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Agmt17 Managed Health Network
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Agmt17 Managed Health Network
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Last modified
5/31/2017 3:48:10 PM
Creation date
5/31/2017 3:45:33 PM
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Template:
Agreement
Contractor Name
Managed Health Network
PROJECT NAME
Docktown Assistance Program Services Agreement
RMP File Number
304.5
Date
5/1/2017
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MNN2370 Kerner Boulevard <br />$an Rafael, CA 94901 <br />www.mhnxom <br />A Health Net Company` <br />1.9 "Plan" - the Client's general health benefits plan established for Docktown tenants. <br />1.10 "Session" - any (a) in-person or telephonic consultation with a Covered Person in connection with the <br />Covered Person's health or mental health problems, (b) in-person consultation with a Covered Person after referral <br />for motivation or referral, or (c) an in-person consultation or a telephone consultation requested by the Client <br />regarding the Covered Person's performance. <br />1.11 "Subscriber" - an individual who is a tenant of the City of Redwood City at Docktown Marina and for <br />whom a fee is paid by Client to MAN. <br />1.12 "Term" - the Tenn of this Agreement as set forth at Paragraph 5.1, below. <br />IL DUTIES OF MEN <br />2.1 Intake Line. MEN shall provide an intake line. By calling such number, Covered Persons may obtain <br />information regarding the scope of and the procedures for obtaining access to services and programs provided <br />pursuant to this Agreement. <br />2.2 Participating Provider Network. Ml -IN shall maintain a network of Participating Providers, to provide <br />the counseling services to Covered Persons pursuant to this Agreement. <br />2.3 Docktown Assistance Program. MFF shall provide or arrange for the following services: <br />a) MBB shall provide a maximum of up to three (3) counseling sessions <br />per incident per Covered Person per benefit period. In providing such services, NOIN shall assess and refer Covered <br />Persons to provide general assistance in connection with mental health problems. <br />2.4 Work & Life Services. MHN shall also provide those AP work & life services described in Exhibit 2.5 <br />hereof. The fee for such services is included in the Monthly fee set forth in Section 4.1 of this Agreement. <br />III. DUTIES OF CLIENT <br />3.1 Dissemination of Information. Client shall inform all Covered Persons of the services provided pursuant <br />to this Agreement. Except with respect to materials prepared solely by M[iN and distributed in accordance with <br />MIA's instructions, MIDI shall have no responsibility for the correctness of any information disseminated by Client <br />or compliance with applicable laws, rules, or regulations. Client, as plan fiduciary, understands and agrees that it <br />shall be fully responsible for Plan compliance with all relevant provisions of the Employee Retirement Income <br />Security Act of 1974 (ERISA), as amended, including, but not limited to, any disclosures required to be given to <br />Covered Persons under applicable Department of Labor regulations and/or other legal and regulatory requirements. <br />The Client acknowledges that any designated Plan Administrator shall be responsible for Plan compliance including, <br />but not limited to, the following: <br />a) preparation and filing of Forms 5500 and/or 990 if applicable; <br />b) preparation, review and distribution of a Summary Plan Description as required by ERISA if <br />applicable; and <br />C) filing Summary Plan Description with U.S. Department of Labor if applicable. <br />3.2 Costs of Ongoing Treatment. Client shall inform all Covered Persons that the cost of any treatment not <br />specifically provided pursuant to this Agreement, shall be the responsibility of the Covered Person. <br />Page 2 of 7 <br />REV: 05-16-17 EI <br />ATTY/AGR/2017.112/MANAGED HEALTH NETWORK <br />
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