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General Ledger Code Details <br />Revenues <br />GL Account Code <br />Account Description <br />Actual <br />2020 2021 <br />Projected <br />2022 <br />2022 <br />Budget <br />2023 <br />2024 <br />FN503200-361110 <br />Investment Interest <br />$ 8,751 <br />$ 405 <br />$ 439 <br />$ 1,000 <br />$ 500 <br />$ 500 <br />FN503200-361320 <br />Unrlzd Gain(Loss)-Investments <br />12,880 <br />- <br />- <br />- <br />- <br />- <br />FN503200-369700 <br />Trust Contributions -Employer <br />254,868 <br />270,249 <br />295,755 <br />435,000 <br />350,000 <br />399,000 <br />Total Operating Revenues <br />Prescription Claims <br />276,499 <br />270,654 <br />296,194 <br />436,000 <br />350,500 <br />399,500 <br />FN503200-525503 <br />Vision Claims <br />4,349 <br />4,727 <br />2,553 <br />8,000 <br />6,159 <br />6,394 <br />Total Revenues <br />Stop Loss Reimbursements <br />$ 276,499 <br />$ 270,654 <br />$ 296,194 <br />$ 436,000 <br />$ 350,500 <br />$ 399,500 <br />Expenses <br />GL Account Code <br />PW103100-511000 <br />PW103100-512000 <br />PW103100C-511000 <br />PW103100C-513000 <br />PW103800C-511000 <br />Account Description <br />Salaries <br />Extra Labor <br />Salaries <br />Overtime <br />Salaries <br />Actual <br />2020 2021 <br />Projected <br />2022 <br />2022 <br />Budget <br />2023 <br />2024 <br />Total Salaries & Wages <br />- <br />- <br />- <br />- <br />- <br />- <br />FN503200-525500 <br />Self Insured Medical Claims <br />92,323 <br />76,374 <br />42,727 <br />150,000 <br />129,948 <br />135,731 <br />FN503200-525501 <br />Dental Claims <br />40,400 <br />38,883 <br />10,220 <br />50,000 <br />60,201 <br />64,505 <br />FN503200-525502 <br />Prescription Claims <br />111,563 <br />109,852 <br />47,599 <br />140,000 <br />102,429 <br />104,478 <br />FN503200-525503 <br />Vision Claims <br />4,349 <br />4,727 <br />2,553 <br />8,000 <br />6,159 <br />6,394 <br />FN503200-525504 <br />Stop Loss Reimbursements <br />- <br />3,403 <br />- <br />- <br />- <br />- <br />FN503200-525506 <br />TPA Admin Fees <br />15,914 <br />16,106 <br />5,746 <br />18,000 <br />17,218 <br />17,734 <br />FN503200-525507 <br />Excess Loss Premiums <br />12,369 <br />14,285 <br />5,062 <br />20,000 <br />17,341 <br />19,942 <br />FN503200-525508 <br />Long Term Care <br />10,385 <br />11,819 <br />98,229 <br />15,000 <br />15,000 <br />15,000 <br />FN503200-525510 <br />IBNR Adjustment <br />- <br />- <br />- <br />500 <br />- <br />- <br />FN503200-525520 <br />Out of Pocket Costs <br />31,297 <br />5,939 <br />8,214 <br />30,000 <br />78,000 <br />78,000 <br />FN503200-525521 <br />Medicare Plan B <br />56,357 <br />49,684 <br />68,136 <br />48,000 <br />- <br />- <br />Total Personnel Benefits <br />374,959 <br />331,071 <br />288,486 <br />479,500 <br />426,296 <br />441,784 <br />FN503200-541000 <br />Professional Services <br />- <br />- <br />1,750 <br />5,000 <br />- <br />- <br />FN503200-541007 <br />Contracted Services <br />- <br />- <br />- <br />- <br />5,000 <br />5,000 <br />FN503200-549000 <br />Miscellaneous Expenses <br />- <br />- <br />- <br />500 <br />- <br />- <br />FN503200-549999 <br />Other Miscellaneous Expenses <br />- <br />- <br />- <br />- <br />500 <br />500 <br />Total Services & Passthrough Pmts <br />- <br />- <br />1,750 <br />5,500 <br />5,500 <br />5,500 <br />FN503200-750190 <br />Transfer Out ICA <br />- <br />11,920 <br />12,040 <br />12,040 <br />12,642 <br />13,274 <br />Total Transfers Out <br />- <br />11,920 <br />12,040 <br />12,040 <br />12,642 <br />13,274 <br />Total Expenses <br />$ 374,959 <br />$ 342,991 <br />$ 302,276 <br />$ 497,040 <br />$ 444,438 <br />$ 460,558 <br />21 <br />