1997 S Personnel - Human Affairs International for Employee Assistance Program Contract Renewal

Browse Search

3.2 Sponsor Cooperation. Sponsor acknowledges that the effective performance of the Services by HAI hereunder requires that Sponsor cooperate with HAI in its efforts. Sponsor agrees to cooperate with HAI in HAI's performance of the Services by furnishing,among other things,timely reports and information in a form and manner specified by HAI, including,without limitation,the number of Participants covered under the Plan, identification of Participants, the kinds of benefits to which such Participants are entitled,the dates of eligibility for such Participants,the geographic distribution of Participants,and such other information as may be necessary for performance of Services,including without limitation the processing of benefit payments. Sponsor shall provide HAI continuing access to all books and records necessary for HAI to fulfill its duties hereunder to Sponsor and Participants. HAI shall not be responsible for any delay in the performance of its duties under this Agreement to the extent that such delay arises from the failure of Sponsor to provide to HAI any such information on a timely basis. 3.3 Employee Count. Prior to or on the Effective Date, Sponsor shall furnish HAI a listing of Employees(the "Employee List"),by zip code of each Employee's place of residence. (a) Membership File Tape. Sponsor may, in its discretion, elect to provide the Employee List by membership file tape;provided,however,that if Sponsor has selected HAI in S 1_ection l(4)to perform Claims Management Services hereunder,then Sponsor must provide the Employee List by membership file tape. If Sponsor provides the Employee List by membership file under this Section 3.3{a), then Sponsor shall provide HAI with an updated Employee List on membership file tape on a monthly basis. (b) Otherwise. If Sponsor provides the Employee List by means other than membership file tape,then if at any time during the Term the number of Employees increases or decreases more than five percent (5 1/o)relative to the Employee Count, Sponsor shall notify HAI of such change,and the necessary financial adjustment shall be made in the next billing cycle to reflect the correct Employee Count. Sponsor shall provide HAI with an updated Employee List at the time of renewal. Upon ten(10)days'written notice from HAI to Sponsor,HAI shall have the right to engage an independent party to audit the operations of Sponsor at any time during Sponsor's normal business hours for the sole purpose of verifying the accuracy of the Employee Count. 3.4 Provision of Services. (a) Generally. HAI,in its sole discretion, shall provide the Services hereunder either from its employees or the employees of an Affiliate of HAI,or by retaining, directly or indirectly through an Affiliate of HAI, independent contractors to provide the Services. (b) Professional Services. Except as otherwise provided in this Agreement,HAI shall provide,in its sole discretion and to the extent permitted by law,all professional services required by this Agreement through Care Managers, Staff Clinicians or Participating Providers. (1) Care Managers. "Care Manager" means an employee of HAI or of an Affiliate of HAI who is a clinical professional licensed or certified under applicable state law to provide treatment in the areas of mental health and substance abuse. (2) Staff Clinicians. "Staff Clinician"means an employee of HAI or of an Affiliate of HAI who is a duly qualified mental health and/or substance abuse treatment provider. For purposes of this Section, "duly qualified" includes being licensed or certified where required by state law. (3) Participating Providers. "Participating Provider"means an individual practitioner, group of practitioners,facility or other specialized provider of services which(i)maintains a practice or operates a facility or program that provides mental health and/or substance abuse treatment, (ii)has been credentialed by HAI or an Affiliate or designee of HAI in accordance with HAI's credentialing policies and(iii)has Human Affairs Intema6onal,Incorporated 517197 Services Agreement