19GE5024R0086 Q_A.pdf
PDF 237 KB Posted
- Solicitation number
- 19GE5024R0086
About this file
This document contains questions and answers related to Solicitation No. 19GE5024R0086 for Health Insurance Services at the U.S. Embassy in Kyiv, Ukraine.
The key details are:
- The U.S. Government requires health insurance coverage for its Locally Employed Staff (LES) and their dependents at the U.S. Embassy in Kyiv, Ukraine.
- The current provider is Insurance Company UNIQA, PJSC under Contract #19GE5023D0042.
- The solicitation requests 5 years of claims data, average insured member counts, and other historical information to assist offerors with pricing.
- The health insurance plan is voluntary for LES, with the U.S. Government paying 95% of employee coverage and 60% of dependent coverage.
- Proposals can be submitted in either U.S. dollars or Ukrainian hryvnyas, with invoicing and payments made in the proposed currency.
- The coverage is limited to the territory of Ukraine, with no out-of-country benefits.
- There have been no changes to the benefit structure over the past 5 years.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Census Spreadsheet (003) (2).xls | XLS spreadsheet | |
| 19GE5024R0086 Q_A 26-27.pdf | ||
| 19GE5024R0086 0003 signed.pdf | ||
| 19GE5024R0086 0002 signed.pdf | ||
| 19GE5024R0086 0001 signed.pdf | ||
| 19GE5024R0086.pdf | ||
| Attachment 1 IRS Form W-14.pdf | ||
| Attachment 2 Instructions to Complete IRS Form W-14.pdf | ||
| 19GE5024R0086 Cover Letter signed.pdf | ||
| Attachment 5 Employee Statistics.pdf | ||
| Attachment 3 Price Proposal breakdown.xlsx | XLSX spreadsheet | |
| Attachment 4 Info Regarding TNCs.pdf |
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
19GE5024R0086 – Health Insurance Services – Questions and Answers
American Consulate General Frankfurt
Regional Procurement Support Office (RPSO)
Giessener Strasse 30
60435 Frankfurt, Germany
Tel: 0049 / (0) 69 / 7535-3343
July 30, 2024
Subject: Request for Proposals (RFP) No. 19GE50-24-R-0086
Health Insurance Services
American Embassy Kyiv, Ukraine
Questions and Answers
To prospective offerors:
The U.S. Government has received the following questions / clarifications to solicitation
19GE50-24-R-0086
Question 1: Please provide claims data for Health Insurance for the last 5 years – 2023, 2022, 2021, 2020 & 2019. It is standard practice in the insurance industry
(and in other Department of State insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.
Answer 1:
YEAR
PREMIUM PAID
(USD)
CLAIMS
HISTORY
(USD)
TOTAL MEMBERS
(employee + spouse + dependents) on the last day of the contract year
Aver
ExR
2018 -2019 1,484,970.00 1,424,489.59 1.345
27.19
2019 -2020 1,621,319.80 1,468,587.85 1.326
26.35
2020 -2021 1,948,402.25 1,621,854.22 1.332
26.31
2021 -2022 2,006,042.75 1,347,420.63 1.356
27.68
2022 -2023 1,949,555.70 1,143,138.28 1.239
35.57
Extension till Nov
851,776.90
670,674.27 1.185
36.49
Question 2: Please confirm if the claims data includes claims from Riders (ORE, Employee Association, and Peace Corps).
Answer 2: Correct.
Question 3: Please provide average insured member counts for Health Insurance for the last 5 years – 2023, 2022, 2021, 2020 & 2019. It is standard practice in the insurance industry (and in other Department of State insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.
Answer 3: 2019 – 1330
2020 – 1335
2021 – 1340
2022 – 1270
2023 - 1220
Question 4: Please provide five years of loss data (attachment 1 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.
Answer 4:
YEAR
PREMIUM PAID
(USD)
CLAIMS
HISTORY
(USD)
TOTAL MEMBERS
(employee + spouse + dependents) on the last day of the contract year
Aver
ExR
2018 -2019 1,484,970.00 1,424,489.59 1.345
27.19
2019 -2020 1,621,319.80 1,468,587.85 1.326
26.35
2020 -2021 1,948,402.25 1,621,854.22 1.332
26.31
2021 -2022 2,006,042.75 1,347,420.63 1.356
27.68
2022 -2023 1,949,555.70 1,143,138.28 1.239
35.57
Extension till Nov
851,776.90
670,674.27 1.185
36.49
Base Year: 2018 -2019
Single 179
Family 1166
Option Year 1 2019 -2020
Single 163
Family 1163
Option Year 2 2020 -2021
Single 178
Family 1154
Option Year 3 2021 -2022
Single 181
Family 1175
Option Year 4 2022 -2023
Single 176
Family 1063
Extension Through Nov 2023
Single 166
Family 1019
Question 5: Please provide headcounts for the last 5 years
Answer 5: Please see Answer 3.
Question 6: 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.
Answer 6: Yes, we have been informed about Cancer and Oncology cases and hospitalizations with more than 10 days. Prospective offerors are advised that specific illnesses or conditions of employees and their dependents are not releasable but any claims would be included under the answer to previous question.
Question 7: What is the name of the current provider?
Answer 7: Current Provider: Insurance Company UNIQA, PJSC.
Question 8: Does current provider have “direct billing” in place also for outpatient treatments with medical facilities? Could you please kindly provide the list of the most visited medical facilities by the Embassy employees?
Answer 8: The most visited clinics in Kyiv: Oberih, Medikom, Dobrobut, SmartMedical, MediLand, Isida, Adonis, Leleka, Ohmatdyt, etc. Other clinics may be used in other locations on the territory of Ukraine.
The insurance company does the billing to the medical facilities. The patient doesn’t receive bills directly.
Question 9: Could you please provide information about all claims / year occurred out of country during the current coverage?
Answer 9: The coverage does not include medical services outside of the country.
Question 10: Has there been any changes to the Table of Benefits over the past 5 years?
Answer 10: No. The coverage remains the same for the past 5 years.
Question 11: Are there any differences between the current Table of Benefits and new solicitation.
Answer 11: No. The coverage remains the same for the past 5 years.
Question 12: Final proposal can be submitted electronically or does the Embassy insist on hard copies?
Answer 12: Please see section III – Submittal of Electronic Proposals (page 46)
Question 13: Health Insurance services for Locally Engaged Staff and their dependents is a voluntary or mandatory plan?
Answer 13: Voluntary.
Question 14: If voluntary, meaning all employees of the Embassy will be covered on voluntary basis – to the employees will be given the option to sign up for the health insurance - is there any guarantee of min. number of insured
LES?
Answer 14: The participation in Heath Insurance Plan is voluntary. The employee may choose not participating. No guarantee.
Question 15: The number of insured persons is essential for the risk evaluation
(premium rates calculation) and for the requested enrollment procedure
(without individual medical underwriting). What is impact on the proposed premium rates and prices if, compared to the estimated figures
(EXHIBIT A, EXHIBIT B, EXHIBIT C), less than 75% of the US
Embassy staff and their dependents decide to be enrolled in the insurance plan?
Answer 15: We do not expect fewer than 75% to enroll. Currently enrolled 100%.
Question 16: In case the employees have to pay a portion of the premium themselves, what % would that be and would the Embassy collect it from the employees and pay it to the provider?
Answer 16: As it is indicated in the Scope of Work:
Under this contract the premium cost will be shared as follows:
- Employee coverage: the USG will pay 95% and the employee will pay 5%
- Dependent coverage: the USG will pay 60% and the employee will pay
40%
Question 17: Would the Embassy accept a proposal from an international insurance company under an “off shore” jurisdiction?
Answer 17: No
Question 18: Would 2 % tax based on James Zadroga Act be applicable to this solicitation?
Answer 18: Ukraine is exempt from Zadroga Act provisions however form W-14 still needs to be completed.
Question 19: Would DBA insurance be applicable to this solicitation?
Answer 19: Ukraine has a DBA waiver through September 12, 2024, and has applied for an extension. DBA insurance is always applicable to U.S. companies.
Question 20 Would the Embassy accept proposals shown in USD or EURO?
Answer 20: The proposal can be in USD or Ukrainian Hryvnya. In case the prices are submitted in the U.S dollars, the payment will be performed in Ukrainian
Hryvyas (prices will be converted based on the official exchange rate
USD/UAH of the National Bank of Ukraine on the date of invoicing).
Question 21: Would the Embassy accept to pay invoices and insurance premium in
USD (or EURO)?
Answer 21: Invoices should be submitted in the currency the proposal is made with, either USD or UAH.
Question 22: Eligible dependents – is it meant that they should reside within the same country as their parents or do they need to be covered under the insurance even though they reside temporary in a different country due to studies?
Answer 22: This contract provides coverage only on the territory of Ukraine. The insured must be physically present in the country.
Question 23: Is there an incumbent contractor and if so, may you please provide the contract number and dollar value.
Answer 23: Insurance Company UNIQA, PJSC.
Contract #: 19GE5023D0042
Question 24: B.4.3 Monthly Retention Amounts per separate premium paid per self only, per self plus one and per family plan
There are 5 insurance plans under the contract, that’s why Retention should be 5 positions. Now its just 3.
You do not object if we submit the necessary plans in point B 4.3
Like this:
Answer 24: No objections
Question 25: File «Attachment 3 Price Proposal breakdown» has two tabs.
The second tab «Staff under Rider» has just one position for Rates.
But needed 5.
Do I need to fill in this tab?
Answer 25: Yes
File details come from the government source that posted it. Updated .