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17 EAP Services Agreement DOMESTIC EAP GROUP SERVICE AND FEE SCHEDULE Group hereby elects to receive the Services designated below. The below Service Fees shall be in effect for the Initial Term of Agreement as specified on the Cover Sheet of this Agreement, and, thereafter, if this Services Agreement is renewed for any additional successive Term(s), such Service Fees may be revised for each such successive Term. CRITICAL INCIDENT SUPPORT/CRITICAL INCIDENT STRESS DE-BRIEFING (CISD) SERVICES: STANDARD CISD SERVICES (On-site attendance response time in greater than two (2) hours.) Unlimited Standard CISD Services: Unlimited Standard CISD sessions are included, limited to 10 hours per incident. Issues concerning downsizing, mergers, acquisition activities (i.e., Reductions in Force, or RIFs), or services beyond the 10 hours per incident limitation, 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. Immediate CISD Services are subject to the fees described below. 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. Cancellation: Whenever possible, Group agrees to provide Plan with 48 hours advance notice of cancellation of any requested Workplace Crisis Response Services. Failure to provide Plan with 48 hours advance notice of cancellation of 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. IMMEDIATE CISD SERVICES (On-site attendance response time in two (2) hours or less.) Fee-For-Service: $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. Cancellation: Services which are provided on a fee-for-service basis and which are subject to the hourly rate will result in a charge of $440.00 per incident. REDUCTION IN FORCE (RIF) SERVICES: Fee-For-Service: $285.00 per hour plus travel and preparation expenses reimbursed at a flat rate of REV: 03-10-23 MI ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 18 of 42)