Attachment_1_-_Pricing_Table__-_18Q0039.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- 19GE5018Q0039
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Attachment 1 - Pricing ( to be submitted with Proposal)
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Pricing Tables
| BASE YEAR | |||||||||||
| Sub-CLIN | Description | Number of Employees | Monthly Natural Death Premium per person | Monthly Accidental Death Premium per person | Monthly Total Premium per person | Subtotal per year all employees | |||||
| 0001A | Age Category 18 - 30 | 81 | 0 | - 0 | |||||||
| 0001B | Age Category 31 - 40 | 319 | 0 | - 0 | |||||||
| 0001C | Age Category 31 - 50 | 312 | 0 | - 0 | |||||||
| 4001A | Single Employees (Self Only) | 14 | 0 | $0.00 | 0001D | Age Category 51 - 60 | 213 | 0 | - 0 | ||
| 4001B | Employee + 1 | 14 | 0 | $0.00 | 0001E | Age Category 61 - 65+ | 38 | 0 | - 0 | ||
| 4001C | Family Plan | 130 | 0 | $0.00 | Total Base Year | - 0 | |||||
| Family Plan shall be ine rate for Families with 2-4 children - additional children shall be added with a separate child rate | |||||||||||
| The child rate shall also be added to 001A or 001B of Single Parents or Couples with one Child | OPTION YEAR ONE | ||||||||||
| Sub-CLIN | Description | Number of Employees | Monthly Natural Death Premium per person | Monthly Accidental Death Premium per person | Monthly Total Premium per person | Subtotal per year all employees | |||||
| 1001A | Age Category 18 - 30 | 81 | 0 | - 0 | |||||||
| 1001B | Age Category 31 - 40 | 319 | 0 | - 0 | |||||||
| 1001C | Age Category 31 - 50 | 312 | 0 | - 0 | |||||||
| 1001D | Age Category 51 - 60 | 213 | 0 | - 0 | |||||||
| 1001E | Age Category 61 - 65+ | 38 | 0 | - 0 | |||||||
| Total OY 1 | - 0 |
| OPTION YEAR TWO | ||||||
| Sub-CLIN | Description | Number of Employees | Monthly Natural Death Premium per person | Monthly Accidental Death Premium per person | Monthly Total Premium per person | Subtotal per year all employees |
| 2001A | Age Category 18 - 30 | 81 | 0 | - 0 | ||
| 2001B | Age Category 31 - 40 | 319 | 0 | - 0 | ||
| 2001C | Age Category 31 - 50 | 312 | 0 | - 0 | ||
| 2001D | Age Category 51 - 60 | 213 | 0 | - 0 | ||
| 2001E | Age Category 61 - 65+ | 38 | 0 | - 0 | ||
| Total OY 2 | - 0 |
| OPTION YEAR THREE | ||||||
| Sub-CLIN | Description | Number of Employees | Monthly Natural Death Premium per person | Monthly Accidental Death Premium per person | Monthly Total Premium per person | Subtotal per year all employees |
| 3001A | Age Category 18 - 30 | 81 | 0 | - 0 | ||
| 3001B | Age Category 31 - 40 | 319 | 0 | - 0 | ||
| 3001C | Age Category 31 - 50 | 312 | 0 | - 0 | ||
| 3001D | Age Category 51 - 60 | 213 | 0 | - 0 | ||
| 3001E | Age Category 61 - 65+ | 38 | 0 | - 0 | ||
| Total OY 3 | - 0 |
| OPTION YEAR FOUR | ||||||
| Sub-CLIN | Description | Number of Employees | Monthly Natural Death Premium per person | Monthly Accidental Death Premium per person | Monthly Total Premium per person | Subtotal per year all employees |
| 4001A | Age Category 18 - 30 | 81 | 0 | - 0 | ||
| 4001B | Age Category 31 - 40 | 319 | 0 | - 0 | ||
| 4001C | Age Category 31 - 50 | 312 | 0 | - 0 | ||
| 4001D | Age Category 51 - 60 | 213 | 0 | - 0 | ||
| 4001E | Age Category 61 - 65+ | 38 | 0 | - 0 | ||
| Total OY 3 | - 0 | |||||
| BASE YEAR | - 0 | |||||
| OPTION YEAR ONE | - 0 | |||||
| OPTION YEAR TWO | - 0 | |||||
| OPTION YEAR THREE | - 0 | |||||
| OPTION YEAR FOUR | - 0 | |||||
| SUBTOTAL | - 0 | |||||
| VAT IF APPLICABLE | ||||||
| TOTAL | - 0 | |||||
| CURRENCY |
19GE5018Q0039
Locally Engaged Staff Life Insurance, Ankara, Turkey &"-,Italic"Instruction for offerors: enter data in yellow fields
Attachment 1 Pricing Schedule
File details come from the government source that posted it.