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CITY OF SOUTH BEND 2003 BUDGET <br />SELF FUNDED EMPL REVENUES <br /> 2002 2003 <br /> 2001 2002 ORI6INRL BUDGET <br />AGCOUNT NUMBER ACCOUNT DESCRIPTION ACTUALS AGTUALS BUDGET <br />SELF FUNDED EMPLOYEE [sENE <br />MISGELLANEOUS REUENUES <br />711-0000-360.00-00 MISCELLANEOUS REVENUES 0 4,OOb 0 p <br />711-0000-361.00-00 INTEREST ON INVESTMENTS 72,287 8,999 118,000 25,000 <br />* MISCELLANEOUS REUENUES 72,287 13,005 118,D00 25,000 <br />OTNER FINANCE SOURCES <br />711-DODO-392.00-OD INTER-FUND OPER. TRANSFER 0 800,000 0 0 <br />711-0000-39`x.10-02 EMPLOYEE-NEALTN 6b 3,071 710,793 817,020 901,121 <br />LEVEL TEXT TEXT AMT <br />0001 ACTIVE EMPLOYEE CONTRIBUTION <br />POLICE 59 SINGLE COVERAGE X $18 PREM X 24 25,488 <br />163 FAMILY COVERAGE X 547.5D F^n EM X 24 185,820 <br />FIRE 48 SINGLE COVERAGE X S18 PREM X 24 20,736 <br />ib7 FAMILY COVERAGE X 547.50 PREM X 24 190,380 <br />TM~NB 245 SINGLE COVERAGE X 512.80 PREM X Z4 75,264 <br />41Z FAMILY COVERAGE X ~40.2i PREM X 24 397,59b <br />GROSSING GUARDS <br />29 SINGLE COVERAGE X 515.36 PREM X 20 5,837 <br />ASSUMES 1,113 EMPLOYEES WITH INSURANCE C OVERAGE <br /> 901,121 <br />711-0000-395.10-04 DENTAL RND VISION PLAN 181,649 204,089 225,55b 398,922 <br />LEVEL TEXT TEXT AMT <br />0001 TOTAL DENTALlUISION PREMIUM 418,922 <br />LESS: FLEX ACCOUNT USED FOR DENTALlVISION 2Q,000- <br /> 398,922 <br />711-4000-395.10-05 ADDITIONAL FLEX 28,ib3 33,410 0 0 <br />711-0000-39`x.10-Ob DEPENDENT CARE 21,22b 1b,072 22,539 2b,000 <br />711-0000-395.10-10 PENSION MEDICAL 85,084 105,760 ib0,29b 182,532 <br />LEVEL TEXT TEXT AM7 <br />0001 EMPLOYEE CONTRIBUTION <br />POLICE 18 SINGLE COVERAGE X S58 PREM X 12 12,528 <br />24 FAMILY COVERAGE X 5279 PREM X 11 b6,9b0 <br />FIRE 35 SINGLE GOUERAEE X SbZ PREM X 12 2b,040 <br />23 FAMILY COVERAGE X 5279 PREM X 12 77,004 <br /> 182,532 <br />711-0000-395.10-1i PENSION SUPPLEMENTAL 40,915 42,550 4b,379 44,822 <br />711-4000-395.10-11 PENSION DENTAL 589 O 0 0 <br />711-0000-395.10-50 COBRA RECEIPTS 25,895 23,8b7 4b,O00 25,000 <br />711-0000-395.10-04 FLEXIBLE SPENDING ACCOUNT b28,375 635,875 623,OOD b11,000 <br />LEVEL TEXT TEXT AMT <br />DOOl 1,222 EMPLOYEES {ASSUMES 90'!. OF BUDGETED EMPLOY EES <br />ELI6iBLE7 X 5500 FLEX b11,000 <br /> 611,000 <br />