Professional Services Agreement - New Avenues Inc - Citys Employee Assistance Program

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City of South Bend EAP Addendum 1 Page 1 of 2 September 13, 2018, amended October 15, 2018 DEFINITION OF ELIGIBILITY For The New Avenues Employee Assistance Program City of South Bend (hereinafter, referred to as "Company") shall include employees of City of South Bend. The Company retains the authority to define the parameters of eligibility for utilization of the EAP. Please note that it is the Company's responsibility to notify New Avenues of any changes of these assumptions of eligibility and to submit a monthly employee eligibility list (in our suggested electronic format) no later than the 161" of each month. This is necessary so that New Avenues can administer the EAP service according to the Company's needs. Basic assumptions of eligibility are suggested but not limited to the following: Definition of Eligibility All eligible employees and their immediate family members living in the household of the employee may initiate and/or participate in the Employee Assistance Program (EAP) counseling process. Immediate Family is defined as one's spouse, domestic partner, parents, grandparents, children (natural), adopted children, step -children, grandchildren, siblings, and immediate in-laws (mother-in-law, father-in-law, brother-in-law and sister -in - la w). The Company has determined specific employee groups who are eligible for the EAP to include all active full-time and benefitted part-time employees; includes immediate family members including same -sex domestic partners. Regular part-time, seasonal, temporary, interns or contractual employees are not eligible for the EAP. The Company will submit to New Avenues on a monthly basis the list of covered employees. It is recognized that the EAP is extended to more employees than those who elect the insurance program. College Students A college student, living outside of the home, shall be eligible for receiving EAP services, if the EAP has a provider in the college's community. Children of Employees who are Not Residing in the Home of the Employee Dependent children who are not residing in the home`of the employee are eligible up to age 26 if they are on the employee's health insurance. Other Individuals Living in the Home of the Employee who are Not Part of the Immediate Family . Other persons living in the home of the employee may be seen if the employee is actively participating in the counseling process.