Professional Services Agreement - New Avenues Inc - Employee Assistance Program Annual Renewal

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City of South Bend EAP Contract Page 4 Prepared on November 14, 2017, Amended January 17, 2018 representatives or supervisors who may call us and request assistance in how to talk with a particular employee, when a referral is needed, or for any other consultation about an employee that the Company and New Avenues deems appropriate. Onsite consultations, mediation, and conflict resolution may be purchased on an as needed basis. We will provide these services as agreed upon in Exhibit A. E. Focus On Success Management Referral Program. The New Avenues' Focus On Success Management Referral Program is designed to address the employee who has demonstrated significant or chronic performance problems, violation of work rules, violence or threatened violence, anger management problems, or troubled behavior. We will provide these services as agreed upon in Exhibit A. Services provided may include; +:• Consultation with the employer fi• All necessary forms and consents The initial assessment of the employee by an EAP counselor •.• Referral, case management Provider communication; and oversight of the counseling by a New Avenues Care Manager + Monthly compliance reports from New Avenues to the Company The monthly reports provide the employer with information as to the employee's attendance, compliance with recommendations, and overall motivation/cooperation. No personal or medical information is released without the patient's written consent. (Medical information includes, but is not limited to, diagnosis, results of tests, and counseling notes.) Referral to the EAP Focus on Success Management Referral Program may be a part of the employer's policies. However, the employee must voluntarily accept terms of participation. The terms of participation include signing an Authorization for Release of Information, attending sessions, cooperating with recommendations for treatment, acceptance of financial responsibility for treatment beyond the assessment (including but not limited to counseling, group sessions, intensive outpatient programs, further psychiatric evaluation or psychological testing, drug/alcohol tests, classes). The fees for the counseling treatment and/or testing beyond the assessment will first use any remaining EAP sessions as provided in this Agreement and then when the provided EAP sessions are exhausted any further sessions are at the employee's expense and are the employee's responsibility. These services may be covered by the individual's health insurance benefit, but coverage is not guaranteed. New Avenues acts solely in the role of facilitating referrals and communication regarding management referrals. New Avenues acts as a neutral, objective third party to arrange professional services appropriate to the referral, and shall serve as an intermediary between the Provider and the Company by communicating reports subject to the scope of the Authorization for Release of Information. New Avenues does not assume responsibility and the Company agrees it will not hold New Avenues responsible for the findings, assessment, treatment recommendation(s), treatment, outcomes, determinations, or any other actions or inactions taken by the Provider of the EAP services. The Company further agrees that New Avenues is New Avenues