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C <br /> N <br /> Cabarrus County Budget Amendment Request <br /> E <br /> Date. 6/19/2017 ---_ — Amount: $685,000.00 <br /> Dept. dead; Suzanne Burgess -Assistant Finance Di . Department: Finance <br /> Q <br /> F_ Internal Transfer Within Department l-Transfer Between Departments/Funds i Supplemental Request <br /> Purpose: - -;This budget budget amendment is to appropriate fund balance for the Health Insurance Fund due to an increase in medical claims during <br /> 'the last portion of fiscal year 2017. Revenues are being revised due to additional pharmacy refund, interest earnings and <br /> revenues received from clinic fees. Expenditures are being revised for administrative fees due to increase in stop-loss cap and <br /> changes to the H R A and H S A insurance plans offered to employees. <br /> Account Number Account Name Approved Budget - Inc Amount Dec Amount Revised Budget <br /> 61061917-6645 Clinic Fees $510.00i $2 QQQ.QQ $0.00 $L,51 0.00 <br /> .61061917-6701 Interest on Investment � - $4,6667 .._ �$2,000.00] --- - -- ${}.00 T$6,000-00 <br /> 61061917-6804 Insurance Refunds �� W$80,000.00 — R$144,000.00 -� $0.00 1­____$224,000.00 <br /> 61061917-6901 Fund Balance Appropr _ $7,500.00 $537,000.00 - — _$0.00 $544,500.00 <br /> 81091917-9485 Administrative Fees - - $1,574,865.00 �— $0.00 C$410,500.00 $1,164,365.OD <br /> '61091917-948501 Admin H S A Fee <br /> - — - $325,000.00 $5,500.00 $0.00 $330,500.00 <br /> 61091917948502 H R A-Gilsbar $75,752.00 $10,000.00 $65,752A0 <br /> 61091917 9645 <br /> Self Insured Claims - -$7,038,386.00 $1,100,000.00 $0.00 _ - - $8,138,386.00 <br /> Total <br /> Budget Officer County Manager Board of Commissioners <br /> r Approved t_ Approved 0 Approved <br /> r Denied C Denied 0 Denied <br /> Signature Signature Signature <br /> Date Date Date <br /> F-6 Page 153 <br />