Indiana University Health/HR/Fourth Amendment to Master Services Agreement for Designated Health Care ServicesIndiana University Healthb,4
Workplace Services
JAS
FOURTH AMENDMENT TO
CITY OF CARMEL, INDIANA
MASTER SERVICES AGREEMENT FOR DESIGNATED HEALTH CARE SERVICES
This Fourth Amendment to the Master Services Agreement for Designated Health Care Services
(this "Amendment") is entered into on July 1, 2018 (the "Fourth Amendment Effective Date"), by and
between the City of Carmel, Indiana, a municipality (hereinafter "City") and Indiana University
Health, Inc. (hereinafter "IU Health").
Recitals
A. IU Health and City entered into a Master Services Agreement for Designated Health Care
Services dated February 1, 2013 (the "Agreement').
B. IU Health and City subsequently amended the Agreement, effective January 25, 2016 ("First
Amendment').
C. IJ Health and City subsequently amended the Agreement, effective January 1, 2017 ("Second
Amendment').
D. IU Health and City subsequently amended the Agreement, effective December 20, 2017 ("Third
Amendment').
E. The parties desire to further amend the Agreement to incorporate additional services.
Amendment
NOW, THEREFORE, the parties agree as follows:
1. Definitions. Capitalized terms used in this Amendment but not defined in this Amendment shall
have the meanings assigned to them in the Agreement.
2. Term. Effective on the Fourth Amendment Effective Date, the second sentence of Section 2 of
the Agreement, Term, is hereby deleted and replaced with the following:
"Except for the term of Service Line Attachment #5, the term of any particular SLA shall
coincide with the term of this Master Services Agreement."
3. Service Line Attachments. Effective on the Fourth Amendment Effective Date, Service Line
Attachment #5 Urgent Care Enhanced Access, attached hereto, shall be added to the Agreement.
4. Effective Amendment. The parties agree that this Amendment has been duly prepared and
executed in accordance with the terms of the Agreement.
5. No Other Modifications. Except as otherwise set forth in this Amendment, all other provisions of
the Agreement shall remain unchanged.
[Remainder of Page Intentionally Blank; Signatures Follow]
with the terns set forth herein to be given effect as of the dates set forth herein.
INDIANA BNfVmM HEALTH, INC.
By: ancial Officer
7e er NE CFO
Date:
By: 1�1rti L
Jo n. b. Huesing, iTP/Treasw e
Date: —71
CITY OF CARMEL, INDIANA
by and through its Board of Public Works and Safety
Ziw
Jaiffies Brainard, Presiding Officer
Date:
Date:
Lori W
Board Member
Christine Pauley ClerkTreasurer
Date: 17/��/!
3
SERVICE LINE ATTACHMENT# 5
URGENT CARE ENHANCED ACCESS
Addition of Enhanced Care Services
Subject to the provisions of the Agreement and this SLA, IU Health Business Solutions agrees to
provide eligible employees of the City of Carmel with access to IU Health Urgent Care Centers
located at: Broad Ripple, Plainfield, Brownsburg, Hazel Dell, Lawrence, and Greenwood:
1) Services: Effective July 1, 2018, eligible members of the City of Carmel health plan will
have access to all IU Health Urgent Care Centers listed above when the City's Primary
Plus Employee Health Center is not open. Eligible members must present their Enhanced
Access identification card in order to receive services at the cost outlined below. If the
Enhanced Access identification card is not presented at the time of service, all charges
will be processed through the City's health plan.
Hours of access are:
Monday, 5pm-8pm
Tuesday, 6pm-8pm
Wednesday, 5pm-8pm
Thursday, Sam-lpm and 5pm -8pm
Friday, 1pm -8pm
Saturday -Sunday, 8am-6pm.
*Hours may be changed if both parties agree in writing.
2) Term: The services provided under this SLA are effective July 1, 2018, to June 30, 2019,
after which the parties will review outcomes and make any modifications necessary for
the plan to continue or terminate as appropriate.
3) Cost of Services: Plan members will have no out of pocket cost. All charges will be
billed to City of Carmel as utilized on a monthly basis. The cost of visits completed at the
1U Health Urgent Care Centers via the Enhanced Care model, will be 62% of billed
charges.
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