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Renewal 03/20/2013AMY HEA VILIN CLERK OF THE CIRCUIT COURT DATE: April S, 2013 TO: Maria Fernandez, Senior Benefits Administrator FROM: Pamela G. Hanc c�D. C. At the March 20, 2013, Board of County Commissioner's meeting, the Board granted approval and authorized execution of Item C3 to renew the current Contract with Aetna Behavioral Health, LLC d/b /a Aetna Resources for Living (formerly known as Horizon Health) for one year with the same terms and conditions. Enclosed is a duplicate original of the above - mentioned for your handling. Should you have any questions please do not hesitate to contact this office. cc: County Attorney w/o document Finance File✓ EMPLOYEE ASSISTANCE PROGRAM RENEWAL AGREEMENT BETWEEN MONROE COUNTY, FLORIDA AND AETNA BEHAVIORAL HEALTH, LLC. This renewal agreement is entered into by and between the Board of County Commissioners of Monroe County, Florida; 1100 Simonton Street, Room 2 -268; Key West, Florida 33040 ( "Employer ") and Aetna Behavioral Health, LLC d /b /a Aetna Resources for Living, 2965 W. State Road 434, Suite 200; Longwood, FL 32779 ( "Contractor ") and is to be effective as of June 1, 2013. WHEREAS, on June 1, 2010, the Employer and Horizon Health, an Aetna Company entered into an agreement (hereinafter "Agreement ") to establish an Employee Assistance Program (hereinafter "Program ") for the purpose of providing confidential, professional counseling on personal matters affect individual's physical and emotional well -being for all full -time regular employees and their dependents with services provided in the lower, middle and upper keys; and WHEREAS, the term of the Agreement was for one (1) year and renewable at the County's option for successive one -year periods until either party gave the other notice of cancellation; and WHEREAS, Aetna acquired Horizon Health on September 1, 2009 and continued to perform all responsibilities of the original agreement; and WHEREAS, the Employer desires to extend the original agreement for one more year; NOW THEREFORE, in consideration of mutual covenants and condition set forth below, the parties agree as follows: This one year renewal will commence on June 1, 2013 and will expire on May 31, 2014. 2. The name of the contractor is changed wherever it appears in the agreement fromt Horizol;kIea4, an Aetna Company to "Aetna Behavioral Health, LLC d /b /a Aetna Resources for Ong." w i= r, n• rn 3. In all other respects the terms and conditions of the original agreement remain nr -Mill forc�ind� � effect. - o IN WITNESS WHEREOF, the parties hereto have executed this Renewal Agreement this i.day1f rn 2013. -' r ) (SEAL) Attest: AMY HEAVILIN, Clerk Deputy Clerk Board of County Commissioners N ro of Monroe County Mayor /Chairman Aetna Behavioral Health, LLC d /b /a Aetna Resources for Living By: Hea o & Chief Psychiatric Officer Witness: ✓ /1�� /�/��� Print Name By: Signature Signature a g 0� Q Qq E- co zQ D� OW 0> w0 W Z 0 Q F- ao Certificate of Insurance Marsh USA Inc. One State Street Hartford, CT 06103 Aetna Inc. and its Affiliated Companies Including Horizon Behavioral Services, LLC 151 Farmington Avenue Hartford, CT 06156 A: ACE AMERICAN INSURANCE COMPANY Insurer B: COMMERCE AND IN Insurer C: Insurer D: DATE 04/01/2013 Evidence of Aetna's General Liability, Automobile Liability, and Workers' Compensation /Employer's Liability insurance coverages. THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. Ctl GY " " POU ' r," ETR I YP� CF INSURANCE„ G"1f ,. E XPTIaA7Tf N 1irwi.IT Y t I TfS NUMBE1i liii MM tm " DA MM 60 COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 X COMPREHENSIVE PRODUCTS- COMP /OP AGG. $2,000,000 PREMISES - OPERATIONS PERSONAL & ADV. INJURY $1,000,000 A x PRODUCTS /COMPLETED OPERATIONS HDO G2056186 -5 04101113 04/01114 EACH OCCURRENCE $1,000,000 X CONTRACTUAL FIRE DAMAGE (Any one fire) $500,000 OTHER MED.EXP.(Any one person) $10,000 AUTOMOBILE LIABILITY By /�,,.�� COMBINED SINGLE LIMIT WAI • � _C6:.6 1" ��� l � IY (PER ACCIDENT) '' w ai G PER PERSON k MED PAY B EXCESS 067340166 041011 LIABILITY (UMBRELLA) ��'___ 101// i 13 04/01114 EACH OCCURRENCE $5,000,000 X AGGREGATE $5,000,000 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EL EACH ACCIDENT EL DISEASE - POLICY LMIT EL DISEASE -EACH EMPLOYEE OTHER Describe Certificate Holder is included as an Additional Insured under the Commercial General Liability policy required by written contract but limited to the operations of the Insured under said contract and always subject to the policy terms, conditions and exclusions. Cancellation provision shown below is subject to shorter time periods depending on the jurisdiction of and reason for the cancellation. CERTIFICATE HOLDER. _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Authorized Representative J of Marsh USA Inc. Monroe County Board of Commissioners Attn: Teresa Aguiar 1100 Simonton St., Suite 2 -258 Key West, FL 33040 ` Donald R. Eckberg �,. C . ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY) 01/041 2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'Marsh USA Inc. 1717 Arch Street CONTACT NAME: A O N Ex A/C No): E -MAIL ADDRESS: Philadelphia, PA 19103 INSURERS AFFORDING COVERAGE NAIC # EACH OCCURRENCE INSURER A: N/A N/A 429813 -Holz -13-14 Horizo Lewisv INSURED Horizon Mental Health Management, LLC INSURER B: ACE American Insurance Company 22667 $ do UHS of Delaware Inc. INSURER C : $ INSURER D PRODUCTS - COMP /OP AGG Attn: Margaret Hill 367 S. Gulph Road $ King of Prussia, PA 19406 INSURER E: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS INSURER F: ISA H0871325A COVERAGES CERTIFICATE NUMBER: CLE- 003851349 -20 REVISION NUMBER- 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR P �/ Yf21S MANAGEME Y A �/ , — EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP /OP AGG $ $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS ISA H0871325A 01/0112013 01101/2014 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR H CLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WLR C47128298 (A /O /S) 01/01/2013 01/01/2014 X WC STATU OTH E.L. EACH ACCIDENT 2'000'000 $ E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE -POLICY LIMIT 2,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE AUTO LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS, AND EXCLUSIONS. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Teresa Aguiar ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St, Suite 2 -258 Key West, FL 33040 /,��N �L / AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee .W1tL%AAh.DU -i, .1A AAe- +,� ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� °® CERTIFICATE OF LIABILITY INSURANCE DAT 041 03 /201 DD/YYYY) 03/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA INC. 20 CHURCH STREET HARTFORD, CT 06103 Attn: Hardord.certrequest@marsh.com Fax 212 - 948 -0927 CONTACT NAME: PHONE FAX Exth A/C. No ADDR ESS: GENERAL LIABILITY Donald R. Eckberg INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 01800 - AETN - GAUW - 12 - 13 INSURED AETNA INC. AND ITS AFFILIATED COMPANIES, INCLUDING HORIZON BEHAVIORAL SERVICES INSURERS: NIA N/A INSURER C: Commerce And Industry Ins Co 19410 151 FARMINGTON AVENUE HARTFORD, CT 06156 INSURER D: DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 INSURER E: $ 2,000,000 INSURER F: COVERAGES CERTIFICATE NUMBER: NYC - 005581202 -17 REVISION NtIMRFR• 5 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH M AY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDDNYYY LIMITS A GENERAL LIABILITY Donald R. Eckberg HDOG2056114 -2 04/0112012 04101/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F�I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 VI' B GENERAL AGGREGATE $ 2,000,000 RV, if J GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 bA X POLICY PRO LOC $ AUTOmnSILE t.IABILITY ANY AUTO f r i .� COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS a•+ � A BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS AUTOS L PROPERTY DAMAGE per. ccident $ C X UMBRELLA LIAB X OCCUR BE 725 -11 -83 04/0112012 04/01 /2013 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? J N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) L— J If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of General Liability and Excess insurance coverage. for Horizon Behavioral Services, an Aetna Company. Certificate holder is an Additional Insured under the General Liability policy as required by written contract but limited to the operations of the Insured under said contract and always subject to the policy terms, conditions and exclusions. CERTIFICATE HOLDER rANrFI I ATInri MONROE COUNTY BOARD OF COUNTY COMMISSION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: TERESA AGUTAR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 SIMONTON ST. ACCORDANCE WITH THE POLICY PROVISIONS. SUITE 2 -258 KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE l of Marsh USA Inc. c ' Donald R. Eckberg ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD