Attachment 1 - Price Proposal Breakdown (updated).xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Health Insurance for Locally Employed Staff (LES), U. S. Embassy Skopje, North Macedonia
- Solicitation number
- 19GE5025R0095
About this file
The file is a Price Proposal Breakdown Excel spreadsheet for Solicitation 19GE5025R0095, detailing health insurance pricing for locally employed staff at the U.S. Embassy in Skopje, North Macedonia. The pricing schedule covers a base year and four option years, with three coverage tiers: Self Only (one individual), Self Plus One (two individuals), and Family (three or more individuals). The document shows estimated enrollment numbers for each tier across all performance periods, with 30 individuals for Self Only, 47 for Self Plus One, and 148 for Family coverage. Notably, all premium and total cost fields are currently populated with zero values, suggesting this is a template for vendors to complete their pricing proposal.
The solicitation is issued by the Department of State's Regional Procurement Support Office (RPSO) Frankfurt, with two amendments already issued. The contract opportunity seeks healthcare services specifically for locally employed staff at the U.S. Embassy in Skopje, North Macedonia. Vendors are required to acknowledge receipt of amendments by completing and returning a Standard Form (SF30) with their proposal. The solicitation involves health insurance coverage with multiple enrollment options and a multi-year performance period, allowing for potential contract extensions through four option years beyond the base year.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5025R0095-A0002.pdf | ||
| Attachment 5 - Exhibit A (updated).pdf | ||
| 19GE5025R0095-A0001.pdf | ||
| Attachment 2 - Contract Information Sheet.docx | DOCX document | |
| Attachment 4 - Form W-14 Instructions.pdf | ||
| Attachment 1 - Price Proposal Breakdown.xlsx | XLSX spreadsheet | |
| 19GE5025R0095.pdf | ||
| Attachment 5 - Exhibit A.pdf | ||
| Attachment 3 - Form W-14.pdf |
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Pricing Schedule
| SOLICITATION 19GE5025R0095 - PRICING SCHEDULE | |||||
| CLIN | Category | Estimated Number of Premiums* | Monthly Premium | Annual Premium | Total |
| 001 | BASE YEAR | ||||
| 001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL BASE YEAR | - 0 | ||||
| 1001 | OPTION YEAR ONE | ||||
| 1001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 1001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 1001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR ONE | - 0 | ||||
| 2001 | OPTION YEAR TWO | ||||
| 2001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 2001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 2001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR TWO | - 0 | ||||
| 3001 | OPTION YEAR THREE | ||||
| 3001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 3001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 3001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR THREE | - 0 | ||||
| 4001 | OPTION YEAR FOUR | ||||
| 4001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 4001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 4001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR FOUR | - 0 |
| BASE YEAR TOTAL | - 0 |
| OPTION YEAR ONE TOTAL | - 0 |
| OPTION YEAR TWO TOTAL | - 0 |
| OPTION YEAR THREE TOTAL | - 0 |
| OPTION YEAR FOUR TOTAL | - 0 |
| GRAND TOTAL | - 0 | ||
| CURRENCY | |||
| *estimated number of premiums does not include any Riders (Section I, C.4.3) | |||
| **does not include any premiums for Riders. | |||
| Monthly Retention Amounts per separate premium paid per Self Only (one individual), Self Plus One (two individuals) and Family (three or more individuals) | |||
| Period of Performance | Self Only (one individual) | Self Plus One (two individuals) | Family (three or more individuals) |
| Base Period | |||
| First Option Year | |||
| Second Option Year | |||
| Third Option Year | |||
| Fourth Option Year |
File details come from the government source that posted it. Updated .