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0,41 KAISER PERMANENTE. <br /> Date: 12/23/2025 <br /> Southern California Mobile Health Vehicle Services <br /> for <br /> City of Santa Ana <br /> Group wishes to engage Kaiser Foundation Health Plan, Inc. ("KP") to arrange for the <br /> Kaiser Permanente Mobile Health Vehicle (MHV) to provide the services described below <br /> at Group's worksite (the "Services"), and KP wishes to provide such Services: <br /> ®Biometric Screenings ❑Community Event <br /> ❑Care Gap Closure to members of KP ❑Primary Care services to members of KP <br /> fully-insured health plans <br /> BY ENGAGING THE SERVICES DESCRIBED IN THIS CONFIRMATION, GROUP AGREES TO <br /> AND INTENDS TO BE BOUND BY THE FOLLOWING TERMS AND CONDITIONS. <br /> TERMS & CONDITIONS FOR KAISER PERMANENTE WORKSITE SERVICES <br /> FEES: <br /> Biometric Screenings (blood pressure, BMI, glucose and cholesterol) <br /> ■ Biometric screenings are charged at $47 per participant for both KP members and non- <br /> members. <br /> Care Gap Closures <br /> ■ Care Gap Closures are at no cost to the employer. <br /> Primary Care to members of KP fully-insured health plans <br /> ■ Primary Care services are at no cost to the employer. Standard member copayments and <br /> deductibles apply and will be collected either at the time of service or via mailed invoice. <br /> PARTICIPATION GUIDELINES: <br /> Biometric Screenings <br /> ■ Minimum 6 participants per hour and at least 32 participants in total for biometric screenings, or <br /> $1,504 will be assessed. <br /> Care Gap Closures <br /> ■ Up to 3 participants every 15 minutes. Service includes a review of the member's medical <br /> record to check if the member is up to date with recommended care, to close any gaps in care <br /> and to provide limited biometric screenings. <br /> Primary Care <br /> ■ Minimum 2 participants per hour for primary care services. <br /> CANCELLATION POLICY FOR ALL EVENT TYPES: <br /> ■ Cancellations received by the MHV Product Manager at least 30 calendar days prior to the <br /> event are allowed and will not be assessed a penalty. <br /> ■ Cancellations fewer than 30 calendar days prior to the event date but greater than 14 calendar <br /> days can be rescheduled for an alternate location and for the same services on a different date. <br /> If the event is not able to be rescheduled a cancelation fee of$2,600 will be assessed. <br /> 1 SCAL MHV LOA 12/10/2025 <br />