Exhibit 45 - Cal Yr 2024 City of Miami EAP - EAP Utilization.pptx

PPTX presentation 5 MB Posted

Attached to
RFP No. 2130386 - Employee Health Benefits Plan
Solicitation number
RFP No. 2130386
Issued by
Florida

About this file

This document is an Employee Assistance Program (EAP) Utilization Report for the City of Miami, prepared by Evernorth Health Services (Cigna Healthcare) for the calendar year 2024. The report covers EAP services from January 2024 through December 2024, with data analysis run on April 9, 2025, and provides a comprehensive overview of employee engagement, service utilization, and demographic insights for the city's workforce.

The report reveals that the City of Miami has an average monthly employee headcount of 2,634, with 159 employees utilizing EAP services, generating 178 total cases. Key utilization statistics include 612 web sessions, 146 EAP codes generated, and 40 unique individuals receiving paid counseling sessions. The top presenting issues are stress/anxiety (37.2%), marital/partner concerns (19.8%), and depression (15.7%). Demographically, the workforce is 28.3% male, 34.6% female, and 37.1% other, with an average employee age of 43. The city utilized 48 employer service hours, including 42 wellness seminars and 3 critical incident management sessions, indicating a robust approach to employee mental health and wellness support.

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Exhibit 02 - City of Miami AFSCME 871 Sanitation Employees Union Contract Oct 1 2023 - Sep 30 2026.pdf PDF
Exhibit 15 - City of Miami Cal Yr 2024 CIGNA Medical - Comp EEs Plan 70 Percent Ded 300 Max Out of Pocket 1K ASO64.pdf PDF
Exhibit 30a - Cal Yr 2025 City of MIami CIGNA VIS Vision Benefit imbedded in Medical Plan Document ASO71.pdf PDF
Exhibit 18 - Cal Yrs 2023 _ 2024 City of Miami CIGNA FIXED Charges Report - PRR.xlsx XLSX spreadsheet
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Exhibit 63 - Aug 2024 to Jul 2025 City of Miami CIGNA Claims by Benefits and ASO Fees Monthlty Healthcare Experience by Ben Option Rlg 12.xlsx XLSX spreadsheet
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Exhibit 54a - Cal Yr 2025 City of Miami CIGNA Medical - Administrative Services Only ASO And Stop Loss Fees Schedule.pdf PDF
Exhibit 05c - Cal Yr 2025 City of Miami CIGNA Dental HMO Certificate Riders and Coverage for 7 States ETALLD25A Plan 3202272 HC-ETRDR.pdf PDF
Exhibit 06d - Cal Yr 2025 City of Miami CIGNA Dental PPO Territorial Legislation - 23 States ETALLD25B.pdf PDF
Exhibit 31 - Cal Yr 2024 City of Miami CIGNA Lag Report Incurred Date included - Monthly Healthcare Experience by Acct Rolling 12-1.xlsx XLSX spreadsheet
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Text version

CITY OF MIAMI

EAP Utilization Jan 2024 - Dec 2024 © Evernorth Health Services | Confidential unpublished property of Evernorth Health Services. Do not duplicate or distribute. Use and distribution limited to only authorized persons All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

EXHIBIT 45

EAP Executive Summary

Client: CITY OF MIAMI | Client ID: 00597 | Account:All Accounts Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Comments Gender Other includes non-sexed, unknown and null data Total Cases is a combination of Telephonic and Digital Historically, all calls connected to our crisis team were categorized as crisis calls while consultations were separate. Current state, when the call is connected to the clinicians, they make the clinical determination if the call is a crisis assessment or if a clinical consultation would be appropriate - resulting in lower crisis calls and increased consultations.

EAP Detailed Executive Summary

Client: CITY OF MIAMI | Client ID: 00597 | Account:All Accounts Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Utilization TypeCount by Utilization Category TypeUtilization Percentage by Category Type
Cases1786.8%
Customer Interactions190.7%
*Assessments represent interactions with our customer(s).
Presenting Problem
Clinical172
Non-Clinical6
Total Presenting Problem1786.8%
Overall Utilization as historically captured utilizing Presenting Problem and web sessions79030%

All Utilization categories are divided by employee headcount There were 159 customers that opened 178 Cases in the reporting period Those 178 Cases resulted in 19 Clinical and Nonclinical Assessments as each case can have more than one assessment based on interaction with a personal advocate Those 178 Cases represented 178 total presenting problems as cases can have more than one presenting problem Utilization Percentage by Category Type is annualized Note: Utilization by category types are independent of each other EAP Utilization

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Demographics Statistics

Age Distribution

Customers/Participants Gender Distribution

Gender Other includes non-sexed, unknown and null data EAP Demographics

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Web Utilization

Actions Taken During Web Utilization

Enter your comment(s) here EAP Digital Behavioral Health Integrated Engagement

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Time of Day that Customers are Utilizing Web Services

Day of the Week Customers are Utilizing Web Services

Time of Day that Customers are Utilizing Telephonic Services

Comments

Comments Most frequent day for web utilization is Tue Customers are utilizing web services most often from 12 PM to 04 PM and telephone services from 12 PM to 04 PM EAP Engagement - When are Customers Engaging

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Presentation Profile Top 5 Clinical

Count%
Stress/Anxiety6437.2%
Marital/Partner3419.8%
Depression2715.7%
Information Only179.9%
Grief and Loss116.4%

Presentation Profile Top 5 Non-Clinical

Count%
Legal350%
Child Care116.7%
Financial116.7%
Pet Care116.7%

EAP Presentation Profile

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Number of Utilized Employer Service Hours

HoursEvents
BaseCurrentBaseCurrent
CISM32673
Wellness Seminar41424142

Management Referrals and Consultations

EAP Employer Services

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies

Presentation Profile

Q1Q2Q3Q4YTD
Count%Count%Count%Count%Count%
Stress/Anxiety1736.2%1331.7%1738.6%1742.5%6437.2%
Marital/Partner919.1%614.6%1125%820%3419.8%
Depression919.1%717.1%715.9%410%2715.7%
Information Only510.6%49.8%36.8%512.5%179.9%
Grief and Loss24.3%24.9%49.1%37.5%116.4%
Job/Career12.1%37.3%12.3%00%52.9%
Family12.1%12.4%00%25%42.3%
Management Consult12.1%24.9%00%00%31.7%
Alcohol12.1%12.4%00%00%21.2%
Developmental/Attention00%12.4%00%12.5%21.2%
Child/Parenting00%12.4%00%00%10.6%
Suicidal/Homicidal00%00%12.3%00%10.6%
Abuse, Sexual, Physical, Emotional12.1%00%00%00%10.6%

EAP Detail for Presentation Profile - Clinical

Base Date: Jan 2023 - Dec 2023 paid through Dec 2023 | Current Date: Jan 2024 - Dec 2024 paid through Dec 2024 | Report Run Date: Apr 9, 2025

All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of The Cigna Group All Evernorth Health Services products and services are provided exclusively by or through affiliates of the Evernorth companies image4.png image5.svg image1.png image2.svg .cls-1{fill:#00528E;}.cls-2{fill:#37A658;fill-rule:evenodd;} image3.png image6.png image7.svg image8.png image9.svg Member Impact 159 Customers using EAP 178 Total Cases 6 Telephonic Consultation 146 EAP Codes Generated 40 Unique individuals had [159] paid counseling sessions 19 Customer Interactions* *Assessments represent interactions with our customer(s). Organizational Highlights 48 Employer Service Hours Used [14] Remaining 3 Critical Incidents 42 Wellness Seminars Completed 4 Management Consults Completed image17.svg Engagement and Access to Quality Care image18.png image19.svg 62 Telephonic Digital Engagement Organizational Services EAP Sessions Total Cases Telephonic Consultations Crisis Calls 612 Web Sessions 146 EAP Codes Generated out of Employer Service Hours Used 14 Remaining 159 Paid Counseling Sessions 178 6 0 48 image10.png image11.svg Average Monthly Employee Headcount 2,634 Employees Demographics Overview of the Customers 28.3% Male 34.6% Female 37.1% Other 63.5% Employee Average Age: 43 13.2% Spouse Average Age: 44 22.6% Dependent Average Age: 21 image12.png image13.svg Avg # Sessions per Unique Participants Current Year to Date 4 Unique Participants Current Year to Date 40 159 Total Sessions Year to Date Base: 3.7 Norm: 5 Base: 47 image14.png image15.svg Stress/Anxiety Marital/Partner Depression Information Only Grief and Loss All Other Cases 0 10 20 30 40 50 60 70 Top Presenting Reasons for Call/Web/Chat 37.2% 19.8% 15.7% 9.9% 6.4% 11% Based on total cases, presentation profile indicates the problem as defined by the customer image16.png image27.svg 0% 50% 100% Female 34.6% Base: 41.4% Norm: 29.8% 61.8% 14.6% 23.6% image28.png image29.svg 0% 50% 100% Other 37.1% Base: 34.6% Norm: 52.9% 57.7% 22% 18.6% image20.png image21.svg 159 Customers 63.6% 13.2% 0.6% 22.6% Other Dependent Spouse Employee image22.png image23.svg 0% 10% 20% 30% 40% 1-17 18-29 30-39 40-49 50-59 60-64 65+ Current Average Age 43yr Employee Base: 47yr Norm: 40yr 44yr Spouse Base: 42yr Norm: 44yr 21yr Dependent Base: 20yr Norm: 20yr Base Current Norm image24.png image25.svg 0% 50% 100% Male 28.3% Base: 24% Norm: 17.4% 73.3% 26.7% Employee Spouse Dependent Other image26.png image30.png image31.svg Web Sessions Count 0 20 40 60 80 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 612 YTD Web Sessions 22.2 page views per unique web session 3.6 minutes per unique web session 57 56 63 57 67 47 69 63 44 48 49 44 68 51 51 75 38 55 51 52 43 52 35 41 Base Current image32.png image33.svg 0% 10% 20% 30% 40% 50% 60% 70% Coverage_Page Provider_Search Contact_Us Healthy_Rewards FAQ Others 60% 47.7% 4.3% 4.1% 1.6% 1.8% image34.png image35.svg 0% 2% 4% 6% 8% 10% 12 AM to 06 AM 06 AM to 12 PM 12 PM to 04 PM 04 PM to 08 PM 08 PM to 12 AM image36.png image37.svg 0% 5% 10% 15% 20% 25% 30% Sun Mon Tue Wed Thurs Fri Sat image38.png image39.svg 0% 10% 20% 30% 40% 50% 60% 06 AM to 12 PM 12 PM to 04 PM 04 PM to 08 PM image47.svg 0 2 4 Management Referrals Current 2 Base 0 Base Current image48.png image49.svg 0 2 4 6 Management Consultation 4 1 image40.png image41.svg Total Year to Date 3 Critical Incidents Base: 7 image42.png image43.svg Total Year to Date 42 Wellness Seminars Completed Base: 41 Norm: 11 image44.png image45.svg 0 10 20 30 40 50 CISM Wellness Seminar Total Number of Utilized Employer Service Hours: 48 Base Current image46.png

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