Professional Services Agreement - SEMMA Health Inc - 2020 City Benefit Plan

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Ax S E M M A THI THIS DATA SERVICES AGREEMENT ("Agreement") meement") is entered into as of the 231c, day of October 2018 (the "Effective pate"), by and between SEMMA HEALTH, INC. ("SEMMA') and CITY OF SOUTH BEND ("Client"). WHEREAS, SEMMA Health Inc. provides a variety of data and consulting services for employers sponsoring self -funded group health Insurance plans, including but not limited to certain data aggregation, data analysis, and forecasting services; WHEREAS, Client is the sponsor of a self -funded group health insurance plan providing, among other services, health care benefits to certain eligible employees and their qualified dependents; WHEREAS, Client desires to retain SEMMA as an independent contractor to provide certain data and consulting services in connection with Client's self -funded group health plan(s), as more particularly described ill this Agreement; and WHEREAS, SEMMA desires to provide data and consulting services to the Client in connection with the Client's self -funded group health plan, pursuant to the terms of this Agreement. NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein and other valuable consideration, the parties hereto agree as follows- 1.1 Services. Client hereby retains SEMMA to provide, and SEMMA hereby agrees to provide, on the terms and conditions set forth in this Agreement, the data and consulting services set forth in this Section 1.1 (the "Se ry ices")- 1.1.1 SEMMA shall employ its proprietary big data and analytic platform to proactively identify ways to reduce waste and variation in the cost and quality of care that is purchased through the Client's health benefit plan. 1.1.2 SEMMA shall provide regular analyses of Client's health benefit claims as processed by Client's health benefit administrator. 1 .1.3 SEMMA shall generate and provide to Client regular reports (collectively, the "Reports") on analyses of health benefit utilization and costs. 1.1.4 SEMMA will work to digitally transform the annual health benefit design process the City of South fiend HR department utilizes. This will be done by leveraging the City of South Bend data sources provided to SEMMA, including but not limited to: medical claims, prescription claims, HRIS data, workers' compensation data, near site clinic data; SEMMA's data platform; and industry knowledge. 1.1.5 SEMMA will provide targeted analyses related to the post, current, & projected health benefit usage of the City of South Bend plan members. Page 9 1 14