EMPLOYEE ASSISTANCE PROGRAM ADDENDUMEMPLOYEE ASSISTANCE PROGRAM ADDENDUM
This Employee Assistance Program Addendum (`BAP Addendum") is attached to and made
a part of the Service Agreement between City of Clearwater (`Employer") and MHNet
Specialty Services, LLC ("MHNet"), effective January 1, 2011 ("Agreement"). This EAP
Addendum is effective as of the Effective Date of the Agreement.
The capitalized terms used in this EAP Addendum shall have the meaning set forth herein or
elsewhere in the Agreement or in another attachment to the Agreement.
RECITALS
WHEREAS, MHNet has developed an employee assistance program (EAP), designed to
assist employers in identifying special needs of employees and providing a mechanism for
meeting such needs; and
WHEREAS, Employer wishes to utilize these services offered by MHNet for Enrollees;
NOW, THEREFORE, in consideration of the mutual promises contained herein, and
intending to be legally bound, the parties hereto agree as follows:
1. SCOPE OF SERVICES
Employer hereby agrees to retain MHNet and MHNet hereby agrees to provide those
certain EAP services set forth herein, on the terms and conditions set forth and as
further described below.
2. TERM AND TERMINATION OF AGREEMENT OR THIS EAP ADDENDUM
2.1 Term and termination of this EAP Addendum shall follow Section 2 of the
Service Agreement.
3. COMPENSATION AND BILLING
3.1. MHNet shall be compensated for all services rendered under this Addendum in
accordance with the fees specified herein. The fee for EAP services shall be
calculated based on the number of employees designated to participate in the EAP
as of the commencement of the Initial Term or any Subsequent Term, and as
updated by Employer.
3.2 Employer is required to furnish to MHNet, at the commencement of the Initial
Term or any Subsequent Term, (i) the number of employees designated by the
Employer as eligible to participate in the EAP program, and (ii) information
regarding the group medical coverage for which eligible employees may have
enrolled through the Employer. Employer shall update and provide such
information to MHNet on a monthly basis.
City of Clearwater Confidential and Proprietary 1/6/11
EAP Addendum
3.3 Compensation and Billing shall follow Section 3 of the Service Agreement.
4. PROGRAM DESCRIPTION, RESPONSIBILITIES OF MHNET
4.1 MHNet hereby agrees to provide confidential problem assessment, referral and
short-term counseling services to Enrollees of Employer. These services are
designed to assist Enrollees in addressing personal problems in areas including,
but not limited to, emotional, retirement, family, career, psychiatric, adoption,
marital, legal, drugs and alcohol.
4.2 Assessment, referral and short-term counseling services will be available at
offices of MHNet contracted providers in areas where Enrollees are located, or
telephonically via a toll-free number for Telephonic EAP service programs. All
such services require pre-authorization.
When assessment indicates that the problem is covered under the Enrollee's
Benefits Plan, MHNet will refer such Enrollees to the Employer's Benefit Plan
administrator.
4.3 Services described in this Addendum will be provided to Enrollees at no cost to
the Enrollee. Fees for services other than those pre-authorized services
rendered by MHNet or its affiliate providers will be the Enrollee's financial
responsibility.
4.4 MHNet will provide a toll-free number for Enrollees to use seven (7) days per
week, twenty-four (24) hours per day. Calls will be answered by an intake
clinician who will obtain appropriate information and arrange a referral to an
affiliate provider when appropriate. When the call is of an emergency mental
health or substance abuse nature, trained clinicians will address the immediate
situation. After-hour routine calls will be followed-up during regular business
hours the following business day.
4.5 MHNet will provide consultation to supervisors of Employer to assist them in
resolving workplace issues and in making necessary Enrollee referrals. When
appropriate, and with Enrollee's written consent, MHNet will provide
monitoring and progress reports to appropriate supervisory staff.
4.6 Upon request and approval of Employer, MHNet will provide Employer with
assistance in EAP program development, including planning, program
promotion, training and liaison.
4.7 Upon request and approval of Employer, and as appropriate, MHNet will
provide crisis response services. MHNet shall provide timely telephone
response and shall make best and reasonable efforts to provide on-site
intervention if necessary and appropriate.
4.8 Upon request and approval of Employer, MHNet will provide certain services to
Enrollees covered under the Federal Omnibus Transportation Employee Testing
City of Clearwater Confidential and Proprietary 1/6/11
EAP Addendum
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Act of 1991. These services shall include the availability of a Substance Abuse
Professional (SAP) in compliance with the Department of Transportation (DOT)
guidelines, evaluation of the employee, referral for chemical dependency
treatment, monitoring of compliance with the treatment plan, and
recommending a follow-up testing schedule.
4.9 The initial Enrollee population of Employer is 1,800. The fees quoted herein
are based upon a standard variation in the Enrollee population of f 5%. MHNet
reserves the right to adjust the fees quoted herein should the Enrollee population
vary by more than 5%. MHNet will provide thirty (30) days notice to Employer
of any adjustment in fees hereunder.
5. RESPONSIBILITIES OF EMPLOYER
5.1 To promote adequate acceptability of the assessment and referral services, to
participate in program promotion and to educate employees about the services
available through the EAP program.
5.2 To appoint a management person to assist in the administration of the program
and to be the liaison between MHNet and Employer.
5.3 Employer agrees that the identity of any person receiving services from MHNet
under this Addendum and the records of MHNet pertaining to such services
shall be kept confidential by MHNet at all times, except as authorized by such
persons, or his or her authorized representatives, or as required by law.
5.4 To make available, on the Employer's premises, for use of MHNet staff,
suitable office space, meeting rooms, telephone and other equipment and
supplies, as appropriate, during such times as MHNet staff members are
conducting training, reviewing records and/or meeting with the Employer's
designated representatives in connection with the EAP services to be provided
hereunder.
City of Clearwater Confidential and Proprietary 1/6/11
EAP Addendum
6. FEES
• 5 Session Assess, Refer and Brief Counseling Model EAP $1.39 PEPM
(per employee per month)
• Online EAP Included
. 2 hours onsite intervention incidents Included
(Critical Incident Stress Debriefing (CISD)
or Emotional Incident Stress Debriefing (EISD) per contract year
• One Annual Health Fair Day per contract year Included
• SAP/DOT evaluations Included
• Specialty Onsite/Additional Services $250 per hour
(CISD , wellness training, brown bag seminars, plus reasonable travel,
employee or supervisor orientation, benefits/health fair)
approved in advance
Provided at No Additional Cost:
• Enhanced Web-Online Resource Library
• Enrollee brochures (one per eligible employee at contract inception; 10% of
employee base in subsequent years)
• Comprehensive aggregate reporting (quarterly)
• Electronic newsletter (quarterly)
• Electronic Topic Letters (twelve per year)
• One CD of Supervisory Orientation Seminar
• One CD of Employee Orientation Seminar
Travel expenses outside the immediate area of MHNet's regional offices will be charged
separately.
Customized printing with Employer's logo, distribution and mailing is available at
additional cost.
City of Clearwater
EAP Addendum
Confidential and Proprietary
1/6/11
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