HomeMy WebLinkAboutR-2011-098 Wellness - Cerner RESOLUTION NO. R-2011-098
A RESOLUTION APPROVING A MASTER SERVICES AGREEMENT FOR WELLNESS
SERVICES WITH THE HEALTH EXCHANGE INC FOR THE CITY OF RIVERSIDE AND
APPROVING EXECUTION OF A CONTRACT AGREEMENT IN CONNECTION WITH THE
PROVISIONS OF SUCH SERVICES
WHEREAS, The Health Exchange, Inc., a Missouri corporation, having its principal
place of business at 2800 Rockcreek Parkway, North Kansas City, Missouri, 64117 ("Cerner")
has submitted a proposal for wellness services and to provide such services; and
WHEREAS, the Board of Aldermen find it is in the best interest of the City to begin a
wellness program for the City of Riverside that will enhance the benefits for those individuals
eligible, by entering into a master services agreement with "Cerner" to provide such services as
set forth in the Agreement attached hereto and incorporated herein by reference; and
WHEREAS, the Board of Aldermen find it in the best interest of the City to enter into an
agreement with The Health Exchange, Inc., "Cerner" to initiate and provide wellness services in
substantially the same form as set forth in Exhibit A attached hereto;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF ALDERMEN OF THE
CITY OF RIVERSIDE, MISSOURI, AS FOLLOWS:
THAT execution of an agreement with "Cerner" to provide wellness services for a three
year term and Agreement shall commence on February 1, 2012 in substantially the same form
as Exhibit "A" attached hereto, is hereby authorized and approved; and
FURTHER THAT the City Administrator, Mayor and/or Finance Director are hereby
authorized to execute all documents necessary to carry out the terms and conditions of such
wellness service agreement and the City Clerk is authorized to attest thereto.
PASSED AND ADOPTED b the Board of Aldermen and APPROVED by the Mayor of
the City of Riverside, Missouri, the ��lay of November, 2011.
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Mayor Kathleen L. Rose
ATTEST:
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Robin Littrell; City Clerk
Approve to form:
N T om s n, City Attorney
CITY OF
RIVERSI�
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Upstream from ordinary.
2950 NW Vivion Road
Riverside, Missouri 64150
AGENDA DATE: 2011-11-10 I
TO: Mayor and Board of Aldermen
FROM: Meredith Hauck, Director of Community Relations
RE: Cerner Wellness Agreement
BACKGROUND
This summer, 28 city employees participated in the Cerner Slimdown Challenge. During the 10-week program,
we lost close to 200 pounds and dropped our collective BMI by more than a point. After the program ended,
several employees expressed a desire to continue these types of wellness challenges and as a result, staff
began exploring available options.
Offering wellness programs in the workplace is a typical practice for employers of all sizes these days. The
goals of wellness programs are to create healthier employees, which can result in reduced
health/disability/workers' compensation costs, and greater productivity (reduced absenteeism and
presenteeism�. In fact, a z010 Kaiser study found that for each $1.00 spent on wellness programs, employers
reaped savings for $3.27 on health care costs and $2.73 on reduced absenteeism.
CERNER PROGRAM
After evaluating program options, staff is recommending the Board of Aldermen approve an agreement with
Cerner to manage a wellness program for full-time employees, elected officials, and spouses.
In the first year of this program, participating employees will complete a personal health assessment, receive a
biometric screening, and then have the opportunity to discuss the results of both tests with a wellness advisor
in a one-on-one meeting and receive individualized suggestions on how to improve their health over the next
year. The goal is to have 80% of the eligible participants participate in this program.
Beginning in FY 2012, the City will begin attaching incentives to completing certain components of the plan
and/or reaching specific health goals. Staff will work with our Cerner team over the next six months to
establish an outline for the incentive plan and present to the Board during the FY12 budget discussions.
BUDGET IMPACT
The cost for the plan is $150 per person per program year. The maximum amount for FY 2011 would be
$12,300 and this expenditure would be charged to the Healthy Citizens/Employees Initiative cost center
($175,000 budget}. Any spouses who choose to participate will be required to cover the cost of the program.
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WELLNESS SERVICES
MA5TER SERVICE5 AGREEMENT
THIS MASTER SERVICES AGREEMENT is made on December 8, 2011("Effective Date") beiween The Health Exchange,
Inc., a Missouri corporation, having its principal place of business at 2800 Rockcreek Parkway, North Kansas City, Missouri,
64117 ("Cerner"j and The City of Riverside, Missouri, having its principal place of business at 2950 NW Vivion Rd, Riverside,
MO, 64150-1502 ("ClienY'). The parties agree as follows: I�
1. Servi�es I
1.1 Services Descriotion. Cerner will provide Client with the services listed in a Wellness Service Schedule ("Services"). I
Additional services may be added to this Agreement by adding additional Wellness Service Schedules (each a
"Schedule"). It is understood that the Services do not constitute the practice of inedicine. The information provided by
Cerner to each individual eligible for and receiving Services ("Participants") either directly or through the Tools (as
defned in Section 1.4) is based upon general nationally-recognized guidelines and is not intended to substitute for the
expertise and judgment of a Participant's healthcare professional or to diagnose medical conditions. The Services are
not considered to be providing care or treatrnent to Participants. Responsibility for all medical treatrnent and related
decisions rests with each Participant and his or her healthcare provider.
12 Authorized Provider. Client acknowledges and agrees that only a person who is authorized under applicable state
andlor federal law to order clinical laboratory tests (an "Authorized Provider") including any laboratory testing that may
be part of the Services shall order all such testing. Client further agrees that Cerner's Authorized Provider will be
responsible for ordering all tests.
1.3 Statutorv and/or Reaulatorv Chanaes. In the event of any change to federal, state or local law or regulation applicable
to the Senrices, the parties will negotiate in good faith for a period of fifteen (15) days to amend this Agreement to fully
comply with any material changes. If the parties have not reached agreement on the amendment at the end of the
fifteen (15) day teRn, Cerner may immediately terminate the Agreement without further liability to Client or Participants.
Additionally, Cerner may amend the Service Fees under this Agreement as set forth under a Schedule if Cerner's cost
of operation is increased due to an adjustment in charges imposed upon Cerner by a federal, state or local
governmental unit, law, regulation or statute, provided that any such adjustrnent shall be limited to the amount of the
change.
1.4 Tools. Cerner may use proprietary forms, assessments and software (the "Tools") to provide the Services. The Tools
are proprietary to Cerner and no license to the Tools is granted to Client under this Agreement. No right to use, print,
copy, modify, create derivative works of, adapt, translate, distribute, disclose, decompile or reverse engineer the Tools
is granted. Cemer hereby reserves all rights not expressly granted hereunder.
1.5 Sublicense Grant. Subject to the terms and conditions of this Agreement, Cemer grants to Client a non-exclusive,
non-transferable and non-assignable sublicense to use the third party soflware and/or content listed on a Schedule
(the "Sublicensed Software") on the terms and conditions which are set forth for end-users in the license granted to
Cerner by the applicable Sublicensed Software supplier. The Sublicensed Software may be subject to the terms and
conditions set forth in certain pass-through provisions from the third party suppliers of such products. All warranties, if
any accompany such product(s), are the responsibility of the third party supplier only and are contained in the pass-
through provisions provided to Client at the time of purchase and/or posted on Cerner Corporation's website. Cerner
makes no representations or warranties concerning the Sublicensed Software (or other programs supplied to Client by
Cerner and which are directly licensed to Client by a third party, or which are supplied by a third party to Client), nor
does Cerner undertake any further obligations whatsoever.
2. Client Responsl6ilities
2.1 Provision of Information. Client is responsible for providing eligible Participants with information concerning the
Services, including updates to such information. Prior to distributing any information which references Cemer and/or
the Services, Client must obtain approval of Cerner, which approval shall not be unreasona6ly withheld. Client shall
disclose all necessary Participant data, including claims data, to Cerner to enable Cerner to provide the Services;
Client further represents and warrants that it is permitted to disclose such Participant data to Cerner.
22 Eliqibilitv for Particioation. Client is responsible for determination of eligibility for the Services and shall provide Cerner
with a list of its eligible Participants. Client shall handle communication with the eligible Participants, including routine
inquiries from current and potential Participants and notifying potential Participants of their eligibility for the Services.
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2.3 Worksoace. Client agrees to provide Cemer with a workspace adequate to enable Cemer to perform the Services.
3. Pavments to Cerner
3.1 Service Fees. Client shall pay Cerner the fees set forth in the applicable Schedule ("Service Fees"). Cerner may
revise such Service Fees any time following the initial twelve (12) month period after such fees begin (but no more
frequently than once in any 12 month period) by giving Client si�Ry (60) days' prior written notice. The amount of any
increase in the Service Fees will not exceed ten percent (10%) per annum.
3.2 Pavment Terms. Client agrees to pay the Service Fees on the first of each month for all Service Fees calculated for
the upcoming month based on the Participant lists submitted by Client, plus all actual Services Fees for the prior
month based on actual Participant participation numbers (which prior month's Services Fees amount may fluctuate up
or down based on actual Participants for the prior month, but shall never drop below the required minimum set forth on
the applicable Schedule). Client shall pay all invoices for Service Fees within thirty (30) days following their receipt by
Client. Client shall also pay a finance charge on all invoiced amounts that are more than forty-five (45) days past due
at a rate of interest equal to the lesser of one and one-half percent (1.5°/a) per month or the maximum permissible legal
rate. Client shall reimburse Cerner for reasonable collection costs, including attorneys' fees, relating to the collection
of any such past due amounts. If invoices are not paid by Client within sixty (60) days of the invoice, Cerner, at its sole
option, may terminate this Agreement.
3.3 Taxes and Other Charaes. Client shall pay all taxes imposed in conjunction with this Agreement, including, but not
limited to sales, use, excise and similar taxes based on or measured by charges payable under this Agreement and
imposed under authority of federal, state or local taxing jurisdictions, but excluding foreign, federal, state and local
taxes based upon Cerner's net income or corporate existence.
4. Indemnification and Limitation of Liability
4.1 ClienYs Indemnification. To the extent allowed by law, Client shall indemnify, defend and hold harmless Cerner, its
employees, officers, directors, affiliates, and agents ("Cerner Indemnified Parties"), from and against all liabilities,
losses, damages, costs, and expenses (including without limitation reasonable attorneys' fees) incurred by the Cerner
Indemnified Parties in connection with (i) this Agreement to the extent any such liability, loss, damage, cost or expense
is incurred as a result of ClienYs gross negligence or willful misconduct, and (ii) any claim for benefits under any Client
benefit plan.
4.2 Cerner's Indemnification. Cemer shall indemnify, defend and hold harmless Client, its employees, officers, directors,
affiliates, and agents ("Client Indemnified Parties), from and against all liabilities, losses, damages, costs, and
expenses (including without limitation reasonable attorneys' fees) incurred by the Client Indemnified Parties in
connection with Cerner's performance of the Services to the extent any such liability, loss, damage, cost or expense is
incurred as a result of Cerner's gross negligence or willful misconduct.
4.3 Limitation. The total aggregate liability of Cerner to Client under this Agreement shall be limited to the Service Fees
actually paid by Client to Cerner in respect of the Services during the twelve (12) months prior to the event giving rise
to a claim. In no event will Cerner be responsible or liable for ClienYs lost profits, exemplary, special damages
(induding loss of profts, data, business or good will), puniUve or consequential damages.
4.4 Third Partv Beneficiaries. This Agreement is between Client and Cerner, and does not create any rights or legal
relationships between Cerner and any of the Participants or any other third party.
4.5 Waiver of Sovereiqn Immunitv. Nothing contained herein shall be deemed a waiver of the City's sovereign or
governmental immunity as provided 6y law.
5. Confidentialitv and Access to Data
5.1 Confidentialitv. Except as expressly permitted by this Agreement, Cerner and Client will not, nor will they pertnit their
respective employees, officers, directors, affiliates and agents to, disclose, use, copy, distribute, sell, license, publish,
reproduce or othervvise make available Confidential Information of the other party. Cerner and Client will each secure
and protect the other party's Confidential InFormation by using the same or greater level of care that it uses to protect
its own confidential and proprietary information of like kind, but in no event less than a reasonable degree of care.
"Confidential Information" means: (i) all technical, business, financial and other information that is disclosed by either
party to the other, (ii) all individually-identifiable patient information, medical records, (iii) any disputes or
disagreements between the parties, (iv) all the terms and conditions of this Agreement, (v) all Cerner pricing
infortnation, and (vi) all non-publicly available information related to Cerner's Services and the Tools, all of the above
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� (i) —(vi) includes oral, written and electronic information. "Confidential Information" will not include any information: (a)
that is publicly available through no breach of this Agreement by Client or Cerner, (b) that is independenUy developed
or was previously known by Client or Cemer, or (c) that is rightfully acquired by Client or Cerner from a third party not
under a� obligation of confidentialiry. Nohvithstanding the toregoing, either party may disclose the other party's
Confidential Information to the extent required by applicable law or regulation or by order of a court or other
governmental entity, in which case such party will so notify the other party as soon as practicable and provide such
party with a reasonable opportunity to object.
52 Access to Data. Client grants to Cemer an irrevocable, nonexclusive, perpetual, world-wide, royalty-free right and
license to use all claims records and related data ("Data") (with obvious identifiers removed) for any purpose permitted
by law, including, without limitation: (i) analysis and incorporation of the Data in databases, reports, comparative data
sets, scores or scoring systems generated there from; and (ii) creation and distribution of works and derivative works
based on the Data. Any Data that contains an element that by itself, or in combination with any other data elements
allows re-identification of a person, is considered Confidential Infortnation under this Agreement.
5.3 Trademarks. Neither party shall use the name, logos, trademarks or service marks of the other without the other's
prior written consent, except that Cerner may include Client in its listing of clients and Client may use Cerner to I
perform its responsibilities set forth under Article 3. j
6. Term and Termination
6.1 Term. This Agreement shall commence on February 1, 2012 and shall remain in full force and effect through June 30,
2014 subject to earlier termination as provided herein. This Agreement shall automatically renew upon the same
terms and conditions for additional one (1) year terms, unless terminated by either party upon at least ninety (90) days
written notice before the current or renewal term expires.
62 Termination for Breach. Either party shall have the right to terminate this Agreement if the other party breaches any
material provision of this Agreement. If either party elects to terminate this Agreement under this provision, such parry
shall send a notice of termination specifying each breach with reasonable specificity and this Agreement shall be
terminated sixty (60) days following delivery of such notice unless during such sixty (6D) day period: (i) the breaching
party shall have cured each material breach, or (ii) with respect to a breach which may not reasonably be cured within
such sixty (60) day period, the breaching party shall have commenced, be diligently pursuing cure of and shall cure
such breach as soon as practical.
6.3 Annual Aopropriation. Notwithstanding anything contained herein to the contrary, the obligations of Client herein are
subject to annual appropriation of its goveming body. Failure of Client to appropriate funds for the services to be
performed by Cerner hereunder shall result in termination of the obligations of the parties under this Agreement,
provided that Client provide 30 days prior written notice of such termination and shall pay for all Services performed up
to the date of termination.
7. Miscellaneous
7.1 Exclusivitv. Cemer and Client agree that, for the term of this Agreement, Cerner shall have exclusive authority and
rights to provide the Services to Participants and that during such time Client shall not undertake on its own nor shall it
authorize or allow any other person or entity to provide any of those Services without the prior written consent of
Cemer.
7.2 Amendment. This Agreement may not be amended, modified or altered except by written documentation executed by
Client and Cerner.
7.3 Governina Law. This Agreement shall be governed by, construed, interpreted and enforced in accordance with the
laws of the State of Missouri, excluding Missouri's rules on conflict of laws that would apply the substantive law of
another jurisdiction.
7.4 Arbitration. In the event of any dispute arising out of or relating to this Agreement, the parties agree to attempt in good
faith to resolve the dispute first by dired negotiation. Any dispute arising out of or relating to this Agreement which is not
settled by agreement of the parties within a reasonable time shall be settled exclusively in a binding arbitration by a single
arbitrator. The arbitration will be governed by the Federal Art�itra6on Act. The arbitrator will be seleded and the
arbitration conducted in accordance with the Commercial Arbitration Rules of the American Arbitration Association (AAA),
except that the provisions of this Agreement will control over the AAA rules. The parties will share equally in the fees and
expenses of the a�bitrator and the cost of the facilities used for the ar6itration hearing, but will otherwise bear their
respective costs incurred in connection with the arbitretion. The parties agree to use their best efforts to ensure that the
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arbitrator is selected promptly and that the arbitra6on hearing is conducted no later than three (3) months after the
arbitrator is selected. The arbitrator must decide the dispute in accordance with the substantive law which would govem
the dispute had it been litigated in court. This requirement does not, however, mean that the award is reviewable by a
court for errors of law or fact. Following the arbitration hearing, the arbitrator shall issue an award and a separate written
decision which summarizes the reasoning behind the award and the legal basis for the award. The arbitrator may not
require one party to pay another party's costs, fees, attorneys' fees or expenses (other than as permitted under this
Agreement). The award of the arbitrator will be binding on each party. Judgment upon the award may be entered in any
federal district court. Nolwithstanding any provision of this Agreement to the contrary, each party acknowledges that any
, breach of such party's obligations with respect to a party's proprietary rights may result in an irreparable injury for which
money damages will not be an adequate remedy and that, in such event, the other party will be entitled to injunctive relief
in addition to any other relief a court may deem proper.
7.5 SeverabiliN. Any provision of this Agreement which is prohibited by law shall be ineffective (but only to the extent that, I
and in the locations where, such prohibition shall be applicable). The remainder of the Agreement shall remain in full
force and effect, provided, however, that both parties agree the Agreement can continue to be pertormed in furtherance of
the AgreemenYs original objectives.
7.6 Assianment. Except as set forth below, or as the parties may agree in writing, neither party may assign the henefits of
this Agreement, nor may either party delegate its duties with respect to it. Either party may assign or delegate in
conjunction with a reorganization or merger, or in conjunction with the sale of substantially all its assets to which this
Agreement pertains, except that the transfer or assignment by either party to a competitor of the other party shall not be
undertaken without the written consent of the other party. Any assignment of this Agreement, by Client or Cemer, must
be made in its entirety.
7.7 Subcontractina. Cerner, at its sole discretion, may subcontract, directly or indirectly, all or a portion of the Services
provided under this Agreement.
7.8 Indeoendent Contractors. Each party and its employees are independent contractors in relation to the other party with
respect to all matters arising under this Agreement. Nothing herein shall be deemed to establish a partnership, joint
venture, association or employment relationship between the parties.
7.9 Comnensation to Aqents or Brokers. If Client has retained an agent or broker related to the Services, Client shall be
solely responsibility for any and all compensation to the age�t or broker of record. Any and all agent and brokers are
hereby declared to be (an) agent(s) of Client and not of Cerner.
7.10 Notices. Any and all notices, requests, demands or other communications which relate to the other party's failure to
perform or which otherwise affect either party's rights under this Agreement shall be deemed properly given when
furnished by receipted hand-delivery to the other party, deposited with an express courier, or deposited with the U. S.
Postal Service (postage prepaid, certified mail, return receipt requested), to the address in the first paragraph of this
Agreement.
7.11 Waiver. All waivers of and consents to any terms and conditions of this Agreement (or any rights, powers or remedies
under it) by either party must be in writing in order to be effective. No waiver or consent granted with respect to one
matter or incident shall be construed to operate as a waiver or consent with respect to any different or subsequent
matter or incident.
7.12 Force Maieure. Except for obligations to pay money where the other party has performed the service or delivered the
product to which payment relates, neither party shall be responsible for failure to fulfill its obligations under this
Agreement due to causes beyond its reasonable control, including but not limited to: war; sabotage; insurrection; riots;
civil disobedience and the like; acts of governments and agencies thereof; labor disputes; accidents; fires; or acts of
God. In such event, the delayed party shall pertorm its obligations hereunder within a reasonable time after the cause
of the failure has been remedied, and the other party shall be obligated to accept such delayed performance.
7.13 Survival. The following sections will survive termination of this Agreement: Section 1.5 (Sublicense Grant) with
respect to the pass through provisions for such license; Section 4.1 (ClienYs Indemnification); Section 42 (Cerner's
Indemnification); Section 4.3 (Limitation); Section 4.5 (Sovereign Immunity); Section 5.1 (Confdentiality); Section 7.3
(Governing Law); Section 7.4 (Arbitration).
7.13 Entire Aareement. This Agreement constitutes the entire agreement of the parties with respect to the Services. Any
prior or contemporaneous agreements or understandings between the parties are hereby terminated and superseded
by this Agreement.
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The Health Exchange, Inc. Client
By: � G By:
(Authori� d y 5i na r (Authorized Signature)
PrintName: PrintName: �\((,'�V���L�a.�L�'('����
Print Title: e � Print Title: `'� pY"`
Date: ` y�7'/� Date: 1�'" � U �x.Y� � 1
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Wellness Service Schedule No. 1
I. SERVICES
A. Wellness Advisors.
1. Basic Service. Cerner will provide Client with a turn-key wellness service, called "Wellness Advisors." This service
provides each Participant:
i. access to an internet-based participant health application;
ii. a personal health assessment developed by Cerner;
iii. biometric measurements and laboratory testing (including height, weight, pulse rate, waist circumference, blood
pressure, hemoglobin A1c , total cholesterol, HDL, LDL, triglyceride); and
iv. personalized health advising with an on-site advisor (including personalized health recommendations made
during the visit);
v. Client will offer the Services to each of its U.S. employees and their spouses who are covered under the Client-
offered health benefit plan. Client agrees to cooperate fully with Cemer in creating a schedule for the Wellness
Advisors services. The Services will be made available at mutually agreeable times at the following locations:
The City of Riverside, Missouri
295D NW Vivion Rd
Riverside, MO 64150-1502
Cemer will provide online advisor scheduling for Participants. The Wellness Advisor services will also have a
designated phone number, and method for sending secure electronic messages.
2. Data Connectivitv. To support ClienYs wellness program, Cerner agrees to work closely with Client and its
applicable suppliers in creating an appropriate interface to receive the following data:
i. Eligibility data — Client agrees to provide Cemer with eligibility data, electronically, in such frequency and format
as agreed upon by the parties.
ii. Medical and prescription data — Client agrees to work with its health plan administrator to deliver this data to
Cerner, electronically, in such frequency and format as agreed upon by the parties. The parties understand and
agree that regular updates are key to maximizing the value of the intemet-based participant health application
to provide personalized health recommendations.
iii. Participation and incentive status data — If requested, Cerner will provide Client with data file providing all
Participants and their incentive status.
3. Client Support Services. Cerner will assign a client manager with accountability for managing the Client relationship
and projects from implementation through service delivery.
4. Reaortinq and analvsis will be provided on a regular basis. Standard reports showing program participation,
population heatth status and operational statistics will be provided, including analysis of personal health
assessments, risks, and conditions.
In the course of the service, Cerner will follow internal operating policies and procedures. In addition, we will
establish client-specific procedures for handling exceptions such as disputed test results, and missed screening
appointments.
The parties agree that Participant communications are critieal to the success of a wellness program and to the
Services. Cemer will provide a communication plan, marketing templates and draft communication language for
ClienYs use.
B. Optional Services.
1. Additional La6oratorv and Biometric Testinq (e.g. Cotinine testing, body fat): At ClienPs request, and for the fees set
forth below, Cerner can facilitate additional laboratory testing.
2. Virtual Service: For Participants who work remotely and are not able to receive the Wellness Advisor services at the
on-site location (primarily field sales and service employees), a"virtual" service will be available. These Participants
will receive virtual participant kits, have biometrics and laboratory tests drawn at locations specified by Cerner, then
participate in the advising sessions through private telephone and web conferencing.
3. Reportinq and Analvsis: If extensive additional analysis or reporting is required, Cerner may provide such services
for an additional fee.
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II. FEES
A. Services Fees. The fees for the Services are outlined below. Client shall pay the applicable fees to Cerner pursuant to
Section 3.2 of the Agreement.
Service Price
Wellness Service (assuming one screening session $150 per Participant per
er Partici ant erscreenin ear screenin ear
Additional professional services for system changes or $100/hour
development, reporting or analysis (which shall be
contracted under a se arate Arran ement Letter
For purposes of this Exhibit A, "ParticipanY' shall include each of those employees and spouses that receive all or any
portion of the Services set forth in this Exhibit. Client will be responsible for all printing and mailing costs, other than the
initial account creation mailings that Cerner provides to Participants indicating their ability to access the internet-based
participant health application, which mailing will be provided at no cost. These fees shall apply for screening years one
through three of the term. Upon year four, Cemer may increase the fees by an amount not to exceed ten percent (1D%)
per annum. Travel and related expenses for the Weliness Advisor services shall be billed separately.
The first screening year shall be February 1, 2012 through June 30, 2012.
The second screening year shall be July 1, 2012 through June 30, 2013.
The third screening year shall be July 1, 2013 through June 30, 2014.
B. Minimum Participation. Client agrees to a required minimum participation level of 65% of Participants, current
Participant amount is seventy five (75). The parties have a shared stretch goal of achieving a participation rate greater
than 80% of Participants. If Client's participation level falls below 65% of Participants, Client shall pay Cerner based
upon a 65% level of participation.
111. CLIENT RESPONSIBILITIES
Client shall actively promote the program. To that end, Client will timely: (i) review the communication materials and plans
upon receipt by Cemer, (ii) assist in the posting and distribution of communications, and encourage participation in the
program through example and incentives.
During the implementation and subsequent project phases, Client will coordinate meetings, collaboration, and ongoing
interfaces with internal client and external supplier resources.
The Health Exchange, Inc. Client
ay: � gy: , .
(Authoriz d Si ture) (Authorized Sig ature)
Print Name: Print Name: 1� G�,Q-�,�t1,lti-L • IC�S�P
Print Title: � rU Print Title: I� Y4.cJ 0�'
Date: /�/ v/ �� Date: � r-�--v p��\ �
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