Attachment 1 - Questions and Answers on Solicitation Number 19BA3026R0001.docx

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Health Insurance Services for Locally Employed Staff
Solicitation number
19BA3026R0001-A
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This is a Questions and Answers document for Solicitation Number 19BA3026R0001, which addresses inquiries from potential bidders regarding health insurance services for locally employed staff at the U.S. Embassy in Bahrain. The document clarifies key requirements and provides supporting data for proposal preparation.

The solicitation covers health insurance for Embassy personnel (103 staff) and ORE staff (4 personnel), with two plan options available. Plan 1 applies to current employees, while Plan 2 applies to employees hired after May 1, 2026, with potential for 2-3 additional hires before year-end 2026. Historical claims data shows annual paid claims of BHD 160,873 (2022-23), BHD 245,918 (2023-24), BHD 252,694 (2024-25), and BHD 198,646 (through January 2026), with corresponding loss ratios of 77%, 92%, 86%, and 59% respectively. Bidders must provide premium rates for Plan 2 without calculating total amounts, attach IRS Form W-14 for the 2% Zadrobia excise tax withholding (calculated on amounts exclusive of VAT), and obtain Defense Base Act insurance from Department of Labor approved providers. Coverage includes worldwide out-of-country medical treatment with no duration restrictions. Offerors must possess a valid CAGE/N-CAGE code and comply with Kingdom of Bahrain registration requirements per Section L2 of the solicitation. The submission deadline was updated to March 25, 2026, at 4:00 PM Bahrain local time, with the contract maximum amount to be determined post-award. No broker has been appointed for this tender, and SAM registration is not required.

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Questions and answers on Solicitation Number 19BA3026R0001 – LE Staff Health Insurance

Questions
Answers
Member list with DOB, gender, marital status, relation (staff/dependent)
See Attachment 2

(Sheet 1 – Embassy Personnel; Sheet 2 – ORE Staff)

Detailed claims experience of current running policy if possible
YEAR
TOTAL CLAIMS PAID

(BHD)

2022-23
160,873
2023-24
245,918
2024-25
252,694
2025-26 (until January 2026)
198,646
Table of benefits
Refer to Solicitation: (Page 15 to 27)

Section C.1. HEALTH INSURANCE SERVICES -PLAN 1

Section C.2 HEALTH INSURANCE SERVICES -PLAN 2 (Employees Hired After May 1, 2026)

Current Hospital Network List
The Network List is managed directly by the vendor and covers all major hospitals, clinics, and pharmacies in Bahrain.
Current Table of Benefits
Refer to Solicitation: (Page 15 to 20)

Section C.1. HEALTH INSURANCE SERVICES -PLAN 1

Plan 2 – Completion of Forms (Pages 8–13) Employee projections missing Currently, we are not tracking any hires through May 2026. However, we may see 2 to 3 hires before the end of 2026.

Can bidders indicate premium rates only (without total premium amounts) in these tables?

Bidders can provide premium rates without total amounts. These rates will be applied when a new employee is hired under Plan 2

Zadroga (9/11 VICTIMS ) – 2% Excise Tax Notice (26 U.S.C. 5000C)

Please attach W-14 with your proposal. Form W-14 is completed by foreign contracting parties and is used to claim an exemption from withholding, in whole or part, from the 2% tax imposed by section 5000C. Link for W-14: https://www.irs.gov/pub/irs-pdf/fw14.pdf Link for Instructions: https://www.irs.gov/instructions/iw14

Confirm the withholding base/formula (excl. VAT vs incl. VAT):

Please confirm the exact basis for calculating 2%:

If withheld, the 2% amount will be calculated on the net amount (exclusive of VAT)

Request for current in-force claims: The claims amount shared so far covers fully expired policy years. Please also share claims experience from the current in-force policy period, so proposals reflect the most recent risk experience

YEAR
TOTAL CLAIMS PAID

(BHD)

2022-23
160,873
2023-24
245,918
2024-25
252,694
2025-26 (until January 2026)
198,646

We noticed that the 2025-2026 (half year) Claims Information has not been disclosed or shared in the document that would give more clarity to the bidder to understand the claims situation

Equal information to all bidders: Please confirm that the in-force claims data (and any related clarifications) will be issued to all bidders, to ensure equal and complete information for evaluation.

All available information will be shared to all bidders

Please clarify the Defense Base Act (DBA) insurance for more clarity on Risk exposure and coverage plan will be part of Health Insurance program.

Please share more details on DBA insurance.

DBA is applicable to this Contract - Please see Section L The offeror shall obtain DBA insurance directly from any Department of Labor approved providers at the DOL website at http://www.dol.gov/owcp/dlhwc/lscarrier.htm

With reference to the solicitation document, and specifically the section titled “Minimum and Maximum Amounts” (page 7), we noted that the contract maximum amount is currently stated as TBD.

The maximum amount will be determined after receiving offers and will be included when the contract is awarded

Claims History / Loss Ratio
Profit and Loss Ratio
2022-2023
77%
2023-2024
92%
2024-2025
86%
2025-2026*
59%

* 2025-2026 numbers are through January 2026.

Opening and closing population for the current year and the previous year
Current Year: Embassy Staff: 103; ORE Staff: 4

Previous Year: Embassy Staff: 108; ORE Staff: 5

Most recent claims experience for the current year, on a monthly basis

YEAR
TOTAL CLAIMS PAID

(BHD)

2025-26 (until January)
198,646

Run-off claims experience for the previous year, on a monthly basis

With regard to: C.1.1.17 Out-of-Country Medical Treatment: Medical expenses incurred out-of-country will be covered at the same benefit levels and subject to the same total maximum annual limit as for medical expenses incurred in-country) - Can you please confirm if the area of cover is extended to worldwide including US and whether such extension outside Bahrain is limited to specific duration of stay outside Bahrain?
Yes - the Out-of-Country Medical Treatment coverage is worldwide, and there is no restriction on the length of stay outside Bahrain.
Refer to B.1.1, we understand the ORE staffs are included under this contract only as a rider, however, does their claims history provided under Exhibit C includes ORE?
Yes – the Claims History includes ORE Staff on the Rider Contract.

Please clarify if there is a broker involved in this tender.

U.S. Embassy has not appointed any brokers to solicit the proposal

SAM Registration Required?
SAM registration is not required; however, qualified offerors must have a valid

CAGE/N-CAGE code for verification, see Section K for details

Kindly confirm whether it is mandatory for offerors to partner with, or operate through, an insurance company that is officially registered in the Kingdom of Bahrain in order to establish a proper legal arrangement for contract performance.

See Section L2 of the Solicitation

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