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:						(August)
8	Employer Contributions					$	1,393,525	$	2,786,930
9	Employee Contributions						320,548		637,493
10	Wellness Grant						0		0
11	Dividend Income						227		441
12	Interest Income						4,066		10,416
13	Corporate/Govt Obligations - market value adj						(5,187)		(7,294)
14							_		_
15	Total Revenues						1,713,179		3,427,986
16							_		_
17	COST OF BENEFITS PROVIDED:
18	HMA Premium						0		0
19	HMA Claims						5,171		31,096
20	SunLife						0		0
21	ESI Prescriptions Paid						0		0
22	Pacific Care Premium						0		(57,269)
23	Group Health Premium						461,107		922,214
24	WEA/APA Insurance						1,198,218		2,384,138
25	Washington Dental Service Premium						0		0
26	Williamette Dental						35,719		72,051
27	Metropolitan Life ($50M) Premium						9,617		19,240
28	Metropolitan Life (VOL) Premium						16,182		32,513
29	Standard Insurance						35,531		71,165
30	UNUM LTC						836		1,672
31	Other Benefits						(551)		(551)
32	Alere Wellbeing						0		1,133
33	Magellan Behavior						0		0
34	HealthForce						3,280		6,497
35							_		_
36		Cost of Benefits Provided					1,765,110		3,483,899
37							_		_
38	Excess (Deficiency) of Revenues over Cost of Benefits						(51,931)		(55,913)
39							_		_
40	ADMINISTRATIVE EXPENSES:
41	Administration						1,701		3,403
42	Wellness Program Salaries						6,917		13,886
43	Wellness Program Expenses						38,366		40,037
44	Audit Fee						0		0
45	Regulatory Fees						0		0
46	Bank Fees						1,517		1,539
47	Investment Fees						2,268		2,268
48	Legal Fees						0		2,536
49	Liability Insurance						450		450
50	Misc. Expense						0		0

Back to top

---