Per Employee Per Month. This rate includes the following services, more fully documented in Exhibit A and the Agreement: Service Rate Eight-session Employee Assistance Program and Telephonic WorkLife services $ 2.25 per employee per month Additional services not specifically covered by this contract will be billed at then current rates. EMPLOYEE ASSISTANCE PROGRAM COMBINED EVIDENCE OF COVERAGE AND DISCLOSURE FORM TABLE OF CONTENTS I. DEFINITIONS 2 II. HOW TO OBTAIN BENEFITS 3 III. EMERGENCY SERVICES 3 IV. CRISIS INTERVENTION 4 V. PREPAYMENT OF FEES 4 VI. CHOICE OF EAP PROVIDERS 4 VII. FACILITIES 4 VIII. LIABILITY OF PLAN / MEMBERS 5 A. Liability of Plan 5 B. Liability of Members 5
Per Employee Per Month. Critical Incident Stress Debriefings for Public Safety personnel for traumatic events (if requested) EXHIBIT C
Per Employee Per Month. (PEPM) cost per utilizing member as well as per all members
