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HomeMy WebLinkAboutR-2014-055 Cerner Master Services Agreement for Wellness Services RESOLUTION NO. R-2014-055 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 July 1, 2014 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 by the Board of Aldermen and APPROVED by the Mayor of the City of Riverside, Missouri, theZLr-day of July, 2014. i3f May Kathleen L. Rose ATTEST: Robin Littrell,'City Clerk COMM ORDER Prepared For: The City of Riverside,Missouri("Client") Expiration Date: June 30,2017 2950 NW Vivion Rd Riverside,MO 64150-1502 USA Cerner Sales Contact: Chad Deshler Phone#: (816)201-0354 E-mail Address: chad.deshler@cerner.com This Cerner Sales Order ("Sales Order") is made July 1, 2014 ("Effective Date") between Client, as defined in the Agreement, and to The Health Exchange, Inc. d/b/a Cerner HealthPlan Services("Cemer"), a Delaware corporation having a principal place of business at 2800 Rockcreek Parkway, Kansas City, Missouri,64117. FACILITIES OWN Designated Faciliri. Facility where the solutions will reside: Statef Zip/Postal Name Address , Ci Province Code Country The City of Riverside,Missouri 12950 NW Vivion Rd Riverside MO 64150-1502 USA Permitted Facilities. For use and access by these facilities: State/ Zip/Postal Name Address city Province Code Count The City of Riverside,Missouri 12950 NW Vivion Rd Riverside I MO 64150-1502 1 USA The parties may add or substitute Permitted Facilities by amending this section, provided Client pays any relevant scope of use expansion fees in the section below. SCOPE OF USE Scope of Use Limits. Client will use the following solutions for processing data related to clinical procedures performed at the Permitted Facilities,and in accordance with the Solution Descriptions. Scope Scope of Use of Use Solution Description Metric Limit Scope of Use Metric Description Primary Health:Starter Package Member 791 A person identified by the employer for inclusion in one or more programs. Scope of Use Expansion- Shared Computing Services. The quantities in the Fees To Be Paid section represent the scope of use limits for each service. If a scope of use limit is exceeded, Client agrees to expand the scope of use at Cerners then- current fees. Scope of use will be measured periodically by Cerners system tools. Any additional fees will begin on the date the limit was exceeded,and paid within 30 days following Client's receipt of an invoice for such fees. PAYMENTTERMIS SHARED COMPUTING SERVICES Monthly Fees. The monthly Shared Computing Services fees are payable annually beginning 90 days following the Effective Date. TRANSACTION SERVICES Transaction Usage Fees. The transaction usage fees set forth in the"Fees To Be Paid"section will be invoiced in arrears, as incurred. c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 1 of 10 Cerner CERNER SALES ORDER FEEINCREASES Cerner may increase the monthly fee for Support services and each recurring service (such as managed services, application services, subscription services, application management services, employer services, transaction services, and Shared Computing Services)any time following the initial twelve(12) month period after such recurring service fees begin (but not more frequently than once in any twelve (12) month period) by giving Client sixty (60) days prior written notice of the price increase. The amount of such annual increase will equal CPI plus 5% per annum, however no such increase shall exceed ten percent (10%) per annum. TERM AND TERMINATION Other Services. All recurring services (such as managed services, application services, subscription services, application management services, employer services, transaction services, and Shared Computing Services) begin on the Effective Date, and continue for the term set forth in the Fees To Be Paid section. At the end of the applicable term, each service will automatically renew for additional 12 month periods, unless either party provides the other party with written notification of its intent to terminate the relevant service no less than 60 days prior to the expiration of the applicable then-current term. SOLUTION DESCRIPTIONS Each solution with a Solution Description has a code noted in the"Fees To Be Paid"section of this Sales Order, and that code can be entered at httD7//www cerner com/clientresources/solutiondescriotionlookuD to view the Solution Description. These Solution Descriptions are incorporated into this Sales Order by reference. In the event a Solution Description is not published on Cerner's website, it may be attached to this Sales Order. ASSIGNMENT OF PAYMENTS Client agrees that Cerner may assign its interest in or otherwise grant a security interest in payments due pursuant to this Sales Order in whole or in part to an assignee. Client will promptly acknowledge each assignment or granting of a security interest. Cerner will continue to perform its obligations under the Agreement following such assignment or granting of a security interest. FINANCIAL OVERVIEW Description One•Time Fees Monthly Fees Annual Fees Shared Computing Services I - 326.00 TOTALS: 326.00 - All prices in this Sales Order are shown in US Dollar(USD). FEES TO BE PAID SHARED COMPUTING SERVICES Term One-Time Monthly .Solution Pas ugh Solution Code Descrl ion Sco Moll Fees I Fees I Description Code Cade Quote: Primary Health(1.7555446097-R-1) ES-20311 C Primary Health:Starter Package 79 Member 1 12 1 326 ES-20311C_01 c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 2 of 10 ORDER TRANSACTION SERVICES Transaction and Overage Fees Trans- action Monthly .Annual Usage Overage. Overage Solution Pass-Through Solution Code Descri tion Scope Fees Fees - Fees Description Code Cotle Quote: Primary Health(1-7555446097-R-1) ES-20360-TRANS Nutrition Counseling Service ES-20360-BILL Nutrition Counseling Service 1 Participants 35.00 ES-20322- Primary Health:Wellness Screening-Off- TRANS-C site-TRANS ES-20322-BILL Primary Health:Wellness Screening- 1 Member 35.00 Offsite ES-40702-TRANS Labs 8 Bios-Full Lipid,glucose,BP,BMI Over 20 ES-40702-BILL Labs 8 Bios-Full Lipid glucose,BP, 1 Participants 45.00 BMI-Over 20 ADDITIONAL TERMS Ar PROVISIONS TRANSACTION The provisions in these"Transaction Services Terms" apply specifically to the transaction services set forth in the "Fees To Be Paid" section of this Sales Order. In the event of any conflict between these terms and conditions and those in the Agreement,the terms and conditions set forth in this Attachment shall prevail with respect to the Transaction Services. Definitions For all purposes of this Sales Order,the following terms have the meanings set forth below: Cerner Product shall mean any equipment, firmware, software, and all modifications, updates, enhancements, or replacements for any of the foregoing furnished to Client by Cerner for the use of Transaction Services. First Productive Use shall mean Client's first use of the Transaction Services to transfer production data to a Cemer trading partner or Payer. Payers shall mean entities, including but not limited to, clearinghouses, print facilities and insurance carriers that receive Transactions submitted by Clients through the Transaction Services as identified from time to time by Cerner. Provider shall mean a member of a healthcare team whose services are billable to at least one Payer or health plan. Submitter ID shall mean a department or facility requiring independent invoices. Transactions shall mean transactions submitted by Client for the Transaction Services, whether or not a Payer accepts or favorably adjudicates such transactions. Transaction Services and Cerner Product Subject to the terms and conditions of this Sales Order, Cerner grants to Client a non-exclusive and non-transferable right to use the Transaction Services and Cemer Products for the Term and at the locations listed under the"Facilities"section of this Sales Order. Furthermore, Cerner shall provide reasonable ongoing technical support through telephone consultations with respect to the Transaction Services. Cerner may separately charge any applicable taxes and shipping, insurance, and delivery charges associated with the delivery and any subsequent return of the Cerner Product,or any portion thereof. c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 3 W 10 Cerner CERNER SALES ORDER TRANSACTION Client Obligations To the extent permitted by law, Client agrees to execute all documents and comply with all applicable procedures, rules and regulations which Cerner, the applicable Payer, clearinghouses, insurance carriers, or other third parties, or applicable law, rule or regulation may reasonably require in relation to the Transaction Services including, without limitation, rules governing record retention, non-discrimination, error resolution, obtaining patient's consent and/or authorization for the transmission of patient data. Client agrees to provide all supporting documents requested by Cerner necessary to comply with the foregoing. Client agrees to indemnify, and hold Cemer harmless from any and all claims, demands, damages, action, causes of action, liens,claims of liens, costs, losses, and expenses including attorneys'fees,of any nature arising out of or relating in any way to the failure of Client to comply with the requirements of this Sales Order. In furtherance hereof, Cerner is required to pass on and/or obtain the following covenants from Client to the extent applicable: (a) access to eligibility information shall be restricted to the sole purpose of verification of eligibility where the recipient has requested medical services; (b)verification of eligibility under the system is not a guarantee of payment and the records as to the recipient's eligibility status shall be the final authority; (c) as to eligibility information, to the extent permitted by law, Client agrees to indemnify and holds harmless the applicable State, its agents and employees,from any and all claims to the extent required by Cemer's suppliers' contracts with State agencies, or any Medicaid recipient who is aggrieved by the actions of Client hereunder; and (d) Client agrees to abide by the Federal and State law, rules and regulations regarding confidentiality of information. Client hereby grants Cemer the right to submit electronic Transactions and/or sign hard copy(paper)Transactions on Client's behalf to third-party payers or processors, including but not limited to commercial insurers, Medicare, Medicaid, and government agencies, and, where appropriate, agencies or carriers covering work-related accident or illness benefits where Client's signature is required for Transaction processing. Client acknowledges that Cerner is not responsible for any Medicare, Medicaid, work related accident or illness claim or other insurance claim and Client retains all liability on such claims and to the extent permitted by law agrees to indemnify and hold Cemer harmless on account of all such claims, including the reconciliation or adjustment of any claim. Client guarantees that all transactions submitted to the Transaction Services by Client will be on behalf of physicians or suppliers that have executed appropriate written authorizations for such submission and a true copy of such authorization shall be furnished to Cerner upon request. Client also agrees to maintain each claim in a manner to assure that such claim can be associated or identified with a claim form from the applicable physician or supplier and such source document will be maintained by Client for a period of seventy-two(72)months. Client shall retain records of Client's use of the Transaction Services, and Cemer may access such records as reasonably necessary during normal business hours upon reasonable advance prior notice to verify Client's compliance with its obligations. Nothing contained herein shall be deemed a waiver of the Client's sovereign or governmental immunity as provided by law. Limitation of Liability In no event will Cemer or any third party provider be liable for any special, indirect, incidental, speculative, punitive or consequential damages or loss of goodwill in any way relating to this Sales Order or resulting from the use of or inability to use the products or the performance or non-performance of any services, including, without limitation damages for loss of profits,data or use incurred by Client or any third party,even if Cerner has been notified of the possibility of such damages. IN NO EVENT WILL CERNER'S LIABILITY OR ANY THIRD PARTY SOFTWARE PROVIDER'S LIABILITY FOR ANY COSTS, EXPENSES, OR DAMAGES TO CLIENT OR ANY THIRD PARTY, REGARDLESS OF THE FORM OF ACTION, WHETHER BASED ON CONTRACT, TORT, NEGLIGENCE, STRICT LIABILITY, PRODUCTS LIABILITY OR OTHERWISE, EVER EXCEED THE AMOUNT RECEIVED BY CERNER FROM CLIENT FOR THE APPLICABLE PRODUCT(S) AND SERVICE(S) DURING THE TWELVE(12)MONTH PERIOD PRECEDING THE EVENT GIVING RISE TO THE ACTION. License to Cerner Client grants to Cerner a non-exclusive, perpetual, irrevocable, royalty free, transferable, license to use, distribute, sublicense, publish,transmit,display,exploit, manipulate, compile,with other databases and create derivative works in and to the Anonymous Data and to exercise all of the above rights in connection with such derivative works. "Anonymous Data' means all patient, insurance,drug and medical information and other data that is input by,or on behalf of, Client or processed through or generated by any Transaction Service (but not including any confidential patient information, such as a patient's name or social security number or any information that would disclose the identity of any patient, or any other information, c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Pape 4 of 10 Qr Cerner CERNER SALES ORDER TRANSACTION which if disclosed,would be prohibited by law. Miscellaneous Each party will obtain any license, permit or authorization required by law in connection with those aspects of the transmission process for which it is responsible under this Sales Order. Cemer shall have the right to assign this Sales Order, and to contract with third parties to perform any or all of the Transaction Services. This Sales Order shall be governed by,construed, interpreted and enforced in accordance with the laws of the State of Missouri. SCOPE This section defines the service deliverables("Scope")for the services set forth in this Sales Order. SHARED COMPUTING SERVICES PRIMARY HEALTH: STARTER PACKAGES (ES 20311 C) Objectives Baseline: Establish population baseline to monitor changes and enable predictive modeling • Participation: High participation(target:50+%in year 1) • Personalization: Understand health beliefs, match individuals to providers (physicians/coaches/navigators)and provide accessible options for engagement. • Progress against priority list(will be discussed with Client): 1. Lower health spend 2. Create a culture of health and consumer accountability 3. Increase performance and productivity through improved health(reduce risks, better manage conditions over time) 4. Gain new insight into the health and care of the population • Enabler for all other initiatives, including positive change in clinical/financial/experience population metrics Process and Outcomes Process Focus on the undiagnosed and unmanaged conditions • Level 1: Health beliefs, motivations&hopes cluster analysis.Complete micro- segments and study. • Level 2: Condition category analysis o Top 10 risk category results o Key risks o Key opportunities o Key areas of solid performance Level 3: Provider matching preferences&risks analysis Outcomes • Level 4(Phase 2): Provider performance assessment • Level 5 Phase 2 or earlier):Add claims data to ascertain financial impact Cerner Roles and • Cerner Engagement Leader(Project Manager) Responsibilities 0 Coordinates with Client Project Manager/Coordinator to provide the Solution toolkit, create the Performance Plan, manage the network and related c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 5 d 10 Qr Cerner CERNER SALES ORDER outcomes • Provide network management • Support the network configuration and enrollment file upload • Support interface and core development (Cerner will work with and manage partners) • Support lab results interface(Cemer will work with partners etc.) Provide the model to measure clinicalffinancial/experience measurements • Establish individualized wellness goals and continuous learning opportunities for participants • Provide online member access and a summary document for the participant to take home Provide online provider selection tool • Track incentive qualification(as deemed appropriate) • Provide reporting regarding participation and results • Establish an online service to provide members with program information, convenient scheduling and results, recommendations and goals, and access to health content • Executive Sponsor(General Manager, Primary Health Network) o Supports project, offers Executive guidance during quarterly health performance reviews Walmart Roles and • Provide in-store access to wellness screening opportunity Responsibilities Provide"menu"of additional services relevant to risk/condition categories (if this option is leveraged) . Provide automated guidance on product selection related to risk/condition categories Client Roles and • Project Manager/Coordinator Responsibilities o Works directly with Carrier Engagement Leader to: • Engage in project planning and creation of Performance Plan • Determine employee eligibility criteria • Determine physician network make-up (including employed and other affiliated physicians) • Support policies and procedures • Deliver pilot group file upload • Finalization of program documents • Incentive design(if requested) • Reporting decisions • Integration testing • Support organization/scheduling of training on Cerner Wellness, Cerner Direct and other relevant applications • Training for support staff • Client Marketing Coordinator • Branding of the program • Program announcement and language • Client Network Administrator • Technical setup readiness • Executive Sponsor O Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 6 of 10 Cerner CERNER SALES ORDER o Assign Project Manager o Supports project, offers Executive guidance TRANSACTION SERVICES LABS • BIOMETRICS ES-40-102-TRANS/ES-413703-TRANS/ES-40704-TRANS/ES 40730-TRANS ES-40731-TRANS/ES-40732-TRANS •0 Functional Scope • Lab and Biometric Screenings delivers a toolkit to offer population health screenings: o Finger stick option 1 • Labs and Bios—Full lipid, glucose, BP, BMI—Under 20(ES-40701-TRANS) • Labs and Bios—Full lipid, glucose, BP, BMI—Over 20(ES-40702-TRANS) o Finger stick option 2 • Labs and Bios—TC, HDL, glucose, BP, BMI—Under 20(ES-40703-TRANS) • Labs and Bios—TC, HDL, glucose, BP, BMI—Over 20(ES-40704-TRANS) o Biometrics only screening option • Height,weight, body mass index(BMI) (calculated),waist circumference, blood pressure —Under 20(ES-40716-TRANS-C) • Height,weight, body mass index(BMI) (calculated),waist circumference, blood pressure —Over 20(ES-40717-TRANS-C) o Biometrics(vitals)and laboratory testing including: • Height,weight, body mass index(BMI) (calculated), body fat,waist circumference, pulse rate, blood pressure, hemoglobin Atc or glucose (optional), total cholesterol, high- density lipoprotein (HDL), low-density lipoprotein (LDL), cholesterol to HDL ratio, triglycerides,and cotinine(optional) • Clinical Laboratory Improvement Amendments(CLIA)waiver restrictions include: • LDL,Triglycerides, and A1c cannot be performed in the state of Massachusetts o Labs including: • Finger stick testing,external lab sources,and self-reported testing o Automated risk identification including • Wellness score and health recommendations based on the health assessment, vitals, and labs o Submission of results to physician(ES-40718-TRANS-C) Training Provide the standard instructions on how to measure biometrics and lab collection Cerner Roles and • Provide a Cerner wellness strategist to coordinate with Client to provide the Lab and Biometric Responsibilities Screenings service • Provide screenings via: o In-person screenings o LabCorp vouchers • LabCorp—Laboratory voucher with biometrics(ES-40731-TRANS) • LabCorp—Laboratory voucher without biometrics(ES-40732-TRANS) o Self-administered dry blood spot home testing kit for labs and self-report of biometrics • Labs and Bios—Home Test Kit(ES-40730-TRANS) • Screening upload for lab and biometric results • Establish an on-line service to provide members with program information,convenient scheduling • Provide the standard instructions on how to measure biometrics and lab collection Will pay cost of Data submission file preparation per Client to receive screenings results for Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 7 of 10 Qr Cerner CERNER SALES ORDER LABS • BIOMETRICS (ES-40701 TRANS/ES-40702-TRANS/ES-40703-TRANS/ES-40704-TRANS�ES-40730-TRANS 40 upload into the portal Client Roles and Provide a point of contact for the Lab and Biometric Screenings service to work with Cemer as Responsibilities follows: o Engage in project planning o Determine employee eligibility criteria o Must comply with Cerner file format;eligibility and screening templates o Train support staff Estimated Duration If a new portal, labs and biometrics cannot be arranged until portal is live(90 days) • Typical duration is 6 weeks Assumptions . Client will comply with Cerner•s required deadlines NUTRITION • (ES-20360-TRANS) Objectives . Cerner's broader Wellness offerings are designed to help clients understand their populations, engage them in a meaningful way, and manage their population health to improve quality of life. The ultimate result is improved health outcomes, lower health costs, and enhanced employee satisfaction. On-site services are available for:dietetic consulting and health navigation. Cemer Roles and . Dietitian: Responsibilities o Collaborate with supervising medical director o Develop personalized nutrition plans per individual by: • Evaluating needs and eating habits • Providing nutrition counseling • Coaching participants on nutritional topics • Evaluating participant's readiness to change • Discussing strategies on how to make positive changes • Assisting participants in goal setting toward overall health improvement • Utilizing food recordsAogs • Developing educational materials to be delivered in individual and group setting • Delivering educational sessions to help improve overall health status of participants • Health Navigator o Works with the Cemer clinical strategist to assess major risk areas and assists in executing strategic plans by: • Providing thought leadership in partnership with key providers regarding health improvement strategies. • Reviewing options for the most cost effective programs and services, assisting with implementation and delivery of services. • Developing and operationalizing a comprehensive wellness plan to meet the individual needs of participants. • Monitoring progress toward wellness goals on an ongoing basis while continually refining processes. • Serving as a care coordinator to ensure participants have access to the most effective and efficient programs and services for participanUparticiparifs family needs. • Delivering health education materials • Planning wellness program events,campaigns,workshops,webinars,and challenges • Scheduling and conducting weekly and on-going Client communications to address questions or needs c Cerner The City of Riverside,Missouri 1-3GYBf4X June 18,2014 Page 8 of 10 Cerner CERNER SALES ORDER NUTRITION • • Providing best practice information regarding wellness and programming • Communicating with Client to help achieve wellness program goals and assist in developing a results-oriented wellness program Client Roles and . Provide on-site contact for Cemer Wellness offerings to identify the following: Responsibilities 0 Client project manager • Supports project and offers executive guidance • Works directly with Cerner to: Participate in project kick-off session • Participate in executive summary session Provide a health and wellness coordinator if not the project manager Identify and help secure existing data sources and appropriate participants in the various assessments Participate in leadership interview Engage in project planning Determine employee eligibility criteria Support policies and procedures Complete"Implementation Guide"for customization of portal design and build Design incentives Report decisions Train support staff o Client marketing coordinator • Brand wellness program • Announce program o Client network administrator • Technical setup and readiness • Support network configuration and enrollment file upload Support lab results interface,if applicable c Cerner The City of Riverside,Missoud 1-3GYBF4X June 18,2014 Page 9 of 10 Cerner CERNER SALES ORDER AUTHORIZATION By executing this Cerner Sales Order, Client agrees to purchase and take delivery of the products, services, Maintenance, and installation set forth herein. Please fax this Cerner Sales Order in its entirety, along with Purchase Order' (if applicable),to the Cerner Contract Management Office at 816-571-6947, and return all originals to the following address: Cerner Corporation Attn: Contract Management Office 2800 Rockcreek Parkway Kansas City, MO 64117 USA THE CITY OF RIVERSIDE, MISSOURI THE HEALTH EXCHANGE,INC. By: rrri OQQ By: _ Teresa Waller (type or pnnt) Title: Title: Sr Director Contract Management Purchase Order#: (d applicable) 'If Client chooses to submit a third-parry Purchase Order,the third-party must submit payment in full along with this executed Cemer Sales Order in order for the scheduling of resources to commence. Client shall complete the following upon execution of this Cerner Sales Order: Client Invoice Contact: Meredith Hauck Contact Phone#: 816-372-9023 Contact E-mail Address: mhauck@riversidemo.com Client's account can be managed online at cerner.com by registering for Cerner eBill. To gain access to eBill,contact the Cerner Client Care Contact Center at 866- 221-8877 or e-mail ClientCareCenter@cemeccom. c Cerner The City of Riverside,Missouri 1-3GYBF4X June 18,2014 Page 10 of 10 CITY OF �RIVERS��� Upstream from ordinary. MEMORANDUM TO: Mayor and Board of Aldermen FROM: Meredith Hauck, Director of Administration DATE: July 1, 2014 RE: Cerner Contract Renewal Overview The City of Riverside started our partnership with Cerner in 2011 to provide wellness services to full-time City employees. Through this program, employees receive a full biometric screening annually and then track wellness behaviors throughout the year to earn points. Over the past three years, 42% of our participants have improved by decreasing their clinic risk factors (elevated blood pressure, overweight, elevated LDL cholesterol, low HDL cholesterol, and elevated triglycerides). The Cerner contract renewal will allow us to continue these programs and provide additional programs to our employees, including the services of a nutritionist. The contract renewal is for a term of three years. Budget Impact The Operating Budget includes funding for this program in the Human Resources Cost Center. - Wellness Online Platform - $326/month = $3,912 annually - Biometric Screening and Nutrition Counseling Service = $115 per person who enrolls If every employee enrolls in this program, the maximum expenditure would be $12,997 annually. End of Memo