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HHRC-EOC 02.10.2017 16 Evidence of Coverage EXHIBIT A SCHEDULE OF BENEFITS, LIMITATIONS, AND EXCLUSIONS I Employee Assistance Program A. Benefits 1) Individual, couple, or family assessment and brief counseling for personal, marital, family, relationship, work-related, and alcohol or substance abuse problems. Brief counseling is provided when, in the judgment of the EAP provider, the issues meet community standards of practice for brief counseling within six (6) private counseling sessions per separate incident. A “session” is defined as either an in-person or telephone consultation with the Member, of approximately one hour in duration. Sessions are used to identify or work on resolving the issues or conditions that the Member is experiencing. A new incident for the same Member would involve different issues or conditions. Benefits will be consistent with professionally recognized standards of practice. A separate incident involves a single underlying issue or condition, regardless of the number of same or different events involving the issue or condition. Plan shall make the clinical determination as to what constitutes a separate incident. 2) Referrals are offered to Members whose problem cannot be resolved within the scope of the six (6) sessions per separate incident. The EAP Provider works with the Member to identify resources of an appropriate type and level of care beyond the benefit. 3) Referrals to other resources are offered to Members if the type of care is outside of the scope of practice of this benefit. 4) 24-hour crisis hotline, 7 days/week. 5) Referrals for legal consultation. 6) Referrals for financial counseling. 7) Identity theft consultation. B. Limitations 1) The Benefits provided to Members by Plan are limited in nature as described in sections 1-7 above. 2) Plan will make a good faith effort to provide or arrange for the provision of Benefits to Members, in the event of certain circumstances, such as major disaster, epidemic, riot or civil insurrection. REV: 03-10-23 MI ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 40 of 42)