19GE5022R0048_Q and A set two (1).pdf

19GE5022R0048 Questions and Answers set two

RPSO has received the following twenty (20) questions and is providing the below answers.

1. Q: Please provide Birth dates of the Locally Employed Staff and their dependents who will be insured.

A: We have provided the age ranges of the employees in Exhibit A. The exact birth dates will not be provided. The information is not available for the dependents and cannot be provided.

2. Q: Please provide the damage utilization rate of the health policies you are currently using.

A:

Group Name Expire Date End Date Gross

Premium Net Premium Claims Loss/Ratio

ABD EMBASSY 31.08.2021 31.08.2022 52.575.152,58 23.536.265,96 13.363.544,68 56,78

3. Q: Regarding “Attachment +1 ++ Pricing - Tab B. Rider and Optional Benefits”

In CLINs3001A & 4001A it mentions Retired Employees and their dependents -

To cost this correctly we would really need to know how many "dependents ".

A: Currently we have 19 dependents for Retired Employees

4. Q: Do you have detailed information in how to fill out Attachment 3?

A: Instructions can be found here https://www.irs.gov/instructions/iw14.

5. Q: Is there a chance that we would be able to get a Broker Letter from you to help us to receive better pricing from the insurance companies on your behalf.

A: We do not understand what a Broker Letter is and will not provide one.

Offerors are reminded that Pricing is not the only basis of award for this contract. The USG intends to award to the lowest priced, technically acceptable, responsible offeror that submitted a proposal in compliance with the terms of the solicitation.

6. Q: What is the actual renewal date?

A: August 31st, 2022 (effective noon-Turkey time) https://www.irs.gov/instructions/iw14

7. Q: Current Loss Ratio of the policy. This is a very critical date that we need to receive because the insurance companies are asking fort The current performance of the policy. The current insurance company need to share it with you or Ankara Office and we need to receive that

ASAP. Since we don’t have this date no other insurance company can work on a competitive quote. This is really for your benefit to share this data.

A:

Group Name Expire Date End Date Gross

Premium Net Premium Claims Loss/Ratio

ABD EMBASSY 31.08.2021 31.08.2022 52.575.152,58 23.536.265,96 13.363.544,68 56,78

8. Q: We need to have a detailed data of claims. How many inpatients, outpatient, usage of hospitals, data of critical illnesses.

A: Here is the total claims:

Doctor 1.496.523 (TL)

Surgery: 2.275.611 (TL)

Chemo-radio-dialysis: 213.831 (TL)

Imaging and Laboratory: 3.620.889 (TL)

Hospital Treatment: 369.333 (TL)

Dental-Optical: 1.508.872 (TL)

9. Q: Can you also share with us the special wording of the current policy?

A: The current contract will not be shared.

Offerors shall prepare their proposal in response to this solicitation 19GE5022R0048. The

Benefit levels requested under this solicitation are set forth in Section I, Sub Section C.

10. Q: Can you please share the detailed pricing data by individual, family with no kids and family separately

A: No, the pricing will not be changed. Offerors shall submit their pricing requested in the solicitation and in the exact format provided in the Attachment 1 – Pricing:

Self-Only (1 covered individual), Self Plus One (two individuals), Family (three or more individuals).

11. Q: Is there any risky sickness within the group and if yes, the details please.

A: Previously Replied with Q&A set one.

12. Q: How is the current policy working? What is the current network and co-pay?

13. Q: If an insured goes to a doctor of a hospital out of network what is co-pay?

14. Q: Do the retired personnel have the same network?

A: Yes

15. Q: What is the reason for giving us the data of Base Year, Option Year One , Option Year Two?

A: This contract is a firm fixed price contract with one base and two option years.

Offerors shall submit their pricing for the base year and the two option years as requested in the solicitation and Attachment 1 – Pricing.

16. Q: What is the details of the checkup coverage and the network?

A: Please see C.1.1.8 Preventive and Wellness Services and Chronic Disease Management for

Check-up coverage.

There is no network arrangement.

17. Q: What is the payment method?

A: Electronic funds transfer (EFT).

18. Q: Please provide last year’s policy Premium by group.

A:

Total Premium (TRY)

Self-Only (Employee) TRY 15,932.00

Self Plus One (two individuals) TRY 31,863.00

Family (three or more individuals) TRY 43,737.00

Retired employee & dependents TRY 19,915

19. Q: Please provide the following information:

• Policy Term: see solicitation, the Requested Benefit levels and all terms and conditions are stated in the solicitation 19GE5022R0048

• Existing Insurance Company Name Info: Bupa Acibadem Sigorta

• Current Coverage Tables: proposals shall be in response to this solicitation 19GE5022R0048 and proposal the coverage as stated in the Section I, Sub Section C of this solicitation

• Current Policy Per Person Unit Premiums:

Total Premium (TRY)

Self-Only (Employee) TRY 15,932.00

Self Plus One (two individuals) TRY 31,863.00

Family (three or more individuals) TRY 43,737.00

Retired employee & dependents TRY 19,915

• Risky Disease Information: Previously Replied in with Q&A set one.

• Detailed Compensation/Premium List:

Contractual year Single Self plus one Family

31/08/2019 – 31/08/2020 10.196 20.392 27.991

31/08/2020 – 31/08/2021 12.745 25.490 34.989

31/08/2021 – 31/08/2022 15.932 31.863 43.737

*In Local Currency (Turkish Lira)

• Usage Detail by Coverage and Institution:

Inpatient Ranked from highest to lowest

Inpatient Outpatient

ACIBADEM MASLAK HOSPITAL 341.229,60 259.297,95

MEMORIAL ANKARA HOSPITAL 278.604,66 234.661,95

AMERİKAN HOSPITAL 214.699,51 78.225,96

ACIBADEM ADANA HOSPITAL 205.898,08 254.114,79

ANKARA GÜVEN HOSPITAL 200.556,98 344.776,35

KORU ANKARA HOSPITAL 155.293,82 1.002.431,05

ACIBADEM ANKARA HOSPITAL 155.165,52 120.841,67

BAYINDIR HOSPITAL / SÖĞÜTÖZÜ 142.109,62 58.788,79

ACIBADEM ALTUNİZADE HOSPITAL 132.245,13 77.995,91

KOÇ ÜNİVERSİTESİ HOSPITAL 122.877,65 4.501,02

Outpatient Ranked from highest to lowest

Outpatient Inpatient

KORU ANKARA HOSPITAL 1.002.431,05 155.293,82

ÖZEL ANKARA LİV HOSPITAL 389.894,69 74.187,43

ANKARA GÜVEN HOSPITAL 344.776,35 200.556,98

TÜRKİYE HOSPITAL 271.225,59 46.378,76

ACIBADEM MASLAK HOSPITAL 259.297,95 341.229,60

ACIBADEM ADANA HOSPITAL 254.114,79 205.898,08

MEMORIAL ANKARA HOSPITAL 234.661,95 278.604,66

ÖZEL VM MEDİCALPARK ANKARA KEÇİÖREN HOSPITAL 206.701,50 58.492,89

ÖZEL LEVENT HOSPITAL 191.290,89 59.492,51

ÖZEL MEDİCALPARK ANKARA İHTİSAS ÜNİVERSİTESİ HOSPITAL 171.122,31 73.978,38

ÖZEL ORTADOĞU SAĞLIK HOSPITAL 159.991,10 70.545,98

ACIBADEM ANKARA HOSPITAL 120.841,67 155.165,52

• Special Conditions: N/A

• Check-up Plan Detail: Please see C.1.1.8 Preventive and Wellness Services and Chronic Disease

Management for Check-up coverage.

20. Q: What’s the citizenship ratio of the employees that are being insured?

Basically, about how many/what percentage of employees are American citizens AND about how many/what percentage of employees are nationals?

A: %2,3 of the enrolled employees is dual citizen (American and Turkish) and rest of the enrolled employees are nationals. We do not have any information regarding the nationality of enrolled dependents.