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Agmt94 Managed Health Network
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Agmt94 Managed Health Network
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Last modified
7/5/2005 2:32:18 PM
Creation date
11/4/2004 2:05:29 PM
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Template:
Agreement
Contractor Name
Managed Health Network formerly Occupational Health Services
RMP File Number
304
Date
7/14/1994
Reso Ref
12379 12687 13007
Box
5858
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<br /> ADDENDUM THREE <br /> PLAN TYPE SELECTION <br />l. The plan type selected for this group is: <br /> Employee Assistance Program <br />2. The Evidence of Coverage for this plan is attached to this <br />Addendum and made a part hereof. <br />3. Benefits and services include: <br /> a) six (6) counseling sessions per family unit <br /> b) Management referrals/consultation up to a maximum of six <br /> (6) sessions <br /> c) critical Incident Debriefing provided as needed for police <br /> department personnel involved in a traumatic incident at no <br /> additional charge. critical Incident Debriefing for all <br /> other personnel provided as needed at the rate of $100.00 <br /> per hour plus travel <br /> d) Program materials to include brochures, posters, and <br /> monthly newsletters <br /> e) One (1) employee orientation <br /> f) One (1) supervisory training session <br /> g) Attendance by an OHS representative at one (1) health fair <br /> h) Quarterly statistical reports <br /> - 12 - <br /> . ,.. ._~~. -r---"'" ,,,'" <br />
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