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J • •
<br />V
<br />0
<br />CITY OF SOUTH BEND 2011 BUDGET
<br />2010
<br />6/30/10
<br />2008
<br />2009 AMENDED
<br />YTD
<br />2011
<br />AMT CHANGE %
<br />CHANGE
<br />ACCOUNT NUMBER ACCOUNT DESCRIPTION
<br />ACTUAL
<br />ACTUAL BUDGET
<br />ACTUAL
<br />BUDGET
<br />2010 -2011 2010 -2011
<br />11BU PER DENTAL /VISION CLAIM MODEL
<br />115,000
<br />115,000
<br />711- 0401 - 671.34 -15 DENTAL PLAN
<br />391,276.
<br />380,570 400,000
<br />183,981
<br />405,000
<br />51000
<br />1
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU PER DENTAL /VISION CLAIM MODEL
<br />405,000
<br />405,000
<br />711 - 0401- 671.34 -16 FLEX CLAIMS
<br />432,739
<br />446,715 200,000
<br />93,160
<br />180,000
<br />20,000-
<br />10-
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU EMPLOYEE CONTRIBUTIONS -PASS THRU / GZ
<br />ESTIMATE
<br />180,000
<br />180,000
<br />711 - 0401 - 671.34 -17 MEDICAL CLAIMS
<br />8,127,647
<br />8,884,977 9,213,589
<br />4,264,248
<br />8,900,000
<br />313,589-
<br />3-
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU PER MEDICAL CLAIM MODEL
<br />8,900,000
<br />8,900,000
<br />711- 0401 - 671.34 -18 CLAIMS ADMINISTRATION
<br />513,189
<br />499,145 $25,000
<br />251,034
<br />532,000
<br />7,000
<br />1
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU PER MEDICALL CLAIM MODEL
<br />532,000
<br />532,000
<br />711 - 0401 - 671.34 -22 PRIOR YR. FLEX
<br />69,981
<br />74,702 81,156
<br />81,156
<br />20,000
<br />61,156-
<br />75-
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU GZ ESTIMATE
<br />20,000
<br />20,000
<br />711-0401- 671.34 -23 SH /TM DISABILITY
<br />62,598
<br />45,255 75,000
<br />17,825
<br />75,000
<br />0
<br />0
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU PER CARRIER QUOTE TPA + ESTIMATED CLAIMS
<br />75,000
<br />75,000
<br />711-0401 - 671.34 -24 DEPENDENT CARE
<br />42,887
<br />28,158 40,000
<br />8,633
<br />40,000
<br />0
<br />0
<br />LEVEL TEXT
<br />TEXT AMT
<br />11BU GZ ESTIMATE
<br />40,000
<br />40,000
<br />711 - 0401 - 671.34 -25 PRIOR YEAR DEPENDANT CARE
<br />3,790
<br />6,046 5,155
<br />5,155
<br />0
<br />5,155-
<br />100-
<br />711- 0401 - 671.34 -26 SPECIFIC STOP LOSS PREMI.
<br />155,124
<br />144,849 200,000
<br />180,615-
<br />342,000
<br />142,000
<br />71
<br />LEVEL TEXT
<br />TEXT AMT
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