SF-30 Amendment.pdf

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or

(c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

James J. Boyden

SEE NEXT PAGES

U.S. Embassy Beijing Procurement Office 55 Anjialou Lu Beijing, China 100600

19CH5024R2000

05/07/2024

04/15/2024

05-07-2024

The solicitation is amended as follows:

1. Sections B.6.1. through B.6.5. are deleted in their entirety and replaced with Sections B.6.1. through B.6.6. as set forth below and hereby made a part of the solicitation by this amendment:

Type of Insurance Premium

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

B.6.2. First Option Year of Contract

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

Type of Insurance Premium

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

B.6.1. Base Year of Contract

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

B.6.5. Fourth Option Year of Contract

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

Type of Insurance Premium

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

B.6.4. Third Option Year of Contract

d. Subtotal (a + b + c)

e. Total Price for Base Year (d x 26)

Type of Insurance Premium

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

B.6.3. Second Option Year of Contract

e. Total Price for Base Year (d x 26)

The pricing information entered in this table and in the Grand Total Base plus All Option Years table is for price evaluation purposes only and is not to be construed as a final price of the awarded contract.

(per 1,000 of Salary) Estimated Payroll

(Bi-Weekly in Thousands) Bi-Weekly Total

a. Basic Life 7.765

b. Accidental Death 7.765

c. VAT

Bi-Weekly Rates per Employee

e. Total Price for Fourth Option Year (d x 13)

Solicitation Amendment Number: 19CH5024R2000-0001

LE Staff Health/Life Insurance

Questions and Answers

For any answer provided regarding claims data incurred under the existing contract, please be advised this data may not be indicative of future claims. However, it is the Government’s recommendation to use this past data as historical information ONLY. Offerors are advised any adjustments to contract premium rates shall be in accordance with the Price Adjustment clauses B.4. and B.8 Also, any historical data incurred under the current contract is provided for informational purposes ONLY as it may not be indicative of future data.

1. Q: Kindly provide the average insured member counts for the past five years, from 2018 to 2023.

A:

Year Average Insured Numbers

2018 3,311

2019 3,367

2020 3,489

2021 3,234

2022 3,225

2023 3,224

2. Q: Please confirm if the claims data provided under Exhibit F includes both Health and Life claims numbers. If yes, please provide the Health and Life claims data separately.

A: No. Please see the life insurance claim data as follows:

Year Life Insurance Claim

(CNY)

2019 176,455

2020 222,435

2021 0

2022 0

2023 768,368

3. Q: The claims data provided under Exhibit F lacks information for the period 2/1/2023- 1/31/2024. Could you please provide the health and life claims data separately for this period?

A:

Period of 2/1/2023- 1/31/2024 Amount

Health Insurance Claim CNY 7,580,567

Life Insurance Claim CNY 768,368

4. Q: Please advise the highest age of employee and spouse.

A:

Highest age employee 65

Highest age spouse 72

5. Q: Please provide percentage of employees by region.

A:

Post Percentage

BEIJING 45.36%

GUANGZHOU 22.58%

SHANGHAI 17.87%

SHENYANG 10.32%

WUHAN 3.88%

6. Q: Are there any members (employee or dependent) with critical diseases? If so, kindly provide us with a count and the diagnosis.

A: 185 members with critical disease, see details below:

Name of disease Number

Cerebrovascular disease 60

Malignant tumor 51

Chronic viral hepatitis 18

Chronic kidney disease 14

Congenital disease 12

Epilepsy 6

Diabetes with complications 6

Heart failure 6

Chronic obstructive pulmonary disease 4

Lupus erythematosus 3

Severe Mental illness 2

Myocardial infarction (MI) 2

Aplastic anemia 1

Total 185

7. Q: Please provide a detailed breakup of Embassy employees’ salaries and ages in the below format.

A. Embassy cannot release salary and age information in your format. Here is the information we can share:

Annual Min Base Salary (CNY) 64,525

Annual Max Base Salary (CNY) 910,564

Average Annual Base Salary (CNY) 213,947

Average Base Salary by Pay Period (CNY) 8,229

The Most Senior Age 65

The Youngest Age 24

Average Age 43

8. Q: When is this plan likely to commence?

A: The expected commence date is August 1, 2024.

9. Q: Please indicate the meaning of Catastrophic Coverage (C.1.1.16), Out-of-Country Medical (C.1.1.17), Out-of-Country Medical Travel Treatment (C.1.1.18), Excess Coverage (C.1.1.21).

A: These areas of coverage are to be considered for coverage at this time.

Out-of-Country Medical Treatment Medical expenses incurred out-of-country (China).

Subject to the same total annual maximum limit as medical expenses incurred in-country.

Out-of-Country Medical Travel Transportation fee for out-of-country medical treatment

Catastrophic Coverage Additional coverage equal to 100% of the annual max per individual per contract year due to catastrophic event.

Excess Coverage Additional coverage equal to 100% of the annual max.

10. Q: Is there any expected reimbursement rate for Pediatric Services?

A: Yes, we expect outpatient service reimbursement at minimum 80% and inpatient/emergency at 100%.

11. Q: Please provide the information of personnel change in the last 5 years ( number of insured, average age of insured).

A:

Year Average Insured Number Average Age

2019 3,367 32

2020 3,489 33

2021 3,234 33

2022 3,225 33

2023 3,224 33

12. Q: Please provide claims history for health insurance for the current year (2/1/23- 1/31/2024).

A: See Answer to Question 3.

13. Q: Please provide claims history for life insurance in the last 5 years.

A: See Answer to Question 2.

14. Q: Does the claims paid (Exhibit F) include claims from ORE and AEA employees?

A: No.

15. Q: For the life insurance, please provide the information of average salary and the salary of the highest paid staff.

A: See Answer to Question 7.

16. Q: Does the life insurance plan include Commit Suicide?

A: No.

17. Q: Does the health insurance plan include Congenital Diseases?

A: Yes. While the term "Congenital Disease" isn’t explicitly stated in the solicitation. It’s generally understood, based on local market practices and prevailing practices, congenital diseases are typically included in the coverage for both outpatient and inpatient care. Furthermore, Section C, which outlines the eligible participants for the medical insurance, it does not specify individuals with congenital diseases are excluded from enrolling in the group insurance.

18. Q: Does the Outpatient Services include TCM （Traditional Chinese Medical clinics）?

A: Yes. Tradition Chinese Medicine” (TCM) isn’t explicitly mentioned in the solicitation.

Based on local market and prevailing practices, TCM is usually included in the coverage for both outpatient and inpatient care.

19. Q: Does the Optical Care include Lasik Surgery?

A: Only prescription lenses and frames or contact lenses are covered, not cosmetic surgery.

(C.1.1.10)

20. Q: Please provide the information of location of the insured.

A: China mainland. See Answer to Question 5 for details.

21. Q: Please explain the definition of “the general reimbursement category” on page 30.

A: The objective of this initiative is to enhance our claims management process, in the solicitation state clearly that the report shall list all claims paid by the contractor and the general reimbursement category. Here the category means outpatient service/inpatient/emergency. This approach aligns with common practices in the market.

22. Q: Could you please provide detailed benefit scheme of current policy year, including sum assured, reimbursement ratio, etc ?

A:

Item Reimbursement Rate

Hospitalization (treatment in the hospital for inpatient care)

100% under Shebao. No claims for the part not covered by the Local Social Security Fund.

Emergency Services 90% under Shebao. No claims for the part not covered by the Local Social Security Fund.

Outpatient Services 90% under Shebao. No claims for the part not covered by the Local Social Security Fund.

Dental Coverage 50%. No Shebao limits. Annual cap USD1, 000 per individual in Shebao hospitals

Optical Service 50%. Annual cap USD 60, per individual.

Mental Health and Physical therapy 30% in Shebao hospitals

Health Checkup 90%. Annual cap RMB 650/person

Hearing aids Based on Shebao, not covered

Maternity 100% for antenatal care, delivery, 6 weeks after delivery checkup, miscarriage and contraceptive surgery in Shebao hospitals

HIV/AIDS 100%, annual cap USD10,000 per person

Annual Maximum Medical Claim Limit

Capped RMB 80,000/person/year

23. Q: Please kindly help to confirm in the existing“Supplemental” Shebao National Health Care plan, whether outpatient & inpatient benefit only cover Shebao Grade1 (社保自 付一) , and Shebao is required to pay first?

A: The current health insurance plan is a supplement to the Shebao National Health Care plan, most outpatient & inpatient benefit only cover Shebao Grade 1, and Shebao is required to pay first. The plan also extends coverage to some services not included in Shebao Grade 1, such as certain dental treatments and vision care. However, these benefits have annual maximums and lower reimbursement rates.

24. Q: Could you please help to provide the most recent claim amount from 2/1/2023 to now.

A:

Period/Item: 2/1/2023-3/31/2024 Amount

Health Insurance Claim CNY 9,829,132

Life Insurance Claim CNY 768,368

25. Q: It is mentioned in C.2.3.2: ”No waiting period or physical check requirements can be imposed on eligible participants, regardless of their health status. Contractor cannot deny enrollment to eligible participants.” Does the same apply to medical insurance?

If yes, could you provide the number of patients with catastrophic pre-existing conditions？

A: Yes, same as the medical insurance. See Answer to Question 6 for catastrophic pre-existing conditions.

26. Q: Please kindly help to confirm is the cell marked red “Employee’s Dependent spouse”? “B.3.2 Bi-Weekly Retention Amounts per separate premium paid per single employee and per family plan.”

Period of Performance Employee Employee’s Dependent

Employee’s Dependent Children

Base Period

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

Six (6) Month Extension

A: Yes, it is Employee’s Spouse.

QsAs for 19CH5024R2000