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Contract 2021-036A
COVER SHEET TO AGREEMENT FOR EMPLOYEE ASSISTANCE PROGRAM SERVICES Employer's Name City of Clermont ("Employer") Employer's Address 685 West Montrose Street, Clermont, FL 34711-2119 Employer's Contact Person Nadine Ohlinger, HR Director Cigna Behavioral Health, Inc.'s Name Cigna Behavioral Health, Inc. ("Cigna Behavioral") Cigna Behavioral Health, Inc.'s Address 6625 West 78th Street, Suite 100 Bloomington, MN 55439 Cigna Behavioral Health, Inc.'s Contact Person Karen Cierzan, President Agreement Effective Date July 1, 2021 Effective Date of Amendment Effective by Cover Sheet N/A Fee for Service $1.99 I)cr employee per month* Number of Employer Account Service Hours 10 per 1000 employees Number of Visits Available Per Assessed Problem For Clinical Services Sic Other *Due to enrollment in Cigna Total Behavioral Health (or its successors) ("CTBH") for certain of Employer's employees otherwise eligible for the EAP, Fee for Service represents a blended EAP rate which is lower than Cigna Behavioral's full -service EAP rate for Participants. If CTBH is discontinued under the medical plan during the EAP contract term, the Fee For Service will revert to Cigna Behavioral's then -current full -service EAP rate for Partic ii,ants. The rest of this page intentionally left blank. 04172019 IN WITNESS WHEREOF the parties hereto have caused this Cover Sheet to be executed as of the Effective Date shown on this Cover Sheet. CITY OF CLERMONT CIGNA BEHAVIORAL HEALTH, INC. By: Name: Karen Cierzan Title: 1payCu0. lLTjT- 5VG!5_ DiRO Title Date: _ (, - :1-2- r WITH RESPECT TO THE PRIVACY ADDENDUM (EXHIBIT 3) ONLY: 'GROUP HEALTH PLAN (EMPLO R 'S PLAN) B� Aa-� Name: Naa-iy ' Q Title: Date: President & CEO Date: 6/7/21 * Group Health Plan is a defined term under HIPAA (see 45 C.F.R. 160.103). It generally refers to an employee welfare benefit plan maintained by an employer for its employees. Typically, an Employer (Plan Sponsor) will designate an individual or a committee to carry out the Group Health Plan. An individual so authorized to act on behalf of the Group Health Plan should sign here. 04172019 2 AGREEMENT FOR EMPLOYEE ASSISTANCE PROGRAM SERVICES Agreement made as of the date set forth as the Effective Date on the Cover Sheet to this Agreement between Cigna Behavioral and the Employer identified on the Cover Sheet to this Agreement as Employer. WITNESSETH: WHEREAS, Employer wishes to provide an Employee Assistance Program ('PAP') which includes Clinical Services as described herein to its employees, their dependents, and members of their households ('Participants') who do not reside in California. The Clinical Services' components of the EAP provided to Participants who reside in California are covered under the short-term counseling policies issued to Employer by Cigna Health and Life Insurance Company, a Cigna Behavioral affiliate ("CHLIC") and not by the terms of this Agreement. All other EAP services for such Participants are covered under the terms of this Agreement; and WHEREAS, Cigna Behavioral has established and administers an EAP and has agreed to provide its EAP services to Employer for Participants. NOW, THEREFORE, in consideration of the mutual promises set forth herein, Employer and Cigna Behavioral agree as follows: I. Responsibilities of Cigna Behavioral EAP-Services 1.1. Clinical Service: For mental health, alcoholism or drug abuse service ("Clinical Service"), Cigna Behavioral shall provide assessment, referral and/or short-term problem resolution sessions, up to the maximum number of visits per assessed problem as set forth on the then effective Cover Sheet, per contract year. 1.2. Work/Life SUPDort Services: For family care, legal/fmancial information, Healthy Rewards (telephonic), and Promotional Communications which includes but is not limited to, Frequently Asked Questions, Article Library, initial registration, online eligibility check, self -assessment tool and Provider Directory and Search vehicle, Cigna Behavioral shall provide assessment and referral services as requested by Participant or Employer. Legal assessment and referral services are not available to Participants if the issue is related to a potential cause of action against Employer. Any additional services ("Menu Options") purchased by Employer are attached hereto as Exhibit 2 of this Agreement. 1.3. Services shall be provided by Cigna Behavioral through its employees and/or independent contractors. Cigna Behavioral employees and/or contractors shall look solely to Cigna Behavioral for payment for assessment, referral and/or short-term problem resolution services provided pursuant to this Agreement. Participants may access services from Cigna Behavioral through a toll -free telephone number maintained by Cigna Behavioral twenty-four (24) hours a day, seven (7) days a week. 1.4. Participant calls to the Cigna Behavioral toll -free number shall be handled by a personal advocate who shall refer the Participant to an appropriate resource. A. For Clinical Services, Cigna Behavioral shall offer an appointment within two (2) business days with a local counselor. In a Clinical Services' emergency, trained clinicians shall be available at Cigna Behavioral to telephonically address the situation and to make a referral to a local counselor or crisis intervention center for assessment, referral and/or short-term problem resolution. 04172019 B. For Work/Life Support Services, Cigna Behavioral may refer Participant to contracted specialty firms or to local resources for assessment and referral. Participants shall be reasonable for costs of services provided pursuant to a referral. Contracted specialty firms may offer Participant a discount rate. Work/Life Support legal services and/or financial services shall include, at no charge to Participants, an initial thirty (30) minute consultation. 1.5. For Clinical Services, Cigna Behavioral shall maintain a nationwide network of local mental health and substance abuse counselors who shall assess the problem, provide short-term problem resolution and/or guide the Participant to appropriate local treatment resources. 1.6. Fees for Clinical Services other than assessment, referral and short-term problem resolution services within the maximum number of visits per assessed problem as shown on the Cover Sheet shall be the Participant's responsibility. Cigna Behavioral shall not represent to the Participant that Cigna Behavioral's identification of or referral to treatment resources constitutes coverage under the provisions of Participant's medical coverage plan. 1.7. Cigna Behavioral shall provide Account Services as set forth in Exhibit 1. 1.8. Communication materials related to EAP services shall be available electronically. 1.9. Cigna Behavioral shall provide reports concerning utilization of EAP services by Participants on a quarterly basis to Employer. Individually identifiable Participant information shall be the property of Cigna Behavioral. Without the appropriate written consent of the Participant, Cigna Behavioral shall provide no information to Employer or any third party that includes any Participant specific identifiable information. 1.10. Cigna Behavioral and Employer agree not to use for any purposes other than the performance of this Agreement, and further agree not to disclose to others, any confidential or proprietary technical or business information of the other party obtained in connection with the performance of any services rendered, without the prior written consent of the other party. Each party shall treat and shall require its employees to treat as strictly confidential all such technical and business information it has learned in the course of this Agreement, and in discussions and proposals leading up to this Agreement. The provisions of this section shall survive the termination of this Agreement. Cigna Behavioral shall maintain as confidential all patient identifiable information received in the course of performing services under this Agreement, and shall not use or disclose such information except as may be permitted or required under applicable state and federal law. 1.11. Cigna Behavioral shall provide management consultations to supervisors who request assistance for work related problems of employees. Cigna Behavioral shall provide assistance with mandatory referrals for employees who are required, under continuation of employment, drug free workplace or other workplace policies, to receive an assessment under the EAP. However, Cigna Behavioral shall not nor shall any of its network of providers provide advice and/or make a determination regarding an employee's (a) ability to safely perform the functions of his/her job, (b) ability to return to work after a medical disability, involuntary suspension from duties or administrative leave of absence, and/or (c) potential for workplace violence. No individually identifiable employee information concerning the employee's treatment shall be provided without the employee's written consent on a form approved by Cigna Behavioral. II. Responsibilities of Employer 2.1. Employer shall distribute to employees the communication materials described in paragraph 1.8 above, at Employer's expense and shall cooperate with Cigna Behavioral in other reasonable efforts to otherwise communicate with Participants concerning the services available to them pursuant to this Agreement. 04172019 2.2. Employer shall inform Cigna Behavioral of Employer's management policies and procedures that guide supervisors in handling employees with performance concerns in order for Cigna Behavioral to provide the training set forth in Exhibit 1. Cigna Behavioral assumes no responsibility for the legal appropriateness of such policies and procedures. 2.3. Employer shall compensate Cigna Behavioral for services provided under this Agreement in the amount shown on the then effective Cover Sheet. Employer agrees to pay Cigna Behavioral on the first day of each covered month. Payments by Employer shall be sent to Cigna Behavioral at the address set forth on the then effective Cover Sheet to this Agreement. Retroactive adjustments to the amount of the per employee per month fees paid to Cigna Behavioral shall be limited to twelve (12) months prior to the date the Employer notifies Cigna Behavioral of such a retroactive adjustment. 2.4. The amount set forth on the then effective Cover Sheet shall not include any state premium, sales, use tax, or similar tax (including penalties or interest thereon) assessed on the basis of the services provided by Cigna Behavioral pursuant to this Agreement. 2.5. Cigna Behavioral shall have the right to revise Cigna Behavioral's fees and/or the number of hours available to Employer as Employer Account Services (i) twenty-four (24) months from the effective date of this Agreement, (n) at any time thereafter, but no more frequently than once every twelve (12) months after the initial twenty-four (24) month term, by giving Employer not less than thirty (30) days' prior written notice, (iiii) when the number of employees varies by more than 10% from the number included on the first Cigna Behavioral billing for the initial twenty-four (24) month term and each subsequent twelve (12) month period of the Agreement, and (iv) if CTBH is discontinued under the medical plan, as set forth on the Cover Sheet to this Agreement. 2.6. Employer agrees that, annually, at least ninety (90) days prior to the anniversary date of the Effective Date of this Agreement, Employer shall furnish to Cigna Behavioral the number of employees who are Participants by state of residence. III. Miscellaneous Provisions 3.1. All notices required or permitted to be given under this Agreement shall be in writing and addressed to the address and contact person set forth on the then effective Cover Sheet to this Agreement and mailed through the United States mail or nationally recognized courier service. Notices shall be effective upon receipt by the party to which they are addressed. 3.2. No amendment of any of the provisions of this Agreement shall be binding on either party unless in writing and signed by the duly authorized representatives of both parties. Amendments to items contained on the then effective Cover Sheet shall be effected by the execution of a revised Cover Sheet showing the effective date of the revised Cover Sheet and signed by both parties. 3.3. This Agreement is nonassignable without the written consent of the other party, except that Cigna Behavioral may assign the Agreement to a Cigna affiliate. Any attempted assignment without such consent shall be void. 3.4. No failure by either party at any time or for any period of time to insist upon full performance by the other party shall be deemed a waiver of any duty owed by the other party to the non -objecting party. 3.5. Employer hereby delegates to Cigna Behavioral the authority, responsibility, and discretion to determine all questions of eligibility and status under the EAP, to interpret and construe the provisions of the EAP as necessary to reach factually supported conclusions and to make a full and fair review of each claim for EAP benefits which have been denied by Cigna Behavioral pursuant to the requirements of the Employee Retirement Income Security Act of 1974, as amended (" ERISA'). Cigna Behavioral assumes no responsibility for Employer's ERISA plan except as set forth in this section. 04172019 3.6. This Agreement contains the entire agreement between Employer and Cigna Behavioral with respect to the services provided hereunder, and supersedes any and all prior discussions or agreements, written or oral, with respect thereto. 3.7. The parties agree to submit any disputes or claims arising out of or related to this Agreement to binding arbitration pursuant to the commercial arbitration rules of the American Arbitration Association and to conduct such arbitration in the city of Minneapolis, Minnesota. There shall be a single arbitrator chosen by both parties within thirty (30) days after notice to arbitrate a claim is received by the party against whom arbitration is sought. If the parties are unable to agree upon a single arbitrator within that thirty (30) day period, the arbitrator shall be appointed by the American Arbitration Association. Judgment may be entered upon the award of the arbitrator. Cost of the arbitration shall be borne equally by the parties unless the arbitrator's award directs otherwise. 3.8. This Agreement shall remain in effect from the Effective Date until terminated by Cigna Behavioral upon Employer's failure to pay Cigna Behavioral as provided in Section 2.3, or by either party with sixty (60) days' prior written notice to the other party. 3.9. This Agreement shall be governed by, and shall be construed in accordance with all applicable federal laws, including ERISA, and the laws of the state of Florida. 3.10. The terms of Exhibit 3, Privacy Addendum, shall be incorporated herein. IV. Liability and Indemnity 4.1. In the event that Cigna Behavioral, its officers, directors, employees or agents are made parties to any judicial or administrative proceeding arising in whole or in part out of any function negligently performed by the Employer, including the functions and obligations set forth in the Privacy Addendum, then the Employer shall indemnify and hold Cigna Behavioral harmless for any and all judgments, settlements, and costs (including reasonable attorneys' fees) which Cigna Behavioral incurs or pays in connection therewith except that Employer shall not be required to reimburse for such amounts if the court rendering the judgment or the agency making the award determines that the liability underlying the judgment or award (or attorneys' fees with respect thereto) was caused by the negligence, fraud or criminal conduct of Cigna Behavioral, its agents, employees, officers or directors. 4.2. In the event that Employer, its officers, directors, employees, agents or affiliates are made parties to any judicial or administrative proceeding arising in whole or in part out of any function negligently performed by Cigna Behavioral, including the functions and obligations set forth in the Privacy Addendum, then Cigna Behavioral shall indemnify and hold Employer harmless for any and all judgments, settlements and costs (including reasonable attorneys' fees) which Employer incurs or pays in connection therewith except that Cigna Behavioral shall not be required to reimburse for such amounts if the court rendering the judgment or the agency making the award determines that the liability underlying the judgment or award (or attorneys' fees with respect thereto) was caused by the negligence, fraud or criminal conduct of Employer, its agents, affiliates, employees, officers or directors. The foregoing does not include indemnification for the negligent acts or omissions of Participating Providers. By contract, Cigna Behavioral requires Participating Providers to maintain adequate amounts of professional liability insurance, and Participating Providers remain responsible for their own professional conduct. 4.3. In the event that the parties have been found jointly and severally liable to a third party, liability shall be apportioned consistent with the relative degree of fault of each party. 4.4. In the event litigation is instituted by a third party against the Employer and/or Cigna Behavioral concerning any matter under the Plan, each party to this Agreement shall have sole authority to select legal counsel of its choice. 04172019 4.5. The indemnifications provided for by the foregoing paragraphs shall survive the termination of this Agreement. 04172019 EXHIBIT 1 EMPLOYER ACCOUNT SERVICES Employer is entitled to utilize, for the delivery of the Employer Account Services listed below, the number of hours set forth on the then effective Cover Sheet to this Agreement in each twelve month period from the Effective Date of this Agreement. Pro-rata adjustments in this number of hours may be computed pursuant to Section 2.5 of this Agreement. * Employee Orientation Sessions * Management/Supervisory Training Sessions * Educational(Wellness Seminars * Critical Incident Response Services * Other Employer Account Services - Employer Account Services requested by Employer for which Cigna Behavioral notifies Employer that those services shall be counted against Employer Account Services' hours, including but not limited to, executive briefings, reduction in workforce counseling, and Employer's on -site EAP promotional activities conducted by Cigna Behavioral EAP managers or Cigna Behavioral contracted EAP affiliates. Delivery of these Employer Account Services shall be as agreed upon by the parties. In the event Employer does not utilize or only partially utilizes these Employer Account Services' hours during the twelve (12) month period to which they relate, Employer shall not be entitled to any refund or account credit, or to carry those hours forward. If Employer cancels its request for these services or reduces the number of hours initially requested after an independent provider has been secured by Cigna Behavioral, Cigna Behavioral shall deduct that number of hours the provider had been secured from Employer Account Services' hours. Additional Employer Account Services' hours may be purchased by Employer from Cigna Behavioral at Cigna Behaviorars fee -for -service rates in effect at the time of the request for such Employer Account Services. Delivery of these additional Employer Account Services' hours shall be as agreed upon by the parties. 04172019 EXHIBIT 2 MENU OPTIONS**** This page intentionally left blank. * * * * Only those additional Menu Options purchased by Employer will be listed on this page. 11072018 9 EXHIBIT 3 PRIVACY ADDENDUM "Business Associate Agreement" GENERAL PROVISIONS Section 1. Effect. As of the Effective Date, the terms and provisions of this Addendum are incorporated in and shall supersede any conflicting or inconsistent terms and provisions of the Agreement for Employee Assistance Program Services to which this Addendum is attached, including all exhibits or other attachments to and all documents incorporated by reference (the "Agreement"), except for any provisions of the Agreement which are more stringent regarding the use or disclosure ofProtectedHealth Information ("PHI")by Cigna Behavioral than this Addendum Any such more stringent provisions in the Agreement shall prevail overthis Addendum This Addendum sets out terns and provisions relating to the use and disclosure of PHI without written authorization from the Individual. Section2. Amendment to Comly with Lahti. Cigna Behavioral, Employer (also referred to as "Plan Sponsor") and the group health plan that is the subject oftheAgreement (also referred to as the "Plan") agree to amendthis Addendum to the extent necessary to allow either the Plan or Cigna Behavioral to comply with applicable laws and regulations including but not limited to the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (45 C.F.R. Parts 160 to 164) ("HIPAA Privacy and Security Rules") as well as any and all federal state and local laws pertainingto patient record confidentiality including, but not limited to, state mentalhealth and developmental disability and confidentiality laws, state and federal drug and alcohol confidentiality laws and state AIDS/HIV confidentiality laws. Section 3. Relations hip of Parties. The parties intendthat Cigna Behavioral is an independent contractor and notan agent ofthe Plan or the Plan Sponsor. IL PFRWffF,D USES AND DISCLOSURES BYCIGNA BERAVIORAL Section 1. Uses and Disclosures Generally. Except as otherwise provided in this Addendum, Cigna Behavioral may use or disclose PHI to perform functions, activities or services for, or on behalfof, the Plan as specified in the Agreement, providedthatsuchuse or disclosure would not violate the HIPAA Privacy & Security Rules, 42 C.F.R. Part 2 (Confidentiality of Substance Use Disorder Patient Records), and other applicable federal and state privacy laws if done by thePlan. In the eventthere are inconsistencies between HIPAA and42 C.F.R. Part 2 or state privacy laws, the more restrictive rule(s) will control. Section 2. To Carry Out Plan Obli;; ations. To the extent Cigna Behavioral is to cant' out one ormore ofthe Plan's obligations, except as otherwise limited by the Agreementor42 C.F.R. Part 2, under Subpart E of 45 C.F.R Part 164, Cigna Behavioral agrees to comply with the requirements of Subpart Ethat apply to the Plan in theperfomranceofsudi obligations. Section 3. Manx,-ement and Administration. (a) Cigna Behavioral may use PHI forthe proper management and administration ofCigna Behavioral, orto carry out the legal responsibilities of Cigna Behavioral. (b) Cigna Behavioralmaydisclose PIE forthepropermanagementandadministration ofCignaBehavioral, provided that disclosures are: (i) required by law or (ii) Cigna Behavioral obtains reasonable assurances from the person to whom the information is dis closedthat it will remain confidential andused or further disclosed only as requ ired by law or for the purpose for which it is disclosed to the person, and the person notifies Cigna Behavioral of any instances of which it is aware in which the confidentiality of the information has been breached. (c) Cigna Behavioral may use or disclose PHI to provide Data Aggregation services relating to the Health Care Operations ofthe Plan, or to de -identify PHI, except as otherwise limited by 42 C.F.R Part 2. Once information is de -identified, this Addendum shall not apply. Section 4.Rec uiredorPermittedln Law. Cigna Behavioral may use or dis close PHI as required bylaworpermitbed by 45 C.F.R § 164.512, except as otherwise limited by 42 C.F.R. Part 2. 04172019 10 Section 5. Disclosure of PER to Plan Sponsor. The Plan acknowledges and agrees that, except as otherwise limited by 42 C.F.R. Part 2, the HIPAA Privacy and Security Rules allow the Plan to permit Cigna Behavior -alto disclose or provide access to PHI, other than Summary Health Information, to the Plan Sponsor only after the Plan Sponsor has amended its plan documents to provide for the permitted and required uses and disclosures of PHI and to require the Plan Spons orto provide a certification to the Plan thatcertain required provisions have been incorporated intothe Plan documents before the Plan may disclose, either directly or through a business associate, such as Cigna Behavioral, any PHI to the Plan Sponsor. ThePlan herebywanants andrepresents thatno PHI will be provided to the Plan Sponsornor to any ofits employees, agents or otherpersons under its control. Therefore no such Plan document amendments have been made nor any such certification received fromthe Plan Sponsor. UL OTHER OBLIGATIONS AND ACTIVITIES OF CIGNA BEHAVIORAL Section 1. Receiviniz Remuneration in Exchange for PHI Prohibited Cigna Behavioral shall not directly or indirectly receive remuneration in exchange forany PHI of an Individual, unless an authorization is obtained fromthe Individual, in accordancewith 45 C.F.R. § 164.508, that specifies whetherPHI can be exchanged forremunerationby the entity receiving PHI of that Individual, unless otherwise permitted under the HIPAA Privacy Rule. Section 2. Limited Data Set or Minimum Necessary Standard and Determination. Cigna Behavioral shall, to the extent practicable, limit the use, disclosure, or request of Individuals' PHI, to the minimum necessary amount of Individuals' PHI to accomplish the intended purpose ofsuch use, disclosure, orrequest and to performits obligations un derthe underlying Agreement and this Addendum. Cigna Behavioral shall determine what constitutes theminimum necessary to accomplish the intended purpose ofsuch disclosure. Cigna Behavioral shall comply with 42 C.F.R. Part 2 re -disclosure requirements, including § 2.32 notice requirements. Section3. Securi Standards. Cigna Behavioral shallus e appropriate safeguards and comply with Subpart C of 45 C.F.R. Part 164 with respect to Electronic PHI to prevent use or disclosure of PHI other than as provided for by the Agreement. Section 4. Protection of Electronic PHL With respect to Electronic PHI, Cigna Behavioral shall: (a) Implement administrative,physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability ofthe Electronic PHI that Cigna Behavioral creates, receives, maintains, ortransmits on behalfofthe Plan as required by the Security Standards; (b) Ensure that any agent, including a subcontractor, to whomCigna Behavioralprovides Electronic PHI agrees to implement reasonable and appropriate safeguards to protect such information; and (c) In the eventofa Security Incident, Cigna Behavioral shallreport to thePlan in writing (i) any actual, successful Security Incidentwithin ten (10) bus iness days ofthe date on which Cigna Behavioral first becomes aware ofsuch actual, successful Security Incident and (ii) to the extent commercially reasonable, thePlan may request Cigna Behavioralto report in writing attemptedbut unsuccessful Security Incidents involving PHI of which Cigna Behavioralbecomes aware, providedhowever, that such reports are not requiredfortrivial and routine incidents such as port scans, attempts to log -in with an invalid password orusername, denialof service attacks that donotresult in a s erverbeing taken off-line, malware and pings or others imilartypes ofevents. Section 5. Reporting of Violations. Cigna Behavioral shall report to the Plan any use or disclosure of the PHI not provided for by this Addendum of which it becomes aware. Section 6. Mitigation of Violations. Cigna Behavioral agrees to mitigate, to the extent practicable, any harmful effect from use or disclosure of PHI in violation of this Addendum of which it is aware. Section 7. Security Breach Notification. Cigna Behavioral will notify the Plan ofa Breach (includingprivacyrelated incidents that might, upon further investigation, be deemed to be a Breach) without unreasonable delay and, in any event, within ten (10) business days after Cigna Behavioral's discovery of same. This notifrcationwill include, to the extent known: 11072018 11 (a) the names of the individuals whose PHI was involved in the Breach; (b) the circumstances surrounding the Breach; (c) the date of the Breach and the date of its discovery; (d) the infonmation Breached; (e) any steps the impacted individuals should take to protect themselves; (f) the steps Cigna Behavioral is taking to investigate the Breach, mitigate losses, and protect againstfuture Breaches; and, (g) a contact person who can provide additional information about the Breach. Forpurposes ofdis covery andreporting ofBreaches, Cigna Behavioral is not the agentofthe Plan orthe Employer (as "agent"is defined under common law). Cigna Behavioralwill investigate Breaches, assess their impact under applicable state and federal law, including HITECH, and will make a recommendationto the Plan regarding whethernotification is required pursuant to 45 C.F.R. § 164.404-408 and/or applicable state breach notification laws. With the Plan's prior approval, Cigna Behavioral will issue notices to such individuals, state and federal agencies— includingtheDepartment of Health and Human Services, and/or the media as the Plan is required to notify pursuant to, and in accordance with the requirements of, applicable law (including 45 C.F.R. § 164.404-408). hi the event of a Breach affecting multiple Cigna Behavioral clients where Cigna Behavioralbelieves notification to affected individuals is required in accordance with applicable law, Cigna Behavioralreserves the right to issue notifications to the affected individuals without Plan approval. Cigna Behavioralwill pay the costs ofis suing notices required by law and other remediation. andmitigation which, in Cigna Behavioral's discretion, are appropriate and necessary to address the Breach. Cigna Behavioral will not be required to issue notifications that are not mandated by applicable law. Cigna Behavioral shall provide the Plan with information necessary forthe Plan to fulfill its obligationto report Breaches affecting fewerthan 500Individuals to the Secretary as required by 45 C.F.R. § 164.408(c). Section 8. Disclosures to and Agreements with Third Parties, Cigna Behavioral agrees to ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalfof Cigna Behavioral agree to substantially the same restrictions, conditions, and requirements that apply to Cigna Behavioral with respect to such information. Any other provision of this Addendum notwithstanding, Cigna Behavioral may decline to disclose to any third party any information which the Agreement provides may not be disclosed to the Employer. Section9. AccesstoPM Cigna Behavioral shall provide an Individual with access to such Individual's PHI contained in a Designated Record Set in response to such Individual's request in the time and manner required in 45 C.F.R. § 164.524. Cigna Behavioral shall comply with 42C.F.R. Part2 re -disclosure requirements, including §2.32 notice requirements. Section 10. AvailAbility of PHI for Amendment. Cigna Behavioral shallrespondto a request by an Individual for amendment to such Individual's PHI contained in a Designated Record Set in the time and mannerrequired in 45 C.F.R. § 164.526. Section 11. Rie bt to Confidential Communications and to RequestRestriction ofDisclosures ofPIR Cigna Behavioral shallrespondto a requestby an hidividual forconfidential communications orto restrict the uses and disclosures ofPHI contained in such Individual's DesignatedRecord Set in the time and manner required by 45 C.F.R § 164.522. Cigna Behavioral shallnot be obligatedto agreeto, or implement any restriction, ifsuch restrictionwould hinderHealth Care Operations orthe provisions ofthe functions, activities or s ervices, unless such restriction would otherwise be required by 45 C.F.R. § 164.522(a). Section 12. Accounting of PHI Disclosures. Cigna Behavioral shall provide the accounting of disclosures to an Individual who requests such accounting in the time required in 45 C.F.R. Section 164.528. 04172019 12 Section 13. Availability of Books andRecords. Cigna Behavioral hereby agrees to make its internalpractices, books and records relating to the use and disclosure of PHI received from, or created or received by Cigna Behavioral on behalfofthe Plan, available to the Secretary forpurposes ofdetermining the Plan's compliancewith the Privacy Rule. IV. TERMINATION OF AGREEMENT WITH CIGNA BEHAVIORAL Section 1. Termination Upin..Breach of Provisions Applicable to PHL Any other provision of this Agreemerit notwithstanding, this Agreement may be terminated by the Plan upon prior written notice to Cigna Behavioral in the event that Cigna Behavioral materially breaches any obligation of this Addendum and fails to cure the breach within such reasonable time as the Plan may provide for in such notice. If Cigna Behavioralknows of a patternofactivity orpractice ofthe Plan that constitutes a material breach orviolation of the Plan's duties and obligations und(rthis Addendum, Cigna Behavioral shall provide a reas onable period oftime, as agreed uponby the parties, forthe Plan to cure the materialbreach orviolation. Provided, however, that, ifthe Plan does notcure the materialbreach orviolation within such agreedupontime period, Cigna Behavioralshalltemvnate the Agreement at the end ofsuchperiod. Section 2. Use of PHI Ulx)n Termination. The parties hereto agree that it is not feasible for Cigna Behavioral to return or destroy PHI at termination of this Agreement, therefore, the protections of this Addendum for PHI shall survive temiinationofthis Agreement and Cigna Behavioralshalllimit any furtheruses and disclosures ofsuchPHI to the purpose or purposes which make the return or destruction of such PHI infeasible. V. OBLIGATIONS OF THE PLAN AND PLAN SPONSOR Section 1. Disclosures Generalh. Except as otherwise provided for in this Addendum, the Plan will not request that Cigna Behavioraluse or disclose PHI in any mannerthat would not be permissible underHIPAA orHITECH if done by the Plan. Section2. Disclosures to Third Parties. To the extentthePlan requests that Cigna Behavioral disclose PHItoathird party business associate acting for the Plan, the Plan represents and warrants that: (a) It only will request PHI for the purposes ofTreatment,Payment orHeahhCare Operations, oranotherpemutted purpose under the HIPAA Privacy Rule; (b) The information requested is the minimumnecessary to achieve the purpose of the disclosure; and (c) The Plan has a business associate agreement in place with the third party. VL DEFINITIONS FOR USE IN THIS ADDENDUM Definith.,ns. Certain capitalized terms used in this Addendum shall have the meanings ascxrbedtothembyHIPAAand HITECH including theirrespective implementing regulations and guidance. Ifthe meaning ofany termdefined herein is changed by regulatory or legis lative amendment, thenthis Agreement will be modified automatically to correspond to the amended definition. All capitalized tents used herein that are not otherwise defined have the meanings described in HIPAA and HITECH. A reference in this Addendumto a section in the HIPAA Privacy Rule, HIPAA Security Rule, or the HITECH Act means the section then in effect, as amended. "Breach" shall mean the unauthorized acquisition, access, use, or disclosure ofUnsecuredProtectedHealth Information ("PHI") which compromises the security or privacy of such information, except where an authorized personto whom such information is disclosed would not reasonably have been able to retain such information. A Breach does not include any unintentional acquisition, access, oruse ofPHIby an employee or individual acting underthe authorityof Cigna Behavioral if such acquisition, access, or use was made in good faith and within the course and scope of the employment orotherprofessional relationship of such employee orindividualwith Cigna Behavioral; any inadvertent disclosure froman individualwho is otherwise authorized to access PHI at a facility operatedby Cigna Behavioralto another s imilarly situated individual at the same facility; and such information is not further acquired, accessed, used, or disclosed without authorization by any person. 11072018 13 "Business Associate" means Cigna Behavioral Health, Inc. "Covered Entity" means Plan. "Data Aggregation" shallmean the combining ofPHI by Cigna Behavioralwith the Individually Identifiable Health Information created orreceivedby Cigna Behavioral in its capacity as a business associate ofanother covered entity, to permit data analyses that relate to the health care operations of the Plan and the other covered entity. "Designated Record Set" shallhave the same meaning as the term"designatedrecord set"as setforth in the Privacy Rule, limited to the enrollment, payment, claims adjudication, and case or medical management record systems maintained by Cigna Behavioral for the Plan, or used, in whole or in part, by Cigna Behavioral or the Plan to make decisions about Individuals. "E fectim Date" shall mean the earliest date by which Cigna Behavioral and the Plan must enter into a business associate agreement under 45 C.F.R Part 164. "Electronic ProtectedHealth Information" shallmean PHI that is transmitted by, ormaintained in, electronic media as that term is defined in 45 C.F.R. Section 160.103. "Individually Identifiable Health Information" shall mean information that is a subset of health information, including demographic information collected from an individual, and: (i) is created orreceivedby a health care provider, healthplan, health care clearinghouse (as thoseterrm defined in the Privacy Standards), or employer; and (ii) relates to thepast, present, orfuturephysicalormentalhealth orconditionofan individual; the provision of health care to an individual; orthe past, present or future payment forthe provision ofhealth care to an individual; and (a) identifies the individual, or(b) with respect to which there is a reasonable basis to believe the information can be used to identify the individual. "Limited Data Set" shallhave the same meaning as the term"limited data set" as set forth in as defined in 45 C.F.R Section 164.514(e)(2). "Protected Health Information" or "PHr' shall have the same meaning as set forth at 45 C.F.R § 160.103. "Secretary" shall mean the Secretary of the United States Department of Health and Human Services. "Securitylncident" shallhave thesame meaningas the term"security incident" as set forth in 45 C.F.R. § 164.304. "Summary Health Information" shall mean information, that may be Individually Identifiable Information, and (i) that sunmiarizes the claims history, claims expenses, ortype ofclaims experiencedby individuals coveredby the Plan; and (ii) from which the information described at 45 C.F.R § 164.514(b)(2)(i) has been deleted, except that the geographic information described in 45 C.F.R. § 164.514(bx2xi)(B) need only be aggregatedto thelevel ofa five -digit zip code. "UnsecuredProtectedHealth Information" shall mean PHI that is not renderedunusable, unreadable, or indecipherable to unauthorized individuals through the use ofatechnology ormethodology specified bythe Secretary in the guidance is suedunder Section 13402(h)(2) ofARRA. 04172019 14 1 ;A 0 Cigna Employee Assistance Program (EAP) weal to provide a Cigna EAP and rworkilife solution for: TABLE OF CONTENTS Cover.........................................................................................................................................................................1 WeCan Help You With That....................................................................................................................................3 WhyCigna?............................................................................................................................................................... 5 AHelping Hand for Employees............................................................................................................................... 7 Unlimited Phone -Based Support for Managers..................................................................................................10 Customized Services for Your Organization.......................................................................................................10 Financials................................................................................................................................................................13 Ready to Help Your Employees Boost Their Health and Performance?..........................................................14 The information contained in this proposal is proprietary and confidential to Cigna. The information may only be used for the purpose of evaluating Cigna appropriateness for fulfilling the obligations of the RFP. Information contained in this proposal may not be used in any other manner without the prior consent of Cigna. This proposal provides only the highlights of the Cigna Employee Assistance Program. It is not a contract. Complete and prevailing terms are set forth in the applicable Cigna Employee Assistance Program service agreement. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna Behavioral Health, Inc., and HMO subsidiaries of Cigna Health Corporation. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ©Copyright 2021 Cigna. Page 2 of 14 We Can Help You With That Cigna's EAP offers support 24 hours a day, 7 days a week, 365 days a year, to help keep your employees performing at their best. Phone -based sessions, visits with EAP providers, work/life support, time -saving referrals, legal and financial consultations, and wellness discussions are just a few of our EAP tools which help reduce stress and support wellness within your workforce. Our goal is to keep everyday issues from becoming bigger problems. Households today face many stressors; which can include relationship issues, financial concerns, work pressures, and life challenges. This is underscored by 2017 data, which states that 75 percent of individuals surveyed experienced at least one symptom of stress and at least 1 in 5 adults experience mental illness in a given year', resulting in over $444 billion in medical expenses, and lost productivity.2 No Stigma With Cigna Too often, employees are uncomfortable seeking or receiving help with behavioral health issues. There is a stigma surrounding behavioral health treatment, and as such, many individuals wait until their problems escalate to seek care, or avoid care altogether. They may also be confused about the services available to support them. We know that asking for help can be difficult, so we make every attempt to be approachable via our EAP. Our EAP communications are friendly, engaging and matter-of-fact. They are designed to motivate employees to reach out to us proactively as help is always available and easily accessible. We encourage employees to access the EAP for a broad range of issues, which may include breaking bad habits, repairing a relationship, opening a college savings account, or closing on a house. Cigna's EAP supports individuals through multiple stages of life's experiences and helps them to navigate with increased confidence, promoting empowerment. expectation I know how to get a trust recognition hold of you if 1 am Your guidance gives I know who infused, fail at me realistic choices that you are and why cftanging, get in can be you are double or practically nowledge !my contacting me. capability experience a implemented setback. control in my lire. Power m as aware of Your guidance I can control my s I am empowered health risks gives me realistic health and well-being, to stay healthy as you are, choices that can and the health care and vital. be practically system around me. implemented in my life. ' American Psychological Association, Stress in America: Uncertainty About Healthcare, httos:i wv.aoa.om/news/cress/releases/stress/2017/uncertainty-health-care.t:• _., January 24, 201a. 2 Newhook, Emily, "Costs of Care: Stigma is Only Part of the Mental Health Price Tag," USA Today, June 16, 2017 0 Copyright 2021 Cigna. Page 3 of 14 Cigna .���. 360° Total Health and Well -Being Results from our 2019 EAP Participant satisfaction survey Employee satisfaction 98% Improved work/(We balance 95% Improved productivity 96% improved attendance 96% Improved ability to manage 96% stress M_ 96 percent of Cigna EAP participants agree that the EAP helped improve their abirty to be productive at work. 95 percent of Cigna EAP perticipants report an triproved ability to balance work and personal life. Cigna has provided EAP solutions for over 45 years. We currently service over 1,200 EAP clients and 22.9 million program participants. Our tailored programs evolved out of a history of providing real results based on what matters most to our clients and their workforces. Our programs help employees optimize their physical, emotional, and social health in order to arrive at work focused, positive and able to perform at their full potential. Our EAP services include: Phone problem -solving sessions with a licensed, master's -level EAP provider who listens and helps the participant work through various life challenges Wellness seminars available at the worksite and online to help employees stay mentally, emotionally, and physically healthy. Consultations with work/life specialists to better manage life at home Resources to troubleshoot challenges, which affect life at work Organizational services, management referrals, and onsite services to help managers intervene early when they identify an employee who could benefit from EAP services 96 percent of participants say the EAP helped them better manage their stress. � "A Cigna © Copyright 2021 Cigna. Page 4 of 14 Why Cigna? Our EAP thoroughly addresses each presenting issue, which drives higher utilization and improved results. Cigna's EAP is an outcomes -driven solution. We approach problem resolution like weeding a garden, instead of cutting weeds off the top, the EAP digs deeper. By helping employees unearth the complexities of their issues, they are able to identify and develop effective strategies for managing and removing the root of the issue. Our Strategy Our focus on advocacy and behavior modification supports our strategic commitment to alleviate the burdens of illness; provide access to evidence -based prevention and treatment; and improve health and productivity. We are dedicated to meeting the needs of the individual, and to that end, we use participant satisfaction as one of our key success measures. In 2017, 98 percent of participants reported overall satisfaction with the Cigna EAP.3 Our Ability to Deliver From achieving seamless program implementation to providing critical incident response services, we consistently prove that we deliver quality services. Following are a few of our high marks: > Critical Incident Stress Management - We are ready 24 hours a day, 7 days a week, 365 days a year to deliver critical incident stress management services for situations causing workplace trauma. In 2017, 99 percent of survey respondents reported satisfaction with services.4 > Problem Resolution - Overall, 90 percent of participants resolve their issue via their EAP without having to access their behavioral health benefits. Our Top Differentiators Several differentiating services set our EAP solutions apart. These differentiators include the following. > Critical Incident Stress Management (CISM) -Our program allows clients to define what qualifies as a critical incident. Cigna does not have a predetermined set of definitions that must be met for access. By debiting the client's annual bank of employer service hours, the client can utilize critical incident stress management services as necessary throughout the year. We further stand apart by only debiting employer service hours against the actual time spent on site. We do not charge for extra administrative costs, preparation time, or provider travel time. Further, if the critical incident requires the provider to stay overnight in a hotel, we do not charge the client for these additional costs. Cigna does not subcontract with any outside vendors for critical incident stress management services as we have our own national network of qualified critical incident stress. We have our own national network of qualified CISM providers. We own and manage the network, as well as the process, and we closely collaborate with our contracted providers to help ensure that services are delivered seamlessly and effectively in accordance with Cigna guidelines. Case -in -point, our satisfaction rating for CISM services continues to hold firm at 98 percent or greater for the past seven years 5. 3 Cigna Satisfaction Survey, 2017. 4 Cigna Manager Satisfaction Survey 2017 ©Copyright 2021 Cigna. Page 5 of 14 qk*10 .l`�.�C i g n a EAP Wellness Seminars: Cigna EAP offers a broad range of seminars to help your employees and managers reduce stress, stay healthy, and perform at their best. We have a wellness seminar and management training library with over 150 topics, including trainings on sensitive topics such as gender transition in the workplace, mental health, and suicide awareness, as well as other offerings that align successfully with health and wellness initiatives. Seminar content is researched and refreshed annually to meet the evolving needs of our clients. Our seminar presenters are licensed clinicians and/or professional speakers with experience in the field of EAPs and counseling. Our knowledgeable team of coordinators makes it easy to bring topic consultation to full -service scheduling to your workforce. EAP National Wellness Webcasts - Our clients also have access to seminars delivered via our national webcast portal at no additional cost. Each year we chose 26 topics from our extensive library to offer support for both personal and professional issues that employees and managers face. We also offer innovative topics such as loneliness and the power of connection, talking to children about death, mindfulness, living with cancer, and getting and keeping good credit, to name just a few. Access to webcasts is managed through user-friendly web portal. Individuals can participate in the webcasts on their computer or iDevice. The on -demand replay feature allows them to access webcasts when it is most convenient, with each webcast available for 24 months. EAP Client -Specific Webinars — Cigna's EAP makes it easy for clients by making our seminars available for presentation in a virtual format. This is an excellent way to meet training needs for employees dispersed across multiple company sites. Webinars are scheduled in the same manner as our in -person trainings. Trainings are facilitated by a specialized group of presenters who are experts in remote delivery of our wellness seminars. The client is only responsible for the technology needed to support webinar delivery. Work/Life Referrals: Our work/life referrals include: — Turnaround time - We provide up to five qualified referrals within six business hours in an emergency situation and within 12 business hours for routine requests. — — Qualified referrals - We call every provider to ensure he or she meets the individual's criteria, has vacancies, we verify appropriate licensure, and accreditations. — Time -savings - EAP participants do not have to call around for services, we provide support for all their needs. Our EAP is focused to assist military veterans with various life challenges, which may include: — PTSD — Post traumatic brain injury — Suicide awareness — Adjusting to civilian life and the workplace Any Time, any day- We are available 24 hours a day, 7 days a week, 365 days a year. When a participant needs us, we are available to help, day or night, weekdays or weekends, at home, at work, or while traveling. > Coaching and Integrated Services Framework- Our personal advocates are trained in Cigna CARE Coaching®, which is a collaborative, affirming, respectful, and empowering coaching approach that focuses on the individual. Our coaching approach also enables cross referrals to other relevant areas of care in order to support the individual's health needs. Cigna's coaching and internal system protocols promote seamless integration with other purchased Cigna programs such as lifestyle management programs (tobacco cessation, stress management, weight management), disease management, Health Advisor®, and other health and wellness programs. For clients with One Guide®, EAP participant calls are supported by a designated team of personal guides. > Wellness Integration- Our EAP services and seminars work to complement and enhance wellness campaigns and initiatives. In addition to stress management, mindfulness and emotional health resources and seminars, we offer EAP seminar topics, which target medical and disability cost drivers. Examples of the range of topic areas we cover include Know Your Numbers, Dreaming of a Good Night's Sleep, The Opioid Crisis and You, Tobacco Cessation, Life with Cancer, Living with Chronic Conditions, Pain: When It Impacts Your Life, Healthy Eating in a Hurry Up World, among others. It` Aw • ©Copyright 2021 Cigna. Page 6 of 14 A Helping Hand for Employees Life is unpredictable, but Cigna is not. Employees can pick up the phone and call us for help when and where they need it, day or night, weekdays or weekends, at home, at work, or while traveling, 24 hours a day, 7 days a week, and 365 days a year Prenatal Relationships We offer help Sleep Stress Death/grief Parenting Substance use for a range of Adoption life issues. Education Child/elder/pet care Divorce Identity theft Violence & abuse Financial & legal matters Depression When employees call us, our personal advocates can obtain the information individuals need and guide them toward the right solution, whether he or she is in crisis, seeking in -person treatment, or could benefit from helpful resources in the community. Our EAP offers the following support services our clients and their employees: > Crisis Intervention —We ensure individuals get the help they need when they are in crisis. Our licensed behavioral health clinicians stabilize the situation, coordinate treatment, contact local mental health resources as needed, and remain involved until it is clear that the individual is receiving appropriate care. Phone -Based Consultation — When an individual would like to speak with a clinician by phone, he or she can speak confidentially with one of our telephonic EAP consultants. Our telephonic EAP consultants listen and help the individual work through his or her challenges. On average, two out of three individuals who access phone - based assistance have their issue resolved5. When appropriate, individuals are referred into face-to-face EAP services for additional assistance. Phone- based consultations include an alcohol use screening and referrals to additional resources, when appropriate. Telephonic EAP consultants follow screening, brief intervention, and referral to treatment protocols for all alcohol screenings. Face -to -Face Counseling - Our program may include a specific number of face-to-face sessions per issue per year with a behavioral health or substance use provider in our national EAP network. If a referral to an EAP provider is appropriate, or if requested by the individual, we refer to nearby network providers for face-to-face visits based on needs and preferences. Our National Network — Our network consists of over 120,000 unique EAP providers who are independently licensed doctorate - and master's - level clinicians. These providers are a subset of our behavioral health network of more than 200,000 providers credentialed using NCQA standards and re-credentialed every three years. Work/Life - We know employees have a wide range of work/life demands and most often need referral support within tight timeframes. From preschool referrals to graduate school applications, no matter what an individual requests, chances are we can help. Our referrals are qualified, meaning that we call every provider to ensure he or she meets the caller's criteria and have confirmed vacancies ©Copyright 2021 Cigna. Page 7 of 14 _014 ���C i g n a Online Resources - By accessing our website, individuals can search for a provider, schedule a phone -based consultation with a telephonic EAP consultant, obtain authorization for face-to-face and telehealth visits, access educational materials on work/life issues, browse interactive tools, and find web seminars.. For online access to the EAP, we have live chat capabilities (available Monday through Friday from 9:00 a.m. to 8:00 p.m. EST) to make it easy for those individuals who prefer to contact us in an online format. The live chat feature acts as another access point for individuals to get more information about an array of topics. Live agents work to help educate individuals on various selected topics. In the event the live agent is unable to assist via the internet, or feels talking to a live representative on the phone most benefits the individual, the live agent redirects the individual to a customer service advocate (CSA) to help resolve any issues. Once an individual clicks on the live chat feature via the website, he or she selects our EAP from the drop -down menu, and the specific reason for the chat. Reasons for contacting the EAP may include: EAP counseling, which includes referrals and authorizations > EAP scheduling, which includes phone -based consultations Legal, financial and identity theft assistance Child, senior, pet care, and other work/life concerns > Career or education services > Healthy Rewards® Basic information, which includes the individual's name, date of birth, and address are requested as part of the chat. Once provided, he or she is connected to a live agent. Live Chat for EAP members ©Copyright 2021 Cigna. Page 8 of 14 The grid below illustrates our face-to-face counseling, work/life, and online services available to EAP participants and their household members. •COUNSELING,•- . ONLINE RESOURCES Face -to -Face > Mental, emotional, psychological concerns > Substance use Counseling > Stress > Eating disorders Marital or relationship problems > Domestic violence > Family issues > Relocation > Anxiety > Financial concerns > Depression > Workplace issues Telephonic > Adoption > Caregiver needs Work/Life > Education > Financial services Resources > Prenatal care — 30-minute free consultation > Child care — tax preparation assistance at a 25 percent > Summer care discount > Senior care > Legal services > Parenting — 30-minute free consultation > Special needs — 25 percent discount on usual fees > At -risk adolescents Identity theft resources > Pet care > Convenience services Online > Access and referral Interactive tools Resources > Provider directory and search Reminder messages via email and text and Tools > Self -assessment Cigna Healthy Rewards® program* > Frequently asked questions — discounts on health and wellness products > Web seminars and services > Review benefit information Vacancy checks through assisted search -email > Forms and assisted search -live > Article library Find work/life resources > Live chat Contact us Referrals and > Qualified referrals Fulfillment —within 12 business hours; emergency referrals in 6 hours — where available, if additional referrals are required, the individual may call back online and print fulfillment materials *Please note: Healthy Rewards discounts are separate from (in addition to, not instead of) regular plan benefits. As such, individuals must pay the entire discounted charge (co -payments or coinsurance do not apply). Not all Healthy Rewards programs are available in all states and programs may be discontinued at any time. Optional ) International EAP Services*** > Substance abuse provider evaluation services Fitness -for -duty evaluations provided by Psybar Adoption services subsidy program ***Available at an additional cost. ©Copyright 2021 Cigna. Page 9 of 14 Nanny find Geriatric case management and care coach Mediation services Lactation education and support Care Kits Legal and financial seminars •010� ",� Cigna City of Clermont Unlimited Phone -Based Support for Managers Managers are often in a position to identify employees who could benefit from our services, thus, it is important that our EAP help managers intervene early to address issues before they escalate. We offer unlimited phone -based consultations and management referrals to do just that. Licensed clinicians are available 24 hours a day, 7 days a week, and 365 days a year for problem solving, brainstorming or even role-playing. We offer confidential discussion and support to managers on topics such as: Organizational change (downsizing, relocations, acquisitions) Effective leadership > Performance decline > Employee job jeopardy problems > Drug, alcohol, and company policies > Violence at home or work > Management referrals > Critical incidents, with no limiting parameters Employee appearance and hygiene issues Employee grief and loss Violence in the workplace Job -appropriate behavior When managers are concerned about job performance or policy violations, our EAP consultation team can facilitate a structured referral. Three types of management referrals include: Customized Services for Your Organization 100 percent of managers who referred employees to the EAP were satisfied with the services provided.5 Informal Referral - the manager encourages an employee to voluntarily access EAP services during early stages of performance decline. Formal Referral - the manager encourages performance -based voluntary referral by the employee; subject to signed release; Cigna reports compliance. Mandatory Referral - the employee must access the EAP as a condition of continued employment (e.g., substance use concerns); subject to signed release; Cigna reports compliance. With Cigna EAP, you will get a custom program designed to deliver what matters most to your organization, from onsite support and trainings to reporting, which allows you to evaluate the impact of our program. Below are some of the services available that can benefit your organization. EAP Resources for Managers and Organizations microsite - Cigna makes it easy for managers, HR professionals, and clients to access EAP resources and information through our microsite, which is easy to navigate and addresses a range of needs, including critical incidents, disaster response, consultation services, wellness and promotion. Disaster Response - Cigna offers its Disaster Resource Center to clients and employees as an online microsite with resources, relevant articles for disasters by topic, and state -by -state links. Via www.cgna.com/disasterresourcecenter, our site provides timely information to support preparedness and assistance in the aftermath of a critical event or 2,•�s: � 1 j n A ©Copyright 2021 Cigna. Page 10 of 14 -���� disaster. Onsite Support — Cigna annually allots a number of employer services hours for City of Clermont to use toward the service options described below. We work with you to customize your bank of employer service hours according to your needs. EMPLOYER. •- • Orientations Management Wellness Critical Incident Response Include Trainings Seminars employer determines critical incident, with an EAP overview, an Equip managers Provide onsite no limiting parameters introduction video, a with the tools health > process tailored to the situation discussion on accessing needed to promotion > onsite response teams available 24/7/365 the EAP, and a question recognize, manage, seminars that > death/injury of employee/family member and answer session and assist address > accidents/trauma employees with job personal or performance issues work -related Help managers concerns and understand the provide benefits of the EAR employee use it as a audiences with management tool, information and successfully pertaining to refer employees these issues > natural disasters > specialized team of experts combines Cigna staff and providers trained in crisis response, intervention, and workplace trauma emergency/crisis intervention and counseling (via phone or onsite) phone triage *Please see Financials section for the number of hours your program includes. Additional hours can be purchased on a fee -for -service basis. We let YOU decide what constitutes a critical incident so services meet your organization's unique needs. 97 percent of respondents to the wellness seminar and management training surveys were satisfied with our services,. ©Copyright 2021 Cigna. Page 11 of 14 00 o�`(�.0 i g n a h6L City of Clermont Account management team — a designated, solutions -driven account management team is integral to a successful EAP. This group of individuals gets to know your organization in order to creatively tailor an EAP that addresses your needs. Our account management teams are dedicated to making the implementation process as easy as possible and provide ongoing support to ensure we meet the unique needs of City of Clermont. The account team facilitates integrating the Cigna EAP with other Cigna employee benefit programs, such as health risk assessments and lifestyle management programs, to help drive proactive outreach when physical, mental or social health issues are identified. Collaboration with City of Clermont's other health vendors is also an important part of implementation, and we work with other vendors to set up cross referral protocols for City of Clermont's benefit offerings. "It has been a pleasure working with Cigna this year. What I enjoyed most of all was the energy, the enthusiasm, the commitment, and the creativity that you have managed to harness toward the goal of better mental health treatment outcomes." —Industry Consultant Promotional campaign — Our goal with communication materials is to provide a range of resources and media that make it easy for employees to understand how to use the EAP. We present the EAP in an approachable, less clinical manner. It is a resource for everyone. Our communications campaign uses informal language to encourage City of Clermont's employees to access the EAP for help with an issue. From starting a new job to finding a dog walker, the materials clearly explain that no challenge is too big or too small to bring to the EAP City of Clermont receive the following materials during implementation: Posters with a variety of images to match your needs > Customizable brochures with wallet cards Orientation materials and recordings > Manager resources We also provide electronic employee communications to highlight the features and benefits of the EAP' e-flyers e-cards Promotional videos EAP webcast calendar and monthly promotional materials Newsletter articles Health and wellness resources Manager's guide to EAP WE CAN I HELP YOU WITH THAT Utilization reporting and analysis — Cigna provides aggregate, detailed reporting to help you track and evaluate the impact of our program. For example, we offer online access to a quarterly reporting package that includes summarized data on utilization results, the number of EAP cases opened, the source of the referral, the presenting problems, and the disposition of closed cases. Comparisons to the base period and book of business norms are included. �i �Cigna ©Copyright 2021 Cigna. Page 12 of 14 Financials Cigna is pleased to offer our EAP and work/life services to City of Clermont at the following rates: $ 1.99 Per Employee Per Month 1 to 6 Sessions and Full -Service Work/Life This monthly rate includes: Access to help 24 hours a day, 7 days a week, 365 days a year Up to the number of assessments or problem resolutions quoted above - per participant, per problem Referral and follow-up Network management Work/life services, which includes consultation, resource, and referral Employer service hours for onsite training services such as wellness seminars, critical incident response, and manager and employee orientations. Please see the financial assumptions below for total number of hours available. Unlimited telephonic consultations with licensed EAP staff for managers on workplace issues EAP communication materials Online tools and information, including self -assessments, articles, and provider directories Online access to EAP utilization reports Account management Financial assumptions: Effective 5/1/2021 This proposal is valid for 90 days from its original date of release Rates guaranteed for 24 months Pricing based on a population of 385 employees 10 hours per 1,000 employees of employer services per year or 4 actual based on 385 Employees (min. 4 hours.) If City of Clermont exceeds this annual allotment, the following rates apply: CIR Services: $285 per onsite hour, wellness seminars or management trainings: $255 per onsite hour. If City of Clermont enrollment changes by 10 percent (either +10 percent or -10 percent from the original reported enrollment), Cigna Behavioral Health, Inc. or its affiliates may adjust their rates accordingly Commissions are not included in the above rate This quote assumes the contract situs is FL. Any federal or state legislative changes impacting benefit levels or funding arrangements may require Cigna Behavioral Health, Inc. or its affiliates to revisit proposed rates. In the event that it is determined that the program is not in compliance with state or federal law, Cigna Behavioral Health, Inc. or its affiliates may modify the proposed program and pricing. The Cigna EAP is administered by Cigna Behavioral Health, Inc. The Cigna EAP may be offered through its affiliates, Cigna Health and Life Insurance Company (CHLIC) or Connecticut General Life Insurance Company (CGLIC). If CHLIC or CGLIC offer EAP services, CHLIC or CGLIC delegates administrative responsibility to Cigna Behavioral Health, Inc. Pricing represents a blended EAP rate, which is lower than the standard full service EAP rate due to enrollment in Cigna Total Behavioral Health for a portion of the covered employee population Cigna Total Behavioral Health offers an emotional well-being package, which includes services to help manage life events. These are similar to some services provided by the full service EAP. To account for this, a rate reduction of $0.25 PEPM has been calculated for the 301 employees enrolled in the program and blended into the standard rate for the rest of your employee headcount. ©Copyright 2021 Cigna. Page 13 of 14 ���� Best -In -Class Employee Assistance City of Clermont The rate reverts to the EAP standard rate if Cigna Total Behavioral Health enrollment no longer applies as outlined below: Standard Rate $ 2.19 Per Employee Per Month Number of Sessions 1 to 6 Sessions and Full -Service Work/Life Cigna also offers our International EAP, which is available to assist your employees globally. Please contact us to learn more about the services we offer for individuals working and traveling abroad. Ready to Help Your Employees Boost Their Health and Performance? Cigna can help you with that. From ending a relationship to starting a job, losing a pet to finding more confidence, we can help your employees reduce stress, stay healthy, and perform at their best, which helps your organization perform at its best too. We are happy to have the chance to present our EAP services to City of Clermont. As you consider Cigna, remember that we build a program that is customized to your people and your organization's one -of -a -kind needs and goals. With us, you get a tailored program to deliver what matters most to you. We welcome the opportunity to further discuss our capabilities with City of Clermont. Please contact: Kristen Antonello, Client Manager Cigna T (813) 637-1347 E kristen.antonello@cigna.com 0 Copyright 2021 Cigna. Page 14 of 14 i *' C i g na l��