19GE5021R0009_00001_Q and A_set one.pdf

LES Health & Life Insurance 19GE5021R0009_00001

US Embassy Cairo, Egypt

Questions and Answers (Q&A)

RPSO has received the following fourteen (14) questions (Q), and is hereby providing the following answers (A).

1. Q: Please provide Data of employees (dates of birth). We usually need the exact dates of birth to be able to have an accurate quotation.

A: Attached

2. Q: Please provide Detailed Utilization of at least 9 months (detailed report of claims provided from the current insurer, upon which we build our quotation).

A: Please find Claims analysis attached.

3. Q: Please provide Current Table of benefits if different than the required.

4. Q: Please provide five years of loss data (table 1) by year of account including annual net premium (for the same period), incurred claims and membership history.

For membership history (Table 2) please provide the number of Employees with single coverage and with family coverage at the end of each year.

Please do not include any confidential information, just the overall statistics for the group.

Claims information is critical to our pricing and the relationship of claims to employee growth or shrinkage is part of the claims analysis.

A: We will provide an answer at a later date with via another amendment.

Table 1:

Contractual year Total claims paid

(local currency)

Retention amount

(local currency)

Total premium paid to

Insurer

(local currency)

Net gain

(local currency)

Net gain USD or

EUR

dd/mm/2016 – dd/mm/2017 dd/mm/2017 – dd/mm/2018 dd/mm/2018 – dd/mm/2019 dd/mm/2019 – dd/mm/2020 dd/mm/2020 – dd/mm/2021

Table 2:

Contractual year Single Self plus ONE Family plans dd/mm/2016 – dd/mm/2017 dd/mm/2017 – dd/mm/2018 dd/mm/2018 – dd/mm/2019 dd/mm/2019 – dd/mm/2020 dd/mm/2020 – dd/mm/2021

5. Q: We would like to know if you have been informed of Catastrophic cases, such as:

Hemodynamics, Open Heart Surgery, Orthopedic Mayor Surgeries, Organ Transplant, Traumatic Accident, Cancer and Oncology Cases (Radio and Chemotherapy), and hospitalizations with more than 10 days.

6. Q: What is the name if the insurance company that currently provides coverage?

A: MetLife

7. Q: Is there a preferred list of Hospitals, Clinics or other Medical Facilities that the Embassy employees prefer? If yes, please provide a list of these facilities.

A: No. In general we currently deal with all big-name hospitals in Cairo and Alex.

8. Q: Could you please provide information about the claims you have had outside of Egypt during your current coverage?

9. Q: Has there been any changes to the Table of Benefits over the past 5 years?

A: No

10. Q: Would the embassy insist on a locally admitted insurance company or would it accept a proposal from a consortium of international insurance and assistance companies?

A: This solicitation is being competed under full and open competition and is NOT restricted to local offerors.

However in accordance with DOSAR 652.242-73 AUTHORIZATION AND PERFORMANCE (AUG

1999) the contractor shall provide written certification that authorization to operate and do business in the country in which this contract will be performed, has been obtained.

11. Q: Re Life Insurance: Could you please provide a detailed census containing employees’ date of births, positions and annual salaries?

12. Q: Re Life Insurance: Could you please provide detailed claims data for the last 3 years?

13. Q: Can an offeror only participate in the tender for health insurance and not provide proposal for life insurance and vice versa

A: No. The Statement of Wok consist of Part I Health Insurance and Part II Life Insurance.

Proposals shall be submitted for the entire Statement of Work. The Governments intends to issue one contract.

14. Q: Even though we are not a U.S based company, would we be permitted to provide a proposal in USD?

A: No, proposal shall be submitted in EGP.