575 |
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12 |
Dividend Income | | | | |
552 | |
4,013 | |
96 | |
185 |
---|
13 |
Interest Income | | | | |
34,680 | |
86,830 | |
33,147 | |
82,149 |
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14 |
Corporate/Govt Obligations - market value adj | | | | |
(6,981) | |
(36,710) | |
(14,387) | |
50,120 |
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15 | | | | | |
_ | |
_ | |
_ | |
_ |
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16 |
Total Revenues | | | | |
1,653,463 | |
6,526,903 | |
1,666,695 | |
6,800,950 |
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17 | | | | | |
_ | |
_ | |
_ | |
_ |
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18 |
COST OF BENEFITS PROVIDED: | | | | | | |
| | | |
|
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19 |
HMA Premium | | | | |
24,134 | |
98,532 | |
22,524 | |
93,386 |
---|
20 |
HMA Claims | | | | |
1,207,986 | |
3,130,518 | |
603,044 | |
3,345,487 |
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21 |
SunLife | | | | |
15,408 | |
(48,614) | |
38,897 | |
(256,081) |
---|
22 |
ESI Prescriptions Paid | | | | |
144,748 | |
821,377 | |
227,973 | |
842,019 |
---|
23 |
Pacific Care Premium | | | | |
349,471 | |
1,428,371 | |
391,242 | |
1,552,861 |
---|
24 |
Group Health Premium | | | | |
302,400 | |
1,194,912 | |
356,019 | |
1,442,096 |
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25 |
Washington Dental Service Premium | | |
| |
137,921 | |
562,306 | |
129,153 | |
544,003 |
---|
26 |
Williamette Dental | | | | |
29,074 | |
114,469 | |
29,587 | |
115,494 |
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27 |
Metropolitan Life ($50M) Premium | | | | |
10,699 | |
43,726 | |
10,472 | |
42,673 |
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28 |
Metropolitan Life (VOL) Premium | | |
| |
15,377 | |
62,539 | |
16,032 | |
65,052 |
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29 |
Standard Insurance | | | | |
35,531 | |
145,227 | |
34,545 | |
141,261 |
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30 |
UNUM LTC | | | | |
624 | |
2,497 | |
713 | |
2,851 |
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31 |
Alere Wellbeing | | | | |
0 | |
411 | |
411 | |
3,218 |
---|
32 |
Magellan Behavior | | | | |
0 | |
28,164 | |
14,082 | |
28,164 |
---|
33 |
Carena | | | | |
0 | |
450 | |
0 | |
0 |
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34 |
HealthForce | | | | |
0 | |
0 | |
8,956 | |
13,344 |
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35 |
Wellsource Health Solutions | | | | |
0 | |
0 | |
0 | |
0 |
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36 | | | | | |
_ | |
_ | |
_ | |
_ |
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37 | |
Cost of Benefits Provided | | | |
2,273,373 | |
7,584,885 | |
1,883,648 | |
7,975,829 |
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38 | | | | | |
_ | |
_ |
|
_ | |
_ |
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39 |
Excess (Deficiency) of Revenues over Cost of Benefits | | | |
|
(619,910) | |
(1,057,982) | |
(216,953) | |
(1,174,878) |
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40 | | | | | |
_ | |
_ | |
_ | |
_ |
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41 |
ADMINISTRATIVE EXPENSES: | | | | | | |
| | | |
|
---|
42 |
Administration | | | | |
1,672 | |
6,637 | |
1,703 | |
6,726 |
---|
43 |
Wellness Program Salaries | | | | |
9,889 | |
36,032 | |
8,456 | |
38,113 |
---|
44 |
Wellness Program Expenses | | | | |
(86) | |
2,367 | |
772 | |
2,175 |
---|
45 |
Audit Fee | | | | |
5,117 | |
9,142 | |
0 | |
3,589 |
---|
46 |
Regulatory Fees | | | | |
0 | |
2,075 | |
0 | |
2,075 |
---|
47 |
Bank Fees | | | | |
3 | |
1,832 | |
62 | |
1,661 |
---|
48 |
Investment Fees | | | | |
0 | |
5,367 | |
0 | |
4,553 |
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49 |
Legal Fees | | | | |
1,897 | |
9,163 | |
1,931 | |
12,758 |
---|
50 |
Liability Insurance | | | | |
0 | |
0 | |
0 | |
0 |
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51 |
Misc. Expense | | | | |
33 | |
132 | |
0 | |
69 |
---|
52 |
Office & Printing | | | | |
93 | |
93 | |
0 | |
2,813 |
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53 |
Consultant Fee | | | | |
11,676 | |
21,796 | |
16,869 | |
68,733 |
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