| Attachment to AD NOAT 05-28 |
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| The California State
University, Chancellor's Office |
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| PFA 049157 |
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| DELTA DENTAL PLAN EXCESS
PREMIUM REFUND |
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| REFER TO CODED MEMO B04-05 (Revised) Dated
December 15, 2004 |
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| Coded
Memo B04-05 is revised to adjust the refund distribution to correlate
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| 1999/2000
since the premiums accumulated were through December 31, 1999. |
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Long |
Life |
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Tax |
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| AGENCY |
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REFUND |
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| # |
CAMPUS |
TO CAMPUS |
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TOTAL |
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| 6650 |
BAKERSFIELD |
95,147 |
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95,147 |
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| 6850 |
CHANNEL ISLANDS |
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0 |
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| 6680 |
CHICO |
227,190
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227,190 |
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| 6690 |
DOMINGUEZ HILLS |
112,566
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112,566 |
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| 6700 |
FRESNO |
245,552
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245,552 |
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| 6710 |
FULLERTON |
270,134 |
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270,134 |
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| 6720 |
EAST BAY (Formerly Hayward) |
185,758
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185,758 |
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| 6730 |
HUMBOLDT |
154,465
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154,465 |
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| 6740 |
LONG BEACH |
290,014
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290,014 |
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| 6750 |
LOS ANGELES |
207,709
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207,709 |
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| 6752 |
MARITIME ACAD |
24,286 |
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24,286 |
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| 6756 |
MONTEREY BAY |
55,852 |
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55,852 |
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| 6760 |
NORTHRIDGE |
291,610 |
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291,610 |
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| 6770 |
POMONA |
256,866 |
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256,866 |
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| 6780 |
SACRAMENTO |
280,289
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280,289 |
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| 6660 |
SAN BERNARDINO |
150,990
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150,990 |
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| 6790 |
SAN DIEGO |
358,932 |
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358,932 |
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| 6800 |
SAN FRANCISCO |
306,549
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306,549 |
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| 6810 |
SAN JOSE |
314,992
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314,992 |
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| 6820 |
SAN LUIS OBISPO |
279,227
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279,227 |
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| 6840 |
SAN
MARCOS |
82,267 |
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82,267 |
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| 6830 |
SONOMA |
134,380 |
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134,380 |
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| 6670 |
STANISLAUS |
98,299 |
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98,299 |
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CAMPUS TOTAL |
4,423,074
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4,423,074
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| 6620 |
CHANC. OFFICE |
67,790
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67,790 |
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TOTAL |
4,490,864
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4,490,864
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| CAMPUS ENTRIES
REQUIRED FY04 (USING FIRMS 603003 DENTAL INSURANCE EXPENSE) |
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| EXPENDITURES |
603003 |
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CR |
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| FUND BALANCE CLEARING |
305022 |
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DR |
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| CHANCELLOR'S
OFFICE CONTACT: |
Chris
Canfield 562-951-4558 ccanfield@calstate.edu |
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