HomeMy WebLinkAboutContract 54971-A1R1First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 1 of 10
FIRST AMENDMENT AND FIRST RENEWAL TO
FORT WORTH CITY SECRETARY CONTRACT NO. 54971
This First Amendment to Fort Worth City Secretary Contract No. 54971 (“First
Amendment”) is made between the City of Fort Worth (“Fort Worth” or “Customer”) and Aetna
Behavioral Health LLC (“Vendor” or “Company”).
WHEREAS, Fort Worth and Vendor entered into an Agreement identified as Fort Worth
City Secretary Contract No. 54971 for Vendor to administer City’s Employee Assistance Program
(the “Agreement”); and
WHEREAS, it is the collective desire of both Fort Worth and Vendor to amend the
Agreement to increase the compensation authority under the Agreement, as authorized by City of
Fort Worth Mayor and Council Communication No. 20-0444 (June 23, 2020); and
WHEREAS, it is the collective desire of both Fort Worth and Vendor to renew the
Agreement for its first renewal term from January 1, 2024 to December 31, 2025.
NOW THEREFORE, known by all these present, Fort Worth and Vendor, acting herein by
and through their duly authorized representatives, agree to the following terms, which amend and
renew the Agreement as follows:
1.Section 3, Compensation; Service Fees; Renewals. is deleted and replaced in its
entirety with the following:
Customer shall pay Company an amount up to One Hundred and Sixty-Five
Thousand Dollars ($165,000.00) for year 1 of the initial term of the Services
Agreement, One Hundred Seventy-Five Thousand Dollars ($175,000.00) for year
2 of the initial term of the Services Agreement, One Hundred Eighty-Six Thousand
and Two Hundred and Fifty Dollars ($186,250.00) for year 3 of the initial term of
the Services Agreement, One Hundred Ninety-Six Thousand and Two Hundred and
Fifty Dollars ($196,250.00) for renewal 1 (optional year 4), and One Hundred
Ninety-Six Thousand and Two Hundred and Fifty Dollars ($196,250.00) for
renewal 2 (optional year 5). Company shall not perform any additional services for
the Customer not specified by this Agreement unless the Customer requests and
approves inwriting the additional costs for such services. Customer shall not be
liable for any additional expenses to Vendor not specified by this Agreement unless
Customer first approves such expenses in writing. Customer agrees to pay all
invoices of Vendor within thirty (30) days of receipt of such invoice. The Service
Fees payable by Customer to Company for the Services shall be determined in
accordance with the Domestic EAP Service and Fee Schedule. No Services other
than those identified in the Domestic EAP Service and Fee Schedule are included
in the Service Fees. Both the Services to be provided by Company and the Service
Fees may be amended by Company by mutual agreement of the parties.
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 2 of 10
2. The Agreement is hereby amended by replacing the “DOMESTIC EAP
SERVICE AND FEE SCHEDULE”of the Agreement in its entirety with the attached
“DOMESTIC EAP SERVICE AND FEE SCHEDULE” for the first renewal term.
3. The Agreement is hereby renewed for its first renewal term, from January 1, 2024
to December 31, 2025.
4. All other terms, provisions, conditions, covenants, and recitals of the Agreement
not expressly amended herein shall remain in full force and effect.
[Signature Page Follows]
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 3 of 10
Executed effective as of the date signed by the Assistant City Manager below.
FORT WORTH:
City of Fort Worth
By: ___________________________
Name: ___________________________
Title: Assistant City Manager
Date: ___________________________
Approval Recommended:
By: ___________________________
Name: ___________________________
Title: ___________________________
Attest:
By: ___________________________
Name: ___________________________
Title: City Secretary
Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
By: ___________________________
Name: ___________________________
Title: ___________________________
Approved as to Form and Legality:
By: ___________________________
Name: Jessika Williams
Title: Assistant City Attorney
Contract Authorization:
M&C: 20-0444 (06/23/20)
VENDOR:
Aetna Behavioral Health LLC
By: ___________________________
Name: Brooke Wilson_______________
Title: Head of EAP-Resources for Living
Date: December 20, 2023____________
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 4 of 10
DOMESTIC EAP SERVICE AND FEE SCHEDULE
Customer hereby elects to receive the Services, within the 50 U.S. states only, including Puerto
Rico, U.S. Virgin Islands, and District of Columbia, as designated below. The below Service Fees
shall be in effect for two (2) years, beginning upon January 1, 2024, and, thereafter, if the
Agreement is extended by the parties for any additional successive term, such Service Fees shall
be reasonably negotiated by the parties for such successive term. Notwithstanding the immediately
preceding sentence, the below Service Fees shall be amended by Company, from time to time in
accordance with the terms of this Service and Fee Schedule.
Services Service Fees
EAP Session Model
Unlimited Telephonic Access
with
Up to 6 counseling sessions with an EAP
Network Provider or televideo provider,
delivered via face-to-face, telephonically,
or televideo per problem per contract year
$1.88 PE/PM
Worklife Services, including Caregiving
Services, Personal Services
Legal and Financial Services
Identity Theft Services
Core Member Website
Included in the EAP Session Model PE/PM.
Intake Model
Standard Model
Included in the EAP Session Model PE/PM.
Critical Incident Support/Critical Incident
Stress De-Briefing (CISD) Services—Standard
Services (On-site attendance response time in
greater than 3 hours)
Unlimited Standard CISD Services: Unlimited
Standard CISD sessions are included in the EAP
Session Model PE/PM Rate. CISD Services are
limited to 10 hours per incident. Immediate
CISD’s are subject to the fees described
below. Issues concerning downsizing, mergers,
acquisition activities (i.e. Reductions in Force or
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 5 of 10
Services Service Fees
RIF’s)or services beyond the 10 hour cap, are
subject to the hourly rate of $285.00 per hour plus
travel and preparation expenses reimbursed at a
flat rate of $180.00 per counselor.
CISD hours used, whether fee for service and/or
within the bank of standard hours, are calculated
based upon the combined total number of hours all
clinicians are on-site.
Critical Incident Support/Critical Incident
Stress De-Briefing (CISD) Services—
Immediate Services (On-site attendance
response time in 3 hours or less)
Fee for Service Immediate CISD
Pricing: $385.00 per hour plus travel and
preparation expenses reimbursed at a flat rate of
$180.00 per counselor.
CISD hours used, whether fee for service and/or
within the bank of standard hours, are calculated
based upon the combined total number of hours all
clinicians are on-site.
Critical Incident Support/Critical Incident
Stress De-Briefing (CISD) Cancellation Fee
Whenever possible, Customer agrees to provide
Company with 48 hours advance notice of
cancellation of any requested Workplace Crisis
Response Services. Failure to provide Company
with 48 hours’ notice of cancellation of any
services:
Unlimited Standard CISD Services
Cancellation Fee:Services which are
excluded from the unlimited provision
listed above, i.e. above the 10 hours per
incident cap, immediate CISD services,
downsizings, mergers, acquisition activities
(i.e. Reductions in Force or RIF’s) which
are subject to the hourly rate, will result in a
charge of $440.00 per incident.
Reduction in Force
Fee for Service Reduction in Force
Pricing: $285.00 per hour plus travel and
preparation expenses reimbursed at a flat rate of
$180.00 per counselor.
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 6 of 10
Services Service Fees
Reduction in Force Cancellation Fee
Reduction in Force Cancellation Fee:$440.00
per incident charge for failure to provide Company
with 48 hour notice of cancellation of Reduction in
Force service.
Training and Education
Bank of Training Hours: 11 hours of Training
and Education are included in the EAP Session
Model PE/PM Rate. Training and Education
services may be on-site, or for web-based seminars
up to 50 participants. For webinars with more than
50 participants, an additional charge of $25.00
applies for each additional 25 participants up to a
maximum of 200 participants. Additional
Training and Education sessions are $250.00 per
hour for the total amount of time that the educator
is on site, plus a $150.00 per hour charge for travel
and preparation time. If training is not scheduled
consecutively or multiple topics are scheduled,
additional travel and preparation costs may apply
or additional hours may be deducted from the
bank. These capitated hours will be used for the
total amount of time that the educator is on site.
Sessions less than one (1) hour in duration will
count as one (1) hour of Training and Education.
If Customer requests a specific educator, or an
educator with specific qualities, including but not
limited to specialized certifications, experiences or
language, Customer will be billed any additional
incurred fees beyond the hourly fee above or have
hours deducted from bank.
In addition, if Customer cannot accommodate the
schedule/availability of a local Company
contracted educator, requiring that the services of
an educator 50 miles away or greater from the
Customer location is necessary, then Customer
will be billed any additional incurred fees beyond
the hourly fee above or have hours deducted from
bank.
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Services Service Fees
Training and Education Cancellation Fee
Failure to provide Company six (6) business days’
notice of cancellation of a previously scheduled
training program may result in a charge of:
Bank of Training Hours Training
Cancellation Fee: Services which are
included in the bank of capitated hours
described above, will result in the
deduction of a number of hours from the
bank, equal to the number of cancelled
hours. When the bank of hours has been
exhausted, fee for service training
cancellation fee of $375.00 per hour
applies.
Mental Health First Aid Training
Please contact your Account Executive for Mental
Health First Aid pricing should you require these
services.
Corporate Level
6-Hour Course In-Person (30 participant
maximum)
- This option provides six (6) hours of
standard Mental Health First Aid
curriculum. Fee includes all instructor fees,
travel, and customization for delivery
locations within continental United
States. Additional travel and expenses
may apply for delivery locations in Alaska
and Hawaii.
4-Hour Course In-Person (30 participant
maximum)
- This option provides four (4) hours of
standard Mental Health First Aid
curriculum. Fee includes all instructor fees,
travel, and customization for delivery
locations within continental United
States. Additional travel and expenses
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 8 of 10
Services Service Fees
may apply for delivery locations in Alaska
and Hawaii.
6-Hour Course –two hours self directed
preparation + four hours instructor led training
Virtual (15 participant minimum and maximum)
-This option provides six (6) hours (2 hours
self-directed pre-work + 4 hours of
instructor led training) of standard Mental
Health First Aid curriculum. Fee includes
all instructor fees and customization.
4-Hour Course Virtual (Minimum of 15
participants and Maximum of 25 participants)
- This option provides four (4) hours of
standard Mental Health First Aid
curriculum. Fee includes all instructor fees
and customization.
Mental Health First Aid Cancellation Fee
Schedule
If the Customer cancels for any reason within 30
days from the training date, the Customer will be
responsible for cancellation fees
as follows:
50% of the total fee 15-30 days prior to the
scheduled date of training.
100% of the total fee 0-14 days prior to the
scheduled date of training.
Rescheduling Fee: 25% of the total fee 0-30 days
prior to the scheduled date of the training.
Here4U Events
Fee for Service Here4U Event: $700 per event
per hour. Here4U event has a maximum capitation
of 25 participants (Participant is defined as one
individual logging into web-based platform).
Rates are viable for 1 contract year
Failure to provide Company six (6) business days’
notice of cancellation of a previously scheduled
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 9 of 10
Services Service Fees
Fee for Service Here4U event will result in a
charge of:
Fee for Service Here4U Cancellation
Fee: $550.00 per hour for services which
are provided on a fee for service basis and
which are subject to the hourly rate.
Requests made to reschedule an event will be
treated the same as a cancellation if not providing
the sufficient six business days’ notice. Please
speak with your Account Executive if you have
any questions regarding cancellation fees.
Drug Free Workplace Services
Substance Abuse Case Management by a
Substance Abuse Professional (SAP)
and/or for Department of Transportation
regulation compliance
and
DOT training to meet Drug-Free
Workplace regulations regarding drug and
alcohol awareness
$750.00 per case
and
DOT Alcohol and Drug-Free Workplace for
Supervisors Training to meet Drug-Free
Workplace regulations regarding drug and alcohol
use. Additional fees may be added on to the base
rate for DOT training. These fees will be assessed
on a case-by-case basis and are dependent upon
travel expenses and for classes that exceed 50
participants.
• DOT Supervisor Training - 2 hours at $800
DOT Alcohol and Drug-Free Workplace for
Employees Awareness Training (Note: this
training does not meet Drug-Free Workplace
regulations regarding drug and alcohol use.)
Additional fees may be added on to the base rate
for DOT training. These fees will be assessed on a
case-by-case basis and are dependent upon travel
expenses and for classes that exceed 50
participants.
First Amendment and First Renewal to Fort Worth City Secretary Contract No. 54971 Page 10 of 10
Services Service Fees
• DOT Employee Training - 1 hour at $400
Company also may adjust Service Fees effective as of the date on which any of the following
occurs.
(1) If, for any Service, there is a 20% change in the number of Employees from the number of
Employees assumed in Company’s quotation as of the Effective Date of this Services
Agreement.
(2) Change in Services—A material change in Services is requested or initiated by the Customer
or by legislative action.
(3) Premium Taxes or Assessments—If legislative or regulatory action results in the assessment
of premium taxes or other like charges as it concerns those Services provided under the terms
of this Agreement.