Census Spreadsheet (003) (2).xls
XLS spreadsheet 47 KB Posted
- Solicitation number
- 19GE5024R0086
About this file
This document appears to be an Excel spreadsheet containing a list of census information for International Policyholders, including their name, gender, date of birth, citizenship, U.S. zip code, work location, coverage type, country where dependents reside, occupation, annual salary, and U.S. visa type.
The related federal contract opportunity is Solicitation Number 19GE5024R0086 for "Health Insurance Services - Kyiv, Ukraine". The U.S. Government requires health insurance for its Locally Employed Staff (LES) and their dependents at the U.S. Embassy in Kyiv, Ukraine. The contractor shall provide the health insurance services in accordance with the Statement of Work (SOW) and attached solicitation documents. The solicitation is issued by the Department of State Office of Acquisition Management.
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Text version
International Census
| Policyholder Name: | |||||||||||
| U.S. Address: | |||||||||||
| Effective Date: | |||||||||||
| Required Information for All Quote Requests | Required for Life, AD&D and LTD Quotes | Required if Work Location is United States | |||||||||
| No. | Name | Gender | Date of Birth | Citizenship | U.S. Zip Code for US Citizens and Inpats | Work Location | Coverage Type | Country Where Dependents Reside | Occupation | Annual Salary | U.S. Visa Type |
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Provide coverage tiering: Employee Only, Employee + Spouse, etc.
Sheet1
File details come from the government source that posted it. Updated .