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, 2013
4
5
6							Current Month		2012-2013
7	REVENUES:						(July)
8	Employer Contributions					$	1,393,405	$	1,393,405
9	Employee Contributions						316,945		316,945
10	Wellness Grant						0		0
11	Dividend Income						214		214
12	Interest Income						6,350		6,350
13	Corporate/Govt Obligations - market value adj						(2,106)		(2,106)
14							_		_
15	Total Revenues						1,714,808		1,714,808
16							_		_
17	COST OF BENEFITS PROVIDED:
18	HMA Premium						0		0
19	HMA Claims						25,925		25,925
20	SunLife						0		0
21	ESI Prescriptions Paid						0		0
22	Pacific Care Premium						(57,269)		(57,269)
23	Group Health Premium						461,107		461,107
24	WEA/APA Insurance						1,185,920		1,185,920
25	Washington Dental Service Premium						0		0
26	Williamette Dental						36,332		36,332
27	Metropolitan Life ($50M) Premium						9,623		9,623
28	Metropolitan Life (VOL) Premium						16,331		16,331
29	Standard Insurance						35,634		35,634
30	UNUM LTC						836		836
31	Alere Wellbeing						1,133		1,133
32	Magellan Behavior						0		0
33	HealthForce						3,218		3,218
34							_		_
35		Cost of Benefits Provided					1,718,790		1,718,790
36							_		_
37	Excess (Deficiency) of Revenues over Cost of Benefits						(3,982)		(3,982)
38							_		_
39	ADMINISTRATIVE EXPENSES:
40	Administration						1,702		1,702
41	Wellness Program Salaries						6,968		6,968
42	Wellness Program Expenses						1,670		1,670
43	Audit Fee						0		0
44	Regulatory Fees						0		0
45	Bank Fees						22		22
46	Investment Fees						0		0
47	Legal Fees						2,536		2,536
48	Liability Insurance						0		0
49	Misc. Expense						0		0
50	Office & Printing						133		133

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