19GE5026R0041_Combined Synopsis Solicitation..pdf

COMBINED SYNOPSIS/SOLICITATION

Health and Life Insurance Services U.S. Embassy Kingston, Jamaica

SOLICITATION NO. 19GE5026R0041

Issued by:

Regional Procurement Support Office Giessener Strasse 30 60435 Frankfurt am Main Germany

Combined Synopsis/Solicitation 19GE5026R0041

March 10, 2026

COMBINED SYNOPSIS/SOLICITATION 19GE5026R0041

The Regional Procurement Support Office (RPSO) Frankfurt hereby issues this Combined Synopsis/Solicitation for Health and Life Insurances Services for U.S. Embassy Kingston, Jamaica.

(i) Description

This is a combined synopsis/solicitation for commercial services prepared in accordance with part 12. This announcement constitutes the only solicitation. Offers are being requested and a separate written solicitation will not be issued.

Solicitation 19GE5026R0041 is issued as a request for proposal (RFP). Competition is full and open. All interested and responsible sources may submit an offer in accordance with the instructions, terms, and conditions contained in this solicitation and its attachments.

This acquisition is not set-aside for small business concerns.

This solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Regulation (FAR) Overhaul. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at https://www.acquisition.gov/far-overhaul/far-part-deviation-guide

(ii) The line-item numbers of this requirement are structured to reflect the coverage category and performance period of 12 months for each year.

(iii) Description of requirements:

The Contractor shall provide comprehensive health insurance services as detailed in the attached Statement of Work Statement provided in Attachment 1 – Schedule and Clauses. These services include, but are not limited to claims processing, provider network access, and pharmacy benefit management. All services must comply with the requirements set forth in the solicitation.

UNITED STATES DEPARTMENT OF STATE

Regional Procurement Support Office (RPSO)

Giessener Strasse 30 60435 Frankfurt am Main

Germany https://www.acquisition.gov/far-overhaul/far-part-deviation-guide

Offerors are responsible for reviewing the requirements in their entirety and shall demonstrate, within their proposal, a clear and feasible approach to meeting all stated performance and compliance obligations.

Besides this Combined Synopsis/Solicitation, offerors shall carefully review the following solicitation attachments:

Attachment 1 – Schedule and Contract Clauses Attachment 2 – Employee Statistics Attachment 2.1 – Salary Statistics Attachment 3 – Prices Attachment 4 - Representations and Certifications Attachment 5 - IRS Form W-14 Attachment 6 - Instructions to Complete IRS Form W-14 Attachment 7 – Past Performance and Experience

(iv) Period and Place of Performance:

Period of Performance: The total period of performance shall consist of the base year and four one-year option periods. Services shall commence no later than June 01, 2026.

Place of performance: Due to host-country regulatory requirements and the necessity for in-country claims administration, provider network management, and direct coordination with local medical providers, the contractor must maintain an operational presence in Jamaica by the time of award or demonstrate a detailed plan to establish such presence within thirty (30) days after award.

(v) Solicitation Provisions: This solicitation incorporates the following provisions:

FAR 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov Go to “FAR Overhaul”.

http://www.acquisition.gov/

The following solicitation provisions are incorporated by reference:

(1) FAR 52.212-1 - Instructions to Offerors-Commercial Products and Commercial Services

(DEVIATION RFO JAN 2026)

(2) FAR 52.212-2 - Evaluation—Commercial Products and Commercial Services

(DEVIATION RFO JAN 2026)

(3) FAR 52.203-11 - Certification and Disclosure Regarding Payments to Influence Certain Federal Transactions (Sep 2024)

(4) FAR 52.203-18, Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation (Jan 2017)

(5) FAR 52.204-7 - System for Award Management—Registration (DEVIATION RFO JAN 2026)

(6) FAR 52.209-12 - Certification Regarding Tax Matters (OCT 2025)

The following solicitation provisions are provided in full text:

FAR 52.252-5 Authorized Deviations in Provisions (Nov 2020)

(a)The use in this solicitation of any Federal Acquisition Regulation (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the provision.

(b)The use in this solicitation of any FAR (48 CFR Chapter 1) provision with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of provision)

FAR 52.214-34 Submission of Offers in the English Language (Apr 1991)

Offers submitted in response to this solicitation shall be in the English language. Offers received in other than English shall be rejected.

(End of provision)

FAR 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options will not obligate the Government to exercise the option(s).

(End of provision) https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52#FAR_52_212_1 https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52#FAR_52_203_18

FAR 52.225-17 Evaluation of Foreign Currency Offers (Feb 2000)

If the Government receives offers in more than one currency, the Government will evaluate offers by converting the foreign currency to United States currency using Department of State’s foreign currency exchange rate in effect as follows:

(a) For acquisitions conducted using sealed bidding procedures, on the date of bid opening.

(b) For acquisitions conducted using negotiation procedures-

(1) On the date specified for receipt of offers, if award is based on initial offers;

otherwise

(2) On the date specified for receipt of proposal revisions.

FAR 52.216-1 – TYPE OF CONTRACT (DEVIATION RFO JAN 2026)

The Government contemplates award of a requirements type contract that contains fixed prices, resulting from this solicitation.

FAR 52.233-2 Service of Protest (DEVIATION RFO JAN 2026)

(a) Protests, (as defined in FAR 33.102), that are filed directly with an agency, and copies of any protests that are filed with the Government Accountability Office (GAO), must be served on the Contracting Officer identified in the solicitation by obtaining written and dated acknowledgment of receipt from the Contracting Officer at the following physical address below:

U.S. Consulate General Frankfurt Regional Procurement Support Office (RPSO) Giessener Str. 30 60435 Frankfurt am Main, Germany

(b) The copy of any protest must be received in the office designated above within one day of filing a protest with the GAO.

DOSAR 652.206-70 Advocate for Competition/Ombudsman (Feb 2015)

(a) The Department of State's Advocate for Competition is responsible for assisting industry in removing restrictive requirements from Department of State solicitations and removing barriers to full and open competition and use of commercial items. If such a solicitation is considered competitively restrictive or does not appear properly conducive to competition and commercial practices, potential offerors are encouraged first to contact the contracting officer for the solicitation. If concerns remain unresolved, contact:

(1) For solicitations issued by the Office of Global Acquisition (GA) or a Regional Procurement Support Office (RPSO), the GA Advocate for Competition, at AQMCompetitionAdvocate@state.gov.

(2) For all others, the Department of State Advocate for Competition at cat@state.gov.

(b) The Department of State's Acquisition Ombudsman has been appointed to hear concerns from potential offerors and contractors during the pre-award and post-award phases of this acquisition. The role of the ombudsman is not to diminish the authority of the contracting officer, the Technical Evaluation Panel or Source Evaluation Board, or the selection official. The purpose of the ombudsman is to facilitate the communication of concerns, issues, disagreements, and recommendations of interested parties to the appropriate Government personnel, and work to resolve them. When requested and appropriate, the ombudsman will maintain strict confidentiality as to the source of the concern. The ombudsman does not participate in the evaluation of proposals, the source selection process, or the adjudication of formal contract disputes. Interested parties are invited to contact the contracting activity ombudsman, Trena N.

Mills, at (202) 704 2045. For an American Embassy or overseas post, refer to the numbers below for the Department Acquisition Ombudsman. Concerns, issues, disagreements, and recommendations which cannot be resolved at a contracting activity level may be referred to the Department of State Acquisition Ombudsman at (703) 516-1680, by fax at (703) 875-6155, or write to: Department of State, Acquisition Ombudsman, Office of the Procurement Executive (A/OPE), Suite 603, SA-6, Washington, DC 20522-0602.

The following solicitation provisions addenda are provided in full text:

ADDENDUM TO FAR 52.212-1 - INSTRUCTIONS TO OFFERORS

-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION RFO

JAN 2026)

Period for Acceptance of Proposals is extended to 90 calendar days.

Preparation and Submission of Proposals: Each proposal shall consist of Phase 1 and the following separate volumes:

PHASE 1 – MANDATORY MINIMUM REQUIREMENTS

The offeror shall provide the following minimum requirements. If they fail to submit any of these requirements, the proposal may no longer be considered.

A. SYSTEM FOR AWARD MANAGEMENT (SAM) REGISTRATION

Offerors shall provide evidence of an active registration in the System for Award Management (SAM) in accordance with FAR 52.204-7, System for Award Management Maintenance (RFO JAN 2026). SAM registration shall be active at the time of proposal submission and shall remain active throughout evaluation, award, and the entire period of contract performance.

Acceptable evidence of active SAM registration includes a copy of the entity’s active SAM status.

Failure to provide evidence of an active SAM registration may result in the proposal being considered incomplete.

B. Proof of ability to provide the minimum premiums and life insurance provided in the SOW for the duration of 5 years.

C. In accordance with DOSAR 652.242-73 AUTHORIZATION AND PERFORMANCE (AUG 1999) provide written authorization to operate and do business in Jamaica.

Include a notarized copy of the most current license/certificate/-accreditation issued by the Jamaican Financial Services Commission, which demonstrates that the offeror is licensed/certified/accredited or otherwise authorized by the Government of Jamaica or its agent (e.g., insurance commission, board) to provide health insurance coverage to persons (to include organizations, companies, groups) within the host country.

If the offeror is not licensed/certified/accredited or otherwise authorized by the Government of Jamaica it must demonstrate that it is licensed/certified/accredited by a government other than Jamaica to provide health insurance for persons in Jamaica and must demonstrate its capacity to provide health benefits in Jamaica to meet or exceed the minimum requirements and other conditions set forth in this solicitation.

This section shall demonstrate that the offeror is licensed/certified/accredited through no less than the final day of the base performance period and that the offeror is eligible for renewal for the option periods. This section shall also summarize and describe any probationary, disciplinary or actions taken upon the offeror, which are in force or are about to be imposed upon the offeror by the Government of Jamaica or its agents.

Failure to demonstrate that the offeror is an authorized insurance company permitted to write and administer health insurance policies in Jamaica shall be grounds for rejection of the proposal.

D. Provide permanent physical address and telephone listing in Jamaica. If not currently established, provide a detailed plan for establishing an office within 30 days of award.

E. Provide your Tax Identification Certificate (TIN) issued by Jamaican Ministry of Finance.

F. Provide your annual letter of tax clearance.

VOLUME 1 – PRICING

1. Price Offerors shall submit a complete Attachment 3 - Price. Pricing shall be submitted as a separate volume from volume 2 and shall not include any technical, management, or staffing information.

Failure to submit the required pricing or required certifications may result in the proposal being determined incomplete and ineligible for award.

2. Representations and Certifications Offerors shall complete all applicable representations and certifications contained in Attachment 4 - Representations & Certifications. Any missing or incomplete representations or certifications may render the proposal incomplete.

3. Tax Documentation for Foreign Offerors (IRS Form W-14) Non-U.S. offerors that claim an exemption from, or a reduced rate of, U.S. withholding tax under an applicable income tax treaty shall submit a completed IRS Form W-14, Certificate of Foreign Contracting Party Receiving Federal Procurement Payments, provided as Attachment 5 - IRS Form W-14.

Pursuant to FAR 52.229-11, Tax on Certain Foreign Procurements—Notice and Representation, the United States Government is required to collect tax-related information prior to award. Offerors shall ensure that IRS Form W-14 is accurate and complete prior to submission. Instructions for completing the form are provided in Attachment 6 - Instructions to Complete IRS Form W-14.

Failure to submit IRS Form W-14 when applicable will result in tax withholding at the full statutory rate.

VOLUME 2 – TECHNICAL PROPOSAL

The Technical Proposal shall demonstrate the offeror’s capability to meet the requirements of the solicitation and the performance standards described in the SOW. No pricing information shall appear in this volume.

Requirements:

1. MANAGEMENT PLAN

The Offeror shall provide a brief narrative describing its organizational capability to perform the required services. The description shall include the Offeror’s legal name, business address, and type of business entity; a summary of its core business activities relevant to public engagement, cultural or visitor-serving facilities, event programming, or facility operations; an overview of its experience managing public-facing centers or similar operations; and a high-level description of the organizational structure and management resources that will support effective contract performance.

The Management Plan must demonstrate clear understanding, capability, and feasibility across all SOW requirements.

Offerors shall provide following Part 1 and Part 2:

Part 1

1.1 Work Plan

A comprehensive work plan addressing all tasks in the SOW clearly demonstrating all required benefit levels. If offerors, choose to include additional benefits or higher coverages than the required minimums this is acceptable. For each benefit listed, proposals must clearly state its coverage. Any proposal that reduces a benefit definition or offers lower than the minimum required coverage may be determined technically unacceptable. The resultant contract will contain the actual proposed coverages or increased benefit offerings if they exceed the solicitation’s minimum requirements.

Suggested format – It is the offeror’s responsibility to ensure their proposal is clear and meets or exceeds all requirements. An example of an acceptable format for Part 1 is to submit a table that lists the Section C benefit definitions in one column and in the adjoining column list the proposed coverage.

1.2 Key Personnel

The Government considers the offeror´s Project Manager to be key personnel under the resulting contract from this solicitation. The Project Manager shall be able to acceptably communicate all matters related to this contract in English. The offeror shall provide a detailed résumé for the Project Manager in the English language, demonstrating:

• English speaking and writing fluency

• Minimum five (5) years of experience managing health insurance contracts in the local or international insurance industry with customers having similar requirements to including magnitude of personnel.

• Relevant education, certifications, and expertise

Part 2

2.1 Pool Information

Describe the pool(s) of coverage the offeror uses to administer its insurance, which pool of coverage the employees under this requirement will be contained, and what percentage of that pool they would represent. The offeror shall describe the size of the pool, whether it is a mixture of commercial and government (if applicable), alternative pools that are available in the event the economic price adjustment (EPA) clause (see Section I) becomes effective.

If no pool applies, explicitly state “No pool applies”.

2.2 Quality Assurance

Provide the quality assurance plan the offeror will use under this contract. This plan should describe the: schedule of regular internal meetings to discuss issues and performance; schedule of monthly or quarterly surveys and/or communications via email to customers to solicit feedback on performance and discuss issues; and schedule of quarterly or semi-annual plans to review performance and discuss issues with Embassy officials.

1. Claims and Claims Processing Workflow: Describe how, and at what monetary level, the offeror will maintain an adequate reserve level to pay claims. Outline your claims reserve levels for the past five years.

2. Describe how the offeror will provide the Embassy with regular quarterly reports on claims submission, processing times, claim expenditures, and other matters important to good overall management of the contract.

3. Describe the systems that will be used to provide feedback to individual members on tracking of reimbursable claims processed, benefit levels and claims paid to service providers. An example of the mobile app or online access to client’s account.

4. Describe the offeror’s claims workflow system and timeframes at each processing point to fully process claims (from initial receipt to final settlement).

5. Describe process flow and the timeline for reimbursements of services paid for out of pocket by a member.

6. Describe the offeror’s customer service system and mechanism for receiving and promptly addressing customer inquiries and complaints.

7. Outline how members shall access health services including the following:

i. The offeror shall provide a comprehensive list of all medical providers included under the Preferred Provider Network (PPN) in Jamaica and outside, if applicable.

ii. What are the recommendations or guidelines for accessing services (are members required to use the service providers on the PPN / members are free to use their preferred service providers)?

iii. How are claims from service providers outside the network processed?

iv. How often is the PPN (if applicable) reviewed and adjusted?

8. Specify policy or tariff rates used to pay/settle claims. Policy or tariff rates that meet or exceed the required benefits listed in section B.1 of Attachment 1 – Schedule and Clauses for all service providers are required.

9. Describe mechanisms/strategies the offeror has in place to minimize or control the gap between tariffs used to settle claims against the increasing costs of health care?

10. What is your policy for covering pandemics?

11. Provide the procedure of the pharmaceutical coverage locally, regionally, and internationally (i.e, how/where insured members can access prescription drugs)

12. Describe special considerations for members with chronic illnesses and how their needs will be met under the offeror’s plan.

13. Describe your policy of covering out-of-country procedures.

2. COMPANY PROFILE:

Provide information demonstrating the offeror’s organizational capability, capacity, and infrastructure.

Required elements:

i. Capability & Resources Provide evidence that your company can provide the necessary personnel, equipment, and financial resources needed to perform the work.

This shall include information about the company's history, financial condition, and capability.

Evidence of financial resources shall include as minimum:

• information on the ownership of the company,

• a declaration of total debt including both long term and short-term debt, and

• a declaration of total current sales / revenue.

Provide a statement about what percentage of the company's estimated total business the work under this solicitation will represent.

ii. Security Plan

Provide evidence of a functioning document security plan to demonstrate to the Technical Evaluation Panel how the offeror will ensure safe handling and storage of Embassy Staff PII (personal identification information).

iii. Financial statement The offeror shall provide a current statement of its financial condition, certified by a third party. This current statement shall include:

• Income (profit-loss) Statement that shows profitability for the past five years;

• Balance Sheet that shows the assets owned and the claims against those assets, or what a firm owns and what it owes; and

• Cash Flow Statement that shows the firm’s sources and uses of cash during the most recent accounting period.

This will help the Government assess a firm’s ability to pay its obligations.

The Government will use this information to determine the offeror’s financial responsibility and ability to perform under the contract. Failure of a offeror to comply with a request for this information may cause the Government to determine the offeror to be non-responsible.

iv. List of subcontractors

The offeror shall provide a list of Subcontractors (if applicable) indicating what portions of the work will be performed by them. Also specify the percentage of work that will be performed by the sub-contractor.

NOTE: The total percentage of performance by the subcontractor and prime contractor shall equal 100%.

If the offeror will not use sub-contractors, that shall be stated.

4. TRANSITION PLAN

The Offeror shall describe its plan for assuming contract performance with minimal disruption to ongoing operations. The transition plan shall address the proposed transition timeline and key activities, knowledge transfer from the incumbent contractor (if applicable), familiarization with facilities, equipment, systems, and databases, coordination with the COR and Embassy stakeholders, and risk mitigation measures to ensure continuity of operations.

5. PAST PERFORMANCE AND EXPERIENCE:

The Offeror shall have a minimum of 5 (five) years of relevant experience.

To be considered relevant, services must be similar in scope, magnitude and complexity to the services prescribed in the SOW.

The Offeror and shall complete Attachment 7 – Past Performance and Experience for 3 to 5 contracts each. If your company or each partner in the joint venture has no performance history or relevant experience, provide a list of references where the key personnel and management worked on similar contracts.

For each reference, provide:

- Contract title and description of services

- Customer name and type (government, commercial, non-profit)

- Contract value (approximate)

- Period of performance

- Point of contact name, title, email, and phone number

- Relevance to this requirement (brief description)

If you are a newly formed entity or joint venture, you may provide past performance information for predecessor companies or joint venture partners. Clearly identify the relationship.

Note: The Government may contact references not provided by the offeror and may use other sources of past performance information, including CPARS and other government databases.

Subcontractor Past Performance

If subcontractors will perform major or critical aspects, their past performance must also be submitted.

The penalty for making false statements is prescribed in 18 USC 1001.

JOINT VENTURE AGREEMENTS

Joint Venture Offerors shall furnish with their proposal a notarized legal document that establishes the Joint Venture. The Joint Venture Agreement shall take effect upon the submission of the proposal and remain irrevocable until one (1) year after the work has been finally inspected and accepted by the Government. The Joint Venture Agreement shall include, at a minimum, the following:

(1) Name of firms that form the Joint Venture and the name of the Joint Venture

(2) Name and title of the corporate officials signing on behalf of each party

(3) Solicitation number

(4) Description of the responsibilities in terms of work category for each partner (for example Firm A performing Final of C-2-d) that sufficiently demonstrates how the joint venture meets the work requirements of this solicitation

(5) The statement “The composition and structure of the Joint Venture will remain unchanged from award to one (1) year after the work has been finally inspected and accepted by the Government.”

(6) Date of issuance of the agreement and notarized signature of the corporate officials on behalf of each party.

The U.S. Government reserves the right to review the actual Joint Venture agreement to determine its basis and compliance with the applicable laws. Any internal agreement affecting the internal composition of the existing Joint Venture and its potential liabilities in relation to the contract (bonds, bank guarantees, insurance, etc) will be sent to the Contracting Officer to provide notice of the same. Any change in the composition of the Joint Venture will require the Joint Venture to formally request a Novation Agreement in accordance with FAR Part 42 which will be approved/disapproved at the discretion of the Contracting Officer.

The Joint Venture shall include the warrant required in accordance with DOSAR 652.242- 73, Authorization and Performance. A joint venture offeror must also have an active SAM registration pursuant to FAR 52.204-7.

SUBMISSION OF QUESTIONS

Any questions, comments, exceptions, or clarifications concerning any aspect of the solicitation shall be prepared in writing and submitted to Contract Specialist Sarah Pfannkuche at email PfannkucheS@state.gov, no later than 15:00 hours Central European Time (CET) on April 03, 2026. The email subject line must read “Questions 19GE5026R0041”.

Late questions may not be considered.

Offerors may rely ONLY upon written interpretations by the Contracting Officer.

DEADLINE FOR SUBMISSION OF PROPOSALS

The proposals shall be submitted via email as soon as possible but not later than 15:00 hours Central European Time (CET) on April 17, 2026 to Sarah Pfannkuche at PfannkucheS@state.gov. The subject should read “Proposal 19GE5026R0041”.

DELIVERY VIA A CLOUD FILE STORAGE SERVICE (EG. GOOGLEDRIVE, ETC.) AND

VIA HYPERLINKS IS NOT PERMITTED.

Electronic proposals shall be submitted in a format readable by Microsoft (MS) Word, MS Excel, or Adobe PDF, as applicable.

If the proposal is sent in multiple emails, the email shall be labeled accordingly (eg. file 1 of 2).

Individual emails may not exceed 50MB.

The Government shall not be responsible for an offeror being unable to successfully transmit emails due to any file size constraints of their email systems. Contractors shall ensure that emails have been transmitted and that messages have not been returned “undeliverable”.

LATE SUBMISSIONS SHALL NOT BE CONSIDERED.

(End of addendum) mailto:PfannkucheS@state.gov mailto:PfannkucheS@state.gov

ADDENDUM TO FAR 52.212-2 - EVALUATION-COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (DEVIATION RFO JAN 2026)

(a) Evaluation factors. The Government will issue a firm-fixed price Indefinite Delivery / Indefinite Quantity contract resulting from this solicitation to the responsible offeror whose proposal conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:

1. Compliance Review

2. Technical Capability

3. Past Performance

4. Price

Evaluation factors other than price when combined are significantly more important than price.

To be acceptable and eligible for evaluation, proposals shall be prepared in accordance with 52.212-1 - Instructions to Offerors-Commercial Products and Commercial Services with its addendum and shall meet all the requirements set forth in other sections of this solicitation.

COMPLIANCE REVIEW

The Government will review proposals to determine whether:

• All required volumes have been submitted

• Mandatory Minimum Requirements have been met

• Required representations and certifications have been completed

• Required documentation has been provided

The Government may request clarification of minor deficiencies in Phase 1 submissions;

however, missing required minimum documentation may render a proposal incomplete and ineligible for Phase 2 evaluation

Only proposals that pass Phase 1 – Mandatory Minimum Requirements will proceed to comparative evaluation under Phase 2.

PHASE 2 – COMPARATIVE EVALUATION FACTORS

Proposals that pass Phase 1 will be comparatively evaluated under the following factors:

FACTOR 1 – TECHNICAL CAPABILITY

The Government will evaluate the extent to which the proposal demonstrates:

• Clear understanding of the Statement of Work (SOW)

• Ability to meet or exceed required minimum benefit levels

• Feasibility and soundness of the proposed Work Plan

• Adequacy of claims processing systems and workflow https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52#FAR_52_212_2

• Strength of quality assurance and customer service systems

• Adequacy of provider network management within Jamaica

• Qualifications and experience of Key Personnel

• Adequacy of transition approach

• Ability to safeguard Personally Identifiable Information (PII)

The evaluation will assess the relative strengths and weaknesses of each proposal and the degree of confidence the Government has in successful contract performance.

Proposals that reduce required benefit levels or fail to meet minimum SOW requirements may be determined technically unacceptable.

FACTOR 2 – PAST PERFORMANCE

The Government will evaluate the offeror’s record of recent and relevant performance for services similar in scope, magnitude, and complexity.

The Government may use:

• Information provided by the offeror

• Information obtained from references

• Information from Government databases, including the Contractor Performance

Assessment Reporting System (CPARS)

If an offeror has no relevant past performance, the Government will assign a neutral assessment.

A neutral assessment will not be evaluated favorably or unfavorably.

FACTOR 3 – PRICE

Price proposals will be evaluated for reasonableness.

The Government may determine price reasonableness through:

• Comparison among competitive proposals received

• Comparison to historical pricing

• Comparison to market research

• Other price analysis techniques as appropriate

The Government may evaluate whether quoted pricing reflects a clear understanding of the requirements.

Evaluation will be conducted using streamlined comparative evaluation procedures for commercial products and commercial services in accordance with FAR Part 12 (FAR Overhaul – RFO). The Government will assess the relative merits of proposals against the stated evaluation factors and in comparison with other proposals received.

The Government may make award without discussions and is not required to establish a competitive range, assign formal ratings, or use structured source selection procedures prescribed in FAR Part 15.

SEPARATE CHARGES

The Government solicits a single, all-inclusive firm-fixed price for all products and services required under this solicitation. Separate or supplemental charges or any type not solicited will not be accepted.

RESPONSIBILITY DETERMINATION

Responsibility will be assessed on a pass/fail basis per FAR 9.104-1, using:

• Proposal data

• SAM

• FAPIIS

• CPARS

• Other reliable sources

To be determined responsible as per FAR 9.104-1, a prospective contractor must:

(a) Have adequate financial resources to perform the contract, or the ability to obtain them

(see 9.104-3(a));

(b) Be able to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments;

(c) Have a satisfactory performance record (see 9.104-3 (b) and subpart 42.15). A prospective contractor shall not be determined responsible or nonresponsible solely on the basis of a lack of relevant performance history, except as provided in 9.104-2;

(d) Have a satisfactory record of integrity and business ethics (for example, see subpart 42.15);

(e) Have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors). (See 9.104-3(a).)

(f) Have the necessary production, construction, and technical equipment and facilities, or the ability to obtain them (see 9.104-3(a)); and

(g) Be otherwise qualified and eligible to receive an award under applicable laws and regulations (see also inverted domestic corporation prohibition at 9.108).

https://www.acquisition.gov/far/9.104-3#FAR_9_104_3 https://www.acquisition.gov/far/subpart-42.15#FAR_Subpart_42_15 https://www.acquisition.gov/far/9.104-2#FAR_9_104_2 https://www.acquisition.gov/far/subpart-42.15#FAR_Subpart_42_15 https://www.acquisition.gov/far/9.104-3#FAR_9_104_3 https://www.acquisition.gov/far/9.108#FAR_9_108

An offeror found non-responsible will not be eligible for award.

BASIS FOR AWARD

The Government intends to evaluate proposals and make award without discussions for this procurement. The Government reserves the right to award a contract, based on initial offers, immediately following the conclusion of any evaluation and may not require discussions or negotiations with the successful offeror or any other offeror. Therefore, it is critical that each offer be fully responsive to this solicitation and its provisions. All submittals in response to this solicitation should contain the offeror’s best terms from a technical, management and price standpoint.

USE OF SUPPORTING INFORMATION

In conducting its evaluation of proposals, the Government reserves the right to utilize all information available at the time of evaluation. The Government may rely on information contained in its own records, commercial sources and information publicly available. If information obtained through other sources substantially disagrees with what was provided in the offeror’s proposal, the offeror will be given an opportunity to address the inconsistencies.

AWARD WITHOUT DISCUSSIONS

In accordance with FAR 52.212-1(d), the Government may award a contract based on initial proposals without conducting discussions. Offerors are encouraged to submit their best proposals initially. The Government intends to make a single award.

(End of addendum)

(vi) Contract Clauses:

Refer to Attachment 1 – Schedule and Contract Clauses for the clauses that apply to this acquisition.

(vii) Receipt of questions and proposals:

Offerors shall submit their questions and proposals in accordance with the instructions provided in the Addendum to FAR 52.212-1 provided above (see pages 13 and 14).

(viii) Other applicable information:

Applicable NAICS and PSC:

NAICS: 524114 – Direct Health and Medical Insurance Carriers PSC: G007 – Social – Government Health Insurance Programs

The offeror is strongly encouraged to read the solicitations and solicitation attachments including mandatory minimum benefits, evaluation criteria and applicable terms and conditions in their entirety.

Applicable Laws and Regulations This solicitation and the ensuring award are subject to laws and regulations of the United States of America.

END OF COMBINED SYNOPSIS/SOLICITATION