Mercy Medical Center Employee Assistance Program
,
CITY OF DUBUQUE, IOWA
MEMORANDUM
June 13, 2000
TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Agreement with Mercy Medical Center to Provide Employee
Assistance Program Services
Personnel Manager Randy Peck is recommending approval of an agreement with
Mercy Medical Center to provide employee assistance services to City of Dubuque
employees and their family members.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
f!1AJJ~flL
Michael C. Van Milligen
MCVM/dd
Attachment
cc: Barry Lindahl, Corporation Counsel
Tim Moerman, Assistant City Manager
Randy Peck, Personnel Manager
\-'\ '.cc"'..-.'-ii'O
I ',~', -', 1'_1 .
8~Jll1r:, '~; '_i;'~';I~) A1\8
:>,'....) -,','. '
\; S :J t!~ S I t;nl~ OJ
03,\I::3;J3Cl
'.
/".
c~ a;:~~~/fr~
/~ vft-~cn
,
~
~
CITY OF DUBUQUE, IOWA
MEMORANDUM
May 30, 2000
TO:
Michael C. Van Milligen
City Manager
FROM:
Randy Peck {Q f
Personnel Manager ~ \
SUBJECT:
Agreement With Mercy Medical Center to Provide Employee Assistance
Program Services
I have attached an Agreement with Mercy Medical Center to provide employee
assistance services to City of Dubuque employees and their family members. The
City of Dubuque has had an employee assistance program since 1989. This is the
first increase in the cost of the program since 1991. The annual fee will be $4,240,
and it represents an increase of $530 over the previous year fee schedule. The
annual fee can be financed within the approved Fiscal Year 2001 budget. The
Agreement has been reviewed by Corporation Counsel Barry Lindahl and he has found
it acceptable. I recommend that the Agreement be approved. I request that the City
Council approve a motion authorizing you to sign the Agreement. If you have any
questions, please feel free to call.
Attachment
.
AGREEMENT
EMPLOYEE ASSISTANCE PROGRAM
The Mercy Medical Center Employee Assistance Program (EAP) agrees to provide the
following services to the City of Dubuque.
1. Emolovee Services. These services shall include:
A. Assessment, evaluative counseling, referral, case management and follow-
up for all employees and their family members.
B. There is no set limit of the number of sessions allowed for each client, but
will be determined by the counselor and parties involved based on a need
basis. All sessions involving the client and EAP are at no charge to the
employee. Any charge from another provider other than EAP will be the
responsibility of the employee or his or her insurance.
C. In the case of employees who are referred by the employer, when a threat
of disciplinary action accompanies referral, follow-up services will be
provided. Follow-up will be for a period of time determined by the parties
involved and will consist of the following:
. monthly meetings between the employee and the EAP counselor,
. weekly contact with any agency the employee is referred to for the
duration of his/her involvement at that agency,
. monthly contact with the supervisor who made the referral.
This contact will not involve disclosure of information as to the nature
of the employee's problem or recommended treatment. It will serve to
inform the supervisor as to the level of the employee's involvement and
progress being made in dealing with the identified problem(s).
2. Utilization Review Services.
Mercy Medical Center EAP shall provide, on at least an annual basis,
statistical data relevant to the utilization of the EAP by employees and their
family members. This data shall reflect the number of employees and their
family members who have used the program voluntarily and formally, as
well as a breakdown of the types of problems dealt with. This data will be
statistical in nature and will not include the names of any employees or their
family members using the program.
'.
3. Fees.
Mercy Medical Center EAP shall be paid at the rate of $ 8.00 per year times the
number of full and part-time employees of the City of Dubuque. Full-time
employee is herein defined as any employee working thirty-two (32) hours or
more per week.
530 Number of Full and Part-time Employees
x
$8.00
Per Employee
= $4,240.00
Annual Fee
4.
Manner of Payment.
5.
The fee shall be .oaid to the Mercy Medical Center EAP on an annual basis.
I
Revision/T ermination/Effective Date.
I
The terms of thi~ agreement go into effect on July 1, 2000. This agreement
may be modified ,by either party by mutual consent on thirty (30) day written
notice of intent ti revise the agreement. Either party wishing to terminate this
agreement must pive thirty (30) days written notice to other party.
,
I
6.
Insurance.
During the term of this agreement, Mercy Medical Center EAP shall maintain
insurance as set forth in the attached Insurance Schedule.
Indemnification. I
Mercy Medical c~nter agrees to defend, indemnify and hold the City harmless
from and against any and all claims arising out of Mercy's negligent
performance of ttis agreement.
Signed this day of
I
I
7.
,2000.
I
Russell M. Knight I
I
President and Chief Exes;utive Officer
Mercy Medical Center
ALl ~ft~
Michael C. Van Milligen
I
. I
5/2000 Forms\EmployeeAsstProgram.frm
City Manager
City of Dubuque
'.
INSURANCE SCHEDULE
INSURANCE REQUIREMENTS FOR PROFESSIONAL SERVICES
1. Any policy of insurance or certificate of insurance required hereunder shall
be with a carrier authorized to do business in Iowa and a carrier that has
received a rating of A or better in the current Best's Rating Guide.
2. Any policy of insurance required hereunder shall provide for a thirty (30) day
notice to the City of any material change or cancellation of the policy prior to
its expiration date.
3. shall have its insurance agent or company
certify in writing that any policy of insurance required herein with an
aggregate limit of liability has not been reduced by paid or reserved claims at
the time of issuance of policy or certificate.
4. shall furnish copies of the following policies to
the City, with limits not less than the following, or greater if required by law.
COMMERCIAL GENERAL LIABILITY:
General Aggregate Limit
Products-Completed Operation Aggregate Limit
Personal and Advertising Injury Limit
Each Occurrence Limit
Fire Damage Limit (anyone occurrence)
Medical Payments
$2,000,000
$1,000,000
$1,000,000
$1,000,000
$ 50,000
$ 5,000
OR
Combined Single Limit
Medical Payments
$2,000,000
$ 5,000
Umbrella or Excess Liability*
$
Coverage is to include: occurrence form, premises/operations/products/completed
operations coverage, independent contractors' coverage, contractual liability, broad
form property damage, personal injury, City of Dubuque named as an additional
insured with thirty (30) days written notice of change or cancellation.
PROFESSIONAL LIABILITY STATEMENT:
shall furnish a certificate of insurance showing
professional liability limits with limits of not less than $1,000,000 during the term
of the project.
*To be determined on a case-by-case basis.