HomeMy WebLinkAboutContract No. 1826 Employee Assistance Program Agreement: CIGNANovember 14, 2008
Dear Baby,
CIGNA Behavioral Health
Attached please find fully the executed Employee Assistance Program agreement for City
of Farmers Branch. This copy is for your files.
Please let me know if you have any questions or if there is anything that I can do for you..
Kind regards,
Wra
Debra A. Usry
Account Manager, Health Solutions
CIGNA
4621 Hunter Circle
Chattanooga, TN 37415
423.870 -0975 - phone
866.522.1837 - fax
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COVER SHEET TO
AGREEMENT FOR EMPLOYEE ASSISTANCE PROGRAM SERVICES
Employer's Name City of Farmers Branch ( "Employer ")
Employer's Address 13000 William Dodson Parkway, Dallas, TX 75234
Employer's Contact Person Baby Raley
CIGNA Behavioral Health, Inc.'s Name CIGNA Behavioral Health, Inc. ( "CIGNA Behavioral ")
CIGNA Behavioral Health, Inc.'s Address 11095 Viking Drive, Suite 350, Eden Prairie, MN 55344
CIGNA Behavioral Health, Inc.'s Contact Person Keith Dixon, President
Agreement Effective Date January 1, 2009
Effective Date of Amendment Effective by Cover Sheet N/A
Fee for Service Included in the premium paid for LTD policy
Number of Employer Account Service Hours 10 per 1000 employees
Number of Visits Available Per Episode For Clinical Services 3
Other
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IN WITNESS WHEREOF the parties hereto have caused this Cover Sheet to be executed as of the Effective
Date shown on this Cover Sheet.
Y:
Name: �•,,� 17, �+r -�ca^
Title: O'+,,, 1'Ylar�ae,ear-
Date:
WITH RESPECT TO THE PRIVACY
ADDENDUM (EXHIBIT 5) ONLY:
*GROUP HEALTH PLAN (EMPLOYER'S PLAN)
Bv:g --,'- _. a'Celi "
20- 7N:L�:A
IN
Date: 10f 01 x008
CIGNA BEHAVIORA HEALTH, INC.
By:
Name: Keith Dixon
Title: President
Date: )11-7 /bq
* Group Health Plan is a defined term under
HIPAA (see 45 C.F.R. 160.103). It generally
refers to an employee welfare benefit plan
maintained by an employer for its employees.
Typically, an Employer (Plan Sponsor) will
designate an individual or a committee to carry out
Group Health Plan. An individual so authorized to
act on behalf of the Group Health Plan should sign
here.
AGREEMENT FOR EMPLOYEE ASSISTANCE PROGRAM SERVICES
Agreement made as of the date set forth as the Effective Date on the Cover Sheet to this Agreement between
CIGNA Behavioral and the Employer identified on the Cover Sheet to this Agreement as Employer.
WITNESSETH:
WHEREAS, Employer wishes CIGNA Behavioral to provide Employee Assistance Program ( "EAP ")
services to Employer's employees and their dependents ( "Participants "); and
WHEREAS, CIGNA Behavioral wishes to provide its EAP services for Participants
NOW, THEREFORE, in consideration of the mutual promises set forth herein, Employer and CIGNA
Behavioral agree as follows:
I. Responsibilities of CIGNA Behavioral
EAP - Services
1.1. Clinical Service: For mental health, alcoholism or drug abuse service ( "Clinical Service "), CIGNA
Behavioral shall provide assessment, referral and/or short-term problem resolution sessions, up to the
maximum number of visits per assessed problem ( "Episode ") as set forth on the then effective Cover Sheet,
per calendar year. It is considered to be a continuation of the same Episode if a Participant presents within
four (4) months of the date on which the Participant's case for the same or a similar issue was closed.
1.2. Life Events Services: For family care, legal /financial information, Healthy Rewards (telephonic),
,and Emotional Well -Being Online (Awareness Series, Frequently Asked Questions, Article Library,
AccessCare which includes initial registration, online eligibility check, self - assessment tool, and Provider
Directory and Search vehicle), CIGNA Behavioral shall provide assessment and referral services as
requested by Participant or Employer. Legal assessment and referral services are not available to
Participants if the issue is related to a potential cause of action against Employer. Online behavioral health
services ( "Online Services "), shall be provided pursuant to the terms of Exhibit 1 of this Agreement. Any
additional services ( "Menu Options ") purchased by Employer are attached hereto as Exhibit 4 of this
Agreement.
1.3. Services shall be provided by CIGNA Behavioral through its employees and/or independent
contractors. CIGNA Behavioral employees and/or contractors shall look solely to CIGNA Behavioral for
payment for assessment, referral and/or short-term problem resolution services provided pursuant to this
Agreement. Participants may access services from CIGNA Behavioral through a toll -free telephone number
maintained by CIGNA Behavioral twenty -four (24) hours a day, seven (7) days a week.
1.4. Participant calls to the CIGNA Behavioral toll -free number shall be handled by a personal advocate
who shall refer the Participant to an appropriate resource.
A. For Clinical Services, CIGNA Behavioral shall offer an appointment within two (2) business
days with a local counselor. In a Clinical Services' emergency, trained clinicians shall be
available at CIGNA Behavioral to telephonically address the situation and to make a referral
to a local counselor or crisis intervention center for assessment, referral and /or short-term
problem resolution.
B. For Life Events Services, CIGNA Behavioral may refer Participant to contracted specialty
firms or to local resources for assessment and referral. Legal services shall include, at no
charge to Participants, an initial thirty (30) minute consultation. Participants shall be
responsible for all other costs of services provided pursuant to a referral. Contracted specialty
firms might offer Participant a discount rate.
1.5. For Clinical Services, CIGNA Behavioral shall maintain a nationwide network of local mental health
and substance abuse counselors who shall assess the problem, provide short-term problem resolution and /or
guide the Participant to appropriate local treatment resources.
1.6. Fees for Clinical Services other than assessment, referral and short -term problem resolution services
within the maximum number of visits per Episode as shown on the Cover Sheet shall be the Participant's
responsibility. CIGNA Behavioral shall not represent to the Participant that CIGNA Behavioral's
identification of or referral to treatment resources constitutes coverage under the provisions of Participant's
medical coverage plan.
1.7. CIGNA Behavioral shall provide Account Services as set forth in Exhibit 2
1.8. Unless otherwise agreed upon by the parties, CIGNA Behavioral, at its expense, shall supply to
Employer the communication materials related to EAP services set forth in Exhibit 3. CIGNA Behavioral
shall deliver all communication materials to one location, unless otherwise agreed upon in advance by the
parties.
1.9. CIGNA Behavioral shall provide reports concerning utilization of EAP services by Participants on a
quarterly basis to Employer. Individually identifiable Participant information shall be the property of
CIGNA Behavioral. Without the appropriate written consent of the Participant, CIGNA Behavioral shall
provide no information to Employer or any third party that includes any Participant specific identifiable
information.
1.10 CIGNA Behavioral and Employer agree not to use for any purposes other than the performance of
this Agreement or to disclose to others any confidential or proprietary technical or business information of
the other party obtained in connection with the performance of any services rendered, without the prior
written consent of the other party. Each party shall treat and shall require its employees to treat as strictly
confidential all such technical and business information it has learned in the course of this Agreement, and in
discussions and proposals leading up to this Agreement. The provisions of this section shall survive the
termination of this Agreement. CIGNA Behavioral shall maintain as confidential all patient identifiable
information received in the course of performing services under this Agreement, and shall not use or disclose
such information except as may be permitted or required under applicable state and federal law.
1.11. CIGNA Behavioral shall provide management consultations to supervisors who request assistance for
work related problems of employees. CIGNA Behavioral shall provide assistance with mandatory referrals
for employees who are required, under continuation of employment, drug free workplace or other workplace
policies, to receive an assessment under the EAP. However, CIGNA Behavioral shall not nor shall any of its
network of providers provide advice and /or make a determination regarding an employee's (a) ability to
safely perform the functions of his/her job, (b) ability to return to work after a medical disability, involuntary
suspension from duties or administrative leave of absence, and/or (c) potential for workplace violence. No
individually identifiable employee information concerning the employee's treatment shall be provided
without the employee's written consent on a form approved by CIGNA Behavioral.
II. Responsibilities of Employer
2.1. Employer shall distribute to employees the communication materials described in paragraph 1.8
above, at Employer's expense and shall cooperate with CIGNA Behavioral in other reasonable efforts to
otherwise communicate with Participants concerning the services available to them pursuant to this
Agreement.
2.2. Employer shall inform CIGNA Behavioral of Employer's management policies and procedures that
guide supervisors in handling employees with performance concerns in order for CIGNA Behavioral to
provide the training set forth in Exhibit 2. CIGNA Behavioral assumes no responsibility for the legal
appropriateness of such policies and procedures.
2.3. Employer shall compensate CIGNA Behavioral for services provided under this Agreement in the
amount shown on the then effective Cover Sheet. Employer agrees to pay CIGNA Behavioral on the first
day of each covered month. Payments by Employer shall be sent to CIGNA Behavioral at the address set
forth on the then effective Cover Sheet to this Agreement.
2.4. The amount set forth on then effective Cover Sheet shall not include any state premium, sales, use
tax, or similar tax (including penalties or interest thereon) assessed on the basis of the services provided by
CIGNA Behavioral pursuant to this Agreement.
2.5. CIGNA Behavioral shall have the right to revise CIGNA Behavioral's fees and/or the number of
hours available to Employer as Employer Account Services (i) twenty-four (24) months from the effective
date of this Agreement, (ii) at any time thereafter, but no more frequently than once every twelve (12)
months after the initial twenty-four (24) month term, by giving Employer not less than thirty (30) days' prior
written notice, and (iii) when the number of employees varies by more than 10% from the number included
on the first CIGNA Behavioral billing for the initial twenty -four (24) month term and each subsequent
twelve (12) month period of the Agreement.
III. Miscellaneous Provisions
3.1. All notices required or permitted to be given under this Agreement shall be in writing and addressed
to the address and contact person set forth on the then effective Cover Sheet to this Agreement and mailed
through the United States mail or private mail delivery service. Notices shall be effective upon receipt by
the party to which they are addressed.
3.2. No amendment of any of the provisions of this Agreement shall be binding on either party unless in
writing and signed by the duly authorized representatives of both parties. Amendments to items contained
on the then effective Cover Sheet shall be effected by the execution of a revised Cover Sheet showing the
effective date of the revised Cover Sheet and signed by both parties.
3.3. This Agreement is nonassignable without the written consent of the other party, except that CIGNA
Behavioral may assign the Agreement to a CIGNA affiliate. Any attempted assignment without such
consent shall be void.
3.4. No failure by either party at any time or for any period of time to insist upon full performance by the
other party shall be deemed a waiver of any duty owed by the other party to the non - objecting party.
3.5. Employer hereby delegates to CIGNA Behavioral the authority, responsibility, and discretion to
determine all questions of eligibility and status under the EAP, to interpret and construe the provisions of the
EAP as necessary to reach factually supported conclusions and to make a full and fair review of each claim
for EAP benefits which have been denied by CIGNA Behavioral pursuant to the requirements of the
Employee Retirement Income Security Act of 1974, as amended ( "ERISA "). CIGNA Behavioral assumes
no responsibility for Employer's ERISA plan except as set forth in this section.
3.6. This Agreement contains the entire agreement between Employer and CIGNA Behavioral with
respect to the services provided hereunder, and supersedes any and all prior discussions or agreements,
written or oral, with respect thereto.
3.7. The parties agree to submit any disputes or claims arising out of or related to this Agreement to
binding arbitration pursuant to the commercial arbitration rules of the American Arbitration Association and
to conduct such an arbitration in the city of Minneapolis, Minnesota. There shall be a single arbitrator
chosen by both parties within thirty (30) days after notice to arbitrate a claim is received by the party against
whom arbitration is sought. If the parties are unable to agree upon a single arbitrator within that thirty (30)
day period, the arbitrator shall be appointed by the American Arbitration Association. Judgment may be
entered upon the award of the arbitrator. Cost of the arbitration shall be borne equally by the parties unless
the arbitrator's award directs otherwise.
3.8. This Agreement shall remain in effect from the Effective Date until terminated by CIGNA
Behavioral upon Employer's failure to pay CIGNA Behavioral as provided in Section 2.3, or by either party
with sixty (60) days' prior written notice to the other party.
3.9 This Agreement shall be governed by, and shall be construed in accordance with all applicable
federal laws, including ERISA, and the laws of the state of
3.10 The terms of Exhibit 5, Privacy Addendum, shall be incorporated herein
IV. Liability and Indemnity
4.1. In the event that CIGNA Behavioral, its officers, directors, employees or agents are made parties to
any judicial or administrative proceeding arising in whole or in part out of any function negligently
performed by the Employer, including the functions and obligations set forth in the Privacy Addendum, then
the Employer shall indemnify and hold CIGNA Behavioral harmless for any and all judgments, settlements,
and costs (including reasonable attorneys' fees) which CIGNA Behavioral incurs or pays in connection
therewith except that Employer shall not be required to reimburse for such amounts if the court rendering the
judgment or the agency making the award determines that the liability underlying the judgment or award (or
attorneys' fees with respect thereto) was caused by the negligence, fraud or criminal conduct of CIGNA
Behavioral, its agents, employees, officers or directors.
4.2 In the event that Employer, its officers, directors, employees, agents or affiliates are made parties to
any judicial or administrative proceeding arising in whole or in part out of any function negligently
performed by CIGNA Behavioral, including the functions and obligations set forth in the Privacy
Addendum, then CIGNA Behavioral shall indemnify and hold Employer harmless for any and all judgments,
settlements and costs (including reasonable attorneys' fees) which Employer incurs or pays in connection
therewith except that CIGNA Behavioral shall not be required to reimburse for such amounts if the court
rendering the judgment or the agency making the award determines that the liability underlying the judgment
or award (or attorneys' fees with respect thereto) was caused by the negligence, fraud or criminal conduct of
Employer, its agents, affiliates, employees, officers or directors.
4.3 In the event that the parties have been found jointly and severally liable to a third party, liability shall
be apportioned consistent with the relative degree of fault of each party.
4.4 In the event litigation is instituted by a third party against the Employer and /or CIGNA
Behavioral concerning any matter under the Plan, each party to this Agreement shall have sole authority to
select legal counsel of its choice.
4.5 The indemnifications provided for by the foregoing paragraphs shall survive the termination of this
Agreement.
EXHIBIT 1
ONLINE SERVICES
1. Online Services
Online Behavioral Health Services are offered as a supplement to the other behavioral
health services furnished under this Agreement. These Online Services provide one more
way for Participants to get information and help; however, these Online Services:
• Are NOT a substitute for therapy
• Are NOT a means of requesting or delivery of crisis services, and
• Do NOT come with a guarantee of any effect on the utilization of other
services, such as therapy, in- patient services or health care services.
Confidentiality
The parties recognize that the Online Services are most effective if Participants perceive
them — and the services actually are — confidential. Consequently, Employer agrees that:
• Employer will not institute systems or policies that involve tracking specific use
(e.g. specific topics explored) of the Online Services by its Participants.
3. Access
CIGNA Behavioral and Employer acknowledge that Employer has sole responsibility for
determining the balance to be allowed during working hours and on Employer's work
sites of Participant activity to be devoted solely to work activities versus Participant
activity that may be devoted to personal topics (including, for example, lunch).
Employer acknowledges that the Online Services are intended to increase Participant
morale and productivity by providing ready access to useful resources on topics that may
be draining Participant energy and attention. Employer further acknowledges that in
some circumstances, the only safe or convenient access to the Online Services might be
on the work site or during work hours (e.g. in cases of domestic abuse). Employer agrees
to develop its policy on use of the Online Services during work hours and using
Employer equipment and to communicate that policy to its Participants during the course
of communicating the availability of the Online Services.
4. Communications Materials
Employer agrees that any of its communications with its Participants or with any other
third party describing the Online Services will be consistent with the Online Services
descriptions supplied by CIGNA Behavioral and/or the entity hosting the Online Services
( "Online Services Provider ").
5. Copyright
Employer acknowledges that the Online Services Provider has copyright interests in the
material available through the Online Services. Employer acknowledges further that the
material available through the Online Services is not to be considered in the public
domain, or to be other than a published work with all rights reserved under the
Intellectual Property Laws. Employer agrees not to remove any copyright notices in
favor of the Online Services Provider on any electronic or hardcopy materials. Employer
agrees not to copy the material available through the Online Services for any purpose
whatsoever, except as may be necessary to a) make purchase decisions concerning the
Online Services or b) communicate the availability of the Online Services to Participants.
(By way of example and not by way of limitation, Employer shall not copy materials off
the Online Services and use them as handouts during employee and/or manager training
programs unless the materials are specifically so marked as available for such use.)
Employer agrees not to take any action inconsistent with the copyright and trademark
ownership rights of the Online Services Provider related to the Online Services.
6. Limitations of Liability
NEITHER CIGNA BEHAVIORAL NOR THE ONLINE SERVICES PROVIDER
MAKES ANY WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO THE
ONLINE SERVICES, AND BOTH CIGNA BEHAVIORAL AND THE ONLINE
SERVICES PROVIDER EXPRESSLY DISCLAIMS ANY AND ALL OTHER
WARRANTIES, WHETHER EXPRESS OR IMPLIED, INCLUDING ALL
WARRANTIES OF MERCHANTABILITY AND WARRANTIES OF FITNESS FOR A
PARTICULAR PURPOSE WITH RESPECT TO THE ONLINE SERVICES.
NEITHER CIGNA BEHAVIORAL NOR THE ONLINE SERVICES PROVIDER
SHALL BE LIABLE FOR ANY SPECIAL, INDIRECT, INCIDENTAL,
CONSEQUENTIAL OR EXEMPLARY DAMAGES ARISING FROM THE USE OF
THE ONLINE SERVICES.
EXHIBIT 2
EMPLOYER ACCOUNT SERVICES
Employer is entitled to utilize, for the delivery of the Employer Account Services listed below,
the number of hours set forth on the then effective Cover Sheet to this Agreement in each twelve
month period from the Effective Date of this Agreement. Pro -rata adjustments in this number of
hours may be computed pursuant to Section 2.5 of this Agreement.
* Employee Orientation Sessions
* Management/Supervisory Training Sessions
* Educational /Wellness Seminars
* Critical Incident Response Services
* Other Employer Account Services - Employer Account Services requested by
Employer for which CIGNA Behavioral notifies Employer that those services
shall be counted against Employer Account Services' hours, including but not
limited to, executive briefings, reduction in workforce counseling, and Employer's
on -site EAP promotional activities conducted by CIGNA Behavioral EAP
managers or CIGNA Behavioral contracted EAP affiliates.
Delivery of these Employer Account Services shall be as agreed upon by the parties. In the
event Employer does not utilize or only partially utilizes these Employer Account Services'
hours during the twelve (12) month period to which they relate, Employer shall not be entitled to
any refund or account credit, or to carry those hours forward. If Employer cancels its request for
these services or reduces the number of hours initially requested after an independent provider
has been secured by CIGNA Behavioral, CIGNA Behavioral shall deduct that number of hours
the provider had been secured from Employer Account Services' hours.
Additional Employer Account Services' hours may be purchased by Employer from CIGNA
Behavioral at CIGNA Behavioral's then current fee - for - service rates for such Employer Account
Services. Delivery of these additional Employer Account Services' hours shall be as agreed
upon by the parties.
EXHIBIT 3
EAP COMMUNICATION MATERIALS
Employee Brochures: a. For the initial twelve (12) month period from the
Effective Date of this Agreement: 1 for each employee
eligible for EAP services.
b. In each subsequent twelve (12) month period of this
Agreement: 1 for 40% of employees eligible for EAP
services.
Participant Wallet Cards: 2 for each employee
Poster: 1 poster for every 100 employees at each
Employer location
In the event Employer does not utilize or only partially utilizes these EAP Communication
Materials during the twelve (12) month period to which they relate, Employer shall not be
entitled to any refund or account credit, or to carry any quantities forward.
EXHIBIT 4
MENU OPTIONS****
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* * ** Only those additional Menu Options purchased by Employer will be listed on this page.
EXHIBIT 5
PRIVACY ADDENDUM
I. GENERAL PROVISIONS
Section 1. Effect. Effective as of , 200, the terms and provisions of this Addendum are incorporated
in and shall supersede any conflicting or inconsistent terms and provisions of the Agreement for Employee
Assistance Program Services to which this Addendum is attached, including all exhibits or other
attachments thereto and all documents incorporated therein by reference (the "Agreement "), except for any
provisions of the Agreement which are more stringent regarding the use or disclosure of PHI by CIGNA
Behavioral than this Addendum. Any such more stringent provisions in the Agreement shall prevail over
this Addendum. This Addendum sets out terms and provisions relating to the use and disclosure of
protected health information without written authorization from the individual.
Section 2. Amendment. CIGNA Behavioral, Employer (also referred to as "Plan Sponsor ") and the Group
Health Plan that is the subject of the Agreement (also referred to as "the Plan ") agree to amend this
Addendum to the extent necessary to allow either CIGNA Behavioral or the Group Health Plan to comply
with the Privacy Rules (45 C.F.R. Parts 160 and 164), the Standards for Electronic Transactions (45 C.F.R.
Parts 160 and 162) and the Security Standards (45 C.F.R. Part 142) (collectively, the "Standards ")
promulgated or to be promulgated by the Secretary and all other applicable regulations or statutes. CIGNA
Behavioral, Employer and the Group Health Plan will fully comply with all applicable Standards and will
amend this Addendum to incorporate any material required by the Standards.
Section 3. Definitions. Capitalized terms used herein without definition shall have the respective meanings
assigned to such terms in Part IV of this Addendum.
H. OBLIGATIONS OF CIGNA BEHAVIORAL
Section 1. Use and Disclosure of Protected Health Information. CIGNA Behavioral may use and
disclose Protected Health Information, ( "PHI ") only as required to satisfy its obligations or as permitted
under the Agreement, or as permitted or required by law, but shall not otherwise use or disclose any
Protected Health Information. CIGNA Behavioral shall not use or disclose, and shall ensure that its
directors, officers and, employees do not use or disclose, Protected Health Information in any manner that
would constitute a violation of the Privacy Standards if done by the Group Health Plan, except that CIGNA
Behavioral may use and disclose Protected Health Information (i) for the proper management and
administration of CIGNA Behavioral, (ii) to carry out the legal responsibilities of CIGNA Behavioral or
(iii) to provide Data Aggregation services relating to the health care operations of the Group Health Plan.
Section 2. Disclosure of Protected Health Information to Group Health Plan Sponsor.
(a) The Group Health Plan acknowledges and agrees that the Privacy Rules allow the Group Health Plan
to permit CIGNA Behavioral to disclose or provide access to PHI, other than Summary Health
Information, to the Plan Sponsor only after the Plan Sponsor has amended its plan documents to provide
for the permitted and required uses and disclosures of PHI and to require the Plan Sponsor to provide a
certification to the Plan that certain required provisions have been incorporated into the Plan documents
before the Plan may disclose, either directly or through a business associate, such as CIGNA Behavioral,
any PHI to the Plan Sponsor. The Group Health Plan hereby warrants and represents that no PHI will be
provided to the Plan Sponsor nor to any of its employees, agents or other persons under its control.
Therefore no such Plan document amendments have been made nor any such certification received from
the Plan Sponsor.
Section 3. Other Information to Plan Sponsor or Plan. Upon the written request of Plan or Plan
Sponsor, CIGNA Behavioral will provide certain other information including, but not limited to,
information about CIGNA Behavioral's arrangements with health care providers ( "Other Information ") to
Plan Sponsor's designated employee. Plan Sponsor acknowledges that in receiving Other Information
under these provisions, it acts in its capacity as Plan Administrator, as that term is defined by the Employee
Retirement Income Security Act of 1974, as amended. Other Information will be kept confidential and will
be used by Plan Sponsor solely for the purpose of satisfying its fiduciary responsibilities with respect to
administration of the Plan, and will be handled and maintained in accordance with all fiduciary obligations
owed to participants in the Plan.
Section 4. Safeeuards Aeainst Misuse of Information. CIGNA Behavioral agrees that it will use
appropriate safeguards to prevent the use or disclosure of Protected Health Information other than as
allowed under the terms and conditions of this Addendum or as permitted or required by law.
Section 5. Reaortine of Violations. CIGNA Behavioral shall report to the Group Health Plan any use or
disclosure of the Protected Health Information not provided for by this Addendum of which it becomes
aware.
Section 6. Disclosures to and Aereements by Third Parties.
(a) CIGNA Behavioral shall ensure that each agent and subcontractor to whom it provides PHI received
from the Plan, or created by CIGNA Behavioral on behalf of the Plan agrees to substantially similar
restrictions and conditions with respect to Protected Health Information that apply to CIGNA Behavioral
pursuant to this Addendum.
(b) Upon Group Health Plan's or Employer's written request, CIGNA Behavioral will provide Protected
Health Information and /or Other Information to certain designated third - parties who assist in administering
the Plan and are authorized by the Group Health Plan to receive such information ( "Designated Third
Parties ") solely for the purpose of assisting in the carrying out of Plan administration functions. Such
parties may include, but are not limited to, third -party administrators, consultants, brokers, auditors,
successor administrators or insurers, and stop -loss carriers. Group Health Plan shall enter into and
maintain an agreement with each agent and subcontractor or other third party to which it directs CIGNA
Behavioral to disclose PHI under which such agent, subcontractor or other third party is legally bound by
substantially similar restrictions with respect to Protected Health Information that apply to CIGNA
Behavioral pursuant to this Addendum.
(c) It is acknowledged and agreed that the Privacy Rules require the Group Health Plan to maintain policies
and procedures to ensure that any PHI that it uses, requests or discloses be no more than the minimum
necessary to accomplish the intended purpose. The Group Health Plan hereby warrants and represents that
any requests that it makes for PHI to be disclosed to it or to any third parties will be for no more than the
minimum amount necessary for the intended purpose.
(d) Any other provision of this Addendum notwithstanding, CIGNA Behavioral may decline to disclose to
any third party any information which the Agreement provides may not be disclosed to the Employer.
Section 7. Access to Information.
(a) Request made to the Plan. When an individual requests access to PHI contained in a designated
record set and such request is made directly to the Plan or Employer, the Plan shall so notify CIGNA
Behavioral within two (2) business days of receipt of such request. CIGNA Behavioral shall make such
PHI available directly to the Participant within the time required in 45 C.F.R. Section 164.524.
(b) Request made to CIGNA Behavioral. If a Participant directs a request for access to PHI contained in
such designated record set to CIGNA Behavioral, CIGNA Behavioral will provide the PHI to the
individual within the time required in 45 C.F.R. Section 164.524.
(c) Responsibility for denials and responding to requests. In the case of either subsection (a) or (b) above,
the Plan delegates to CIGNA Behavioral the duty to determine, on behalf of the Plan, whether to deny
access to PHI requested and the duty to provide any required notices and review.
(d) Agent for the Plan. It is understood and agreed that in all activities performed pursuant to this section,
CIGNA Behavioral acts as agent of and on behalf of the Plan and /or Employer. When responding to an
individual's request for access, it may inform such individual of that fact and that there may be other PHI
about that individual created or maintained by the Plan and/or its other business associates and not included
in CIGNA Behavioral's response. CIGNA Behavioral shall not be responsible for performing any of the
duties described herein with respect to any such other PHI.
Section 8. Availability of Protected Health Information for Amendment
(a) Handling of Requests by CIGNA Behavioral. When an individual requests amendment of PHI
contained in a designated record set and created or received by CIGNA Behavioral or its subcontractors,
and such request is made directly to the Plan or Employer, within two (2) working days of its request, the
Plan shall forward such request to CIGNA Behavioral for handling except that the Plan shall retain and
handle all requests to the extent that they pertain to individually identifiable health information (i.e.
enrollment information) originated by the Plan, Plan Sponsor, or its other business associates. CIGNA
Behavioral shall respond to such forwarded requests as well as to any such requests that it receives directly
as required by Section 164.526 except that CIGNA Behavioral shall forward to the Plan for handling any
requests for amendment of PHI originated by the Plan, Plan Sponsor or its other business associates.
(b) Responsibility for denial of request. With respect to those requests handled by CIGNA Behavioral
under subparagraph (a) above, the Plan delegates to CIGNA Behavioral the duty to determine, on behalf of
the Plan, whether to deny a request for amendment of any PHI and the duty to provide any required notices
and review as well as, in the case of its determination to grant such a request, the duty to make any
amendments in accordance with the terms of the Privacy Rules. In all other instances, the Plan retains all
responsibility for handling such requests, including any denials, in accordance with the Privacy Rules.
(c) Amendments by the Plan. Whenever CIGNA Behavioral is notified by the Plan that the Plan has
agreed to make an amendment pursuant to such a request which it handles hereunder, CIGNA Behavioral
shall incorporate any such amendments in accordance with Section 164.526.
(d) Agent for the Plan. It is understood and agreed that in all activities performed pursuant to this section,
CIGNA Behavioral acts as agent of, and on behalf of, the Plan and/or Employer. When responding to
requests for amendment of PHI, CIGNA Behavioral may inform such individual of that fact and that there
may be other PHI about that individual created or maintained by the Plan and /or its other business
associates and not included in CIGNA Behavioral's response. CIGNA Behavioral shall not be responsible
for performing any of the duties described herein with respect to any such other PHI.
Section 9. Accounting of Disclosures
(a) Request made to the Plan. When an individual requests an accounting of disclosures pursuant to
Section 164.528, and such request is made directly to the Plan or Employer, the Plan shall so notify
CIGNA Behavioral within two (2) business days of receipt of such request.
(b) Request made to CIGNA Behavioral. If a Participant directs a request for accounting to CIGNA
Behavioral, CIGNA Behavioral will provide the accounting to the participant within the time required in
45 CFR Section 164.528.
(c) Agent for the Plan. It is understood and agreed that in all activities performed pursuant to this section,
CIGNA Behavioral acts as agent of, and on behalf of, the Plan and /or Employer. When responding to
requests for an accounting of disclosures, CIGNA Behavioral may inform such individual of that fact and
that there may be other disclosures of PHI about that individual made by the Plan and/or its other business
associates and not included in CIGNA Behavioral's response. CIGNA Behavioral shall not be responsible
for performing any of the duties described herein with respect to any such other PHI or disclosures.
Section 10. Other Requests. CIGNA Behavioral shall handle Participant requests made to it for privacy
protection for PHI pursuant to the requirements of the Privacy Rules at Section 164.522.
Section 11. Processes and Procedures. In carrying out its duties set forth in Sections 11, 7, 8, 9 and 10
above, CIGNA Behavioral may establish procedures and processes for requests from individuals as
permitted by the Privacy Rules, including the requirement that requests be made in writing and the creation
of a form for use by individuals in making such requests. As appropriate, CIGNA Behavioral shall utilize
the same or similar procedures regarding requests from individuals for access to PHI that it applies to its
own health care plan administration business.
Section 12. Availability of Books and Records. CIGNA Behavioral hereby agrees to make its internal
practices, books and records relating to the use and disclosure of Protected Health Information available to
the Secretary for purposes of determining the Group Health Plan's compliance with the Privacy Rules.
Section 13. Protection of Electronic PHI. With respect to Electronic Protected Health Information, no
later than the compliance date for the Security Standards and at all times thereafter CIGNA Behavioral
shall:
(a) Implement administrative, physical, and technical safeguards that reasonably and appropriately protect
the confidentiality, integrity, and availability of the Electronic Protected Health Information that CIGNA
Behavioral creates, receives, maintains, or transmits on behalf of the Plan as required by the Security
Standards;
(b) Ensure that any agent, including a subcontractor, to whom CIGNA Behavioral provides such
information agrees to implement reasonable and appropriate safeguards to protect it; and
(c) Report to the Plan any Security Incident of which it becomes aware.
III. TERMINATION OF AGREEMENT WITH CIGNA BEHAVIORAL
Section 1. Termination Upon Breach of Provisions Anplicable to Protected Health Information.
Any other provision of this Agreement notwithstanding, this Agreement may be terminated by the Group
Health Plan upon ten (10) business days prior written notice to CIGNA Behavioral in the event that
CIGNA Behavioral materially breaches any obligation of this Addendum and fails to cure the breach
within such ten (10) day period; provided that in the event that termination of this Agreement is not
feasible, in the Group Health Plan's sole discretion, CIGNA Behavioral hereby acknowledges that the
Group Health Plan shall have the right to report the breach to the Secretary.
Section 2. Use of Protected Health Information upon Termination. The parties hereto agree that it is
not feasible for CIGNA Behavioral to return or destroy PHI at termination of this Agreement, therefore,
the provisions of this Addendum shall survive termination of this Agreement and CIGNA Behavioral
shall limit any further uses and disclosures of such PHI to the purpose or purposes which make the return
or destruction of such PHI infeasible.
IV. DEFINITIONS FOR USE IN THIS ADDENDUM
"Data Aggregation" shall mean the combining of Protected Health Information by CIGNA Behavioral
with the Individually Identifiable Health Information created or received by CIGNA Behavioral in its
capacity as a business associate of another covered entity, to permit data analyses that relate to the health
care operations of the Group Health Plan and the other covered entity.
"Designated Record Set" shall mean the, payment, claims adjudication, and case or medical management
record systems maintained by or for the Group Health Plan, or used, in whole or in part, by or for the
Group Health Plan to make decisions about individuals. As used herein the term "Record" means any item,
collection, or grouping of information that includes Protected Health Information and is maintained,
collected, used, or disseminated by or for the Group Health Plan.
"Electronic Protected Health Information" shall mean PHI that is transmitted by or maintained in
electronic media as that term is defined in 45 CFR 160.103
"Group Health Plan" shall mean the Group Health Plan (as defined in the Employee Retirement Income
Security Act of 1974, as amended, (ERISA) at 29 U.S.C. §1191b(a)) maintained by the Plan Sponsor that
is identified in this Agreement as the health Plan for or on behalf of which CIGNA Behavioral is obligated
to perform any function or activity involving the use or disclosure of Protected Health Information
pursuant to this Agreement.
"Individually Identifiable Health Information" shall mean information that is a subset of health
information, including demographic information collected from an individual, and:
(i) is created or received by a health care provider, Health Plan, health care clearinghouse (as
those terms are defined in the Privacy Standards), or employer; and
(ii) relates to the past, present, or future physical or mental health or condition of an individual;
the provision of health care to an individual; or the past, present or future payment for the
provision of health care to an individual; and (a) identifies the individual, or (b) with respect
to which there is a reasonable basis to believe the information can be used to identify the
individual.
"Privacy Standards" shall mean the Standards for Privacy of Individually Identifiable Health
Information, 45 C.F.R. Parts 160 and 164.
"Protected Health Information" shall mean Individually Identifiable Health Information transmitted or
maintained in any form or medium that CIGNA Behavioral creates or receives from or on behalf of the
Group Health Plan in the course of fulfilling its obligations under this Agreement. "Protected Health
Information" shall not include (i) education records covered by the Family Educational Rights and Privacy
Act, as amended, 20 U.S.C. §1232g, and (ii) records described in 20 U.S.C. §1232g(ax4)(B)(iv).
"Secretary" shall mean the Secretary of the United States Department of Health and Human Services.
"Security Incident" shall have the same meaning as the term "security incident' as set forth in 45 CFR
164.304.
"Summary Health Information" shall mean information, that may be Individually Identifiable
Information, and (i) that summarizes the claims history, claims expenses, or type of claims experienced by
individuals covered by the Group Health Plan; and (ii) from which the information described at 45 C.F.R.
§ 164.514(b)(2)(i) has been deleted, except that the geographic information described in 45 C.F.R.
§ I64.514(b)(2)(i)(B) need only be aggregated to the level of a five -digit zip code.