RFP 19GT5025R0005 Amendment 002.pdf

PAGE OF PAGESAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

1 9

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

10/22/2025

4. REQUISITION/PURCHASE REQ. NO.

PR15182789-0002

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE 19GT50 7. ADMINISTERED BY (If other than Item 6) CODE

AMERICAN EMBASSY GUATEMALA CITY

Boulevard Austriaco 11-51, Zona 16, ATTN: GSO - PROCUREMENT SECTION Guatemala

GUATEMALA

AMERICAN EMBASSY GUATEMALA CITY

Boulevard Austriaco 11-51, Zona 16, ATTN: GSO - PROCUREMENT SECTION Guatemala

GUATEMALA

(X) 9A. AMENDMENT OF SOLICITATION

NO.

19GT5025R0005

x

9B. DATED (SEE ITEM 11)

09/11/2025

10A. MODIFICATION OF CONTRACT/ORDER NO.

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE FACILITY CODE

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

x The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers x is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

This amendment is to incorporate Questions and Answers and pre-proposal minutes to the solicitation.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

19GT50

RFP 19GT5025R0005 – Health and Life insurance services Pre-proposal Conference – Minutes

Date: October 1, 2025

Time: 09:00 hours

Solicita�on number: 19GT5025R0005

Atendees: John T. Stremel, Contrac�ng Officer Jimmy Sommer – Human Resources Officer Irma de Cipriani – Human Resources Assistant and COR Ingrid Cifuentes – Contrac�ng Agent Karen Ruiz – Contrac�ng Agent

Introduc�on:

The Contract Specialist, Aura Lorena Galdamez, welcomed all atendees and introduced the COR and all employees represen�ng the U.S. Embassy in Guatemala.

Agenda:

The mee�ng’s agenda was presented to the atendees and the purpose of the pre-proposal conference was explained in greater detail.

• Welcome to atendees

• Review of solicita�on package

• Ques�ons and answers

• Reminder of offer submission due date/�me

• Wrap up and dismissal

Discussion of the solicita�on package:

The Contrac�ng Specialist projected the solicita�on package to the atendees and went sec�on by sec�on explaining the requirements and poin�ng out important data or requirements of the solicita�on.

Ques�ons and answers:

Ques�ons from atendees were compiled during the conference. We informed the atendees that all ques�ons and answers would be sent to A/GA for review and approval. Conference atendees were no�fied that these ques�ons and answers along with the mee�ng minutes and any amendments would be posted in SAM.gov site so that other vendors are not disadvantaged for being unable to atend the pre-proposal conference.

Conclusion:

Prospec�ve offerors were reminded that doing business with the U.S. Government differs from commercial prac�ce because the solicita�on and award processes are regulated under the FAR.

Atendees were reminded that any statements made during the conference do not change the solicita�on and that any changes would be made by writen amendment to the solicita�on and posted on the SAM.gov site. The conference concluded and atendees were thanked for their presence and expression of interest in serving the U.S. Government and the mee�ng was adjourned.

Sincerely, John T. Stremel Contrac�ng Officer

RFP 19GT5025R0005 – Health and Life insurance services Pre-proposal Conference – Ques�ons and Answers

Q1. When is the due date to submit offers?

R1. Proposals are due by November 7, 2025, by COB 17:00 hours. An amendment will be issued to update this change.

Q2. How should we iden�fy the offers?

R2. Offers should follow the following format:

Name of the company, RFP #, Number the email if submi�ng your proposal in parts

Q3. If we submit mul�ple offers, how should we differen�ate them?

R.3 Follow the same format above for name and iden�fy number of proposal; i.e. Proposal 2.

Q4. Which are the requirements so the offer is considered acceptable?

R4. Please follow the guidance provided under Sec�on L – Instruc�ons, condi�ons and no�ces to offerors.

Q5. If the USG only signs its own contract, if there is a dispute on a reimbursement, what mandates, the contract or the insurance Policy? What happens if the Claim is raised to the SIB?

R5. If there is a dispute on a reimbursement, the contract mandates; we have not have a claim raised to SIB, we have nego�ated between the employee and the insurance company.

Q6. Do we need to have an on-site representa�ve?

R6. No, the USG does not have a designated area to allow a permanent representa�ve on-site. You can propose alterna�ve methods of communica�on for Customer Service.

Q7. Are we required to include our EFT data with the offer or this applies only to the awarded company?

R7. No, you don’t need to include your EFT data. That will be required upon award.

Q8. Can we include in the proposal a provider network (doctors, drugstores, hospitals)?

R8. Yes, if it is part of your business proposal.

Q9. Can we limit coverages to the standard reasonable fees for doctors and hospitals?

R9. No, we cannot restrict the services fees. The reimbursements shall be applied according to its coverage levels as detailed under Sec�on C.

Q10. The premium rates are every 14-days?

R10. Yes, the insurance payments are processed according to the payroll Schedule of the USG. Payroll payments are processed every 14-days.

Q11. What is the reason to project premium rates to 13 months?

R11. Premiums shall be projected according to the USG payroll planning schedule, which contemplates 26 pay periods.

Q12. Which is the current annual deduc�ble fee?

R12. The solicita�on does not contemplate an annual deduc�ble fee; however, it is part of your business proposal to decide whether you want to implement it or not.

Q13. The rates per category are standard or is there any differen�a�on?

R.13. The contractor shall establish the rates per category iden�fied, self, self plus one and family. Each category differen�a�on is based on the number of insured people per group. Self is only one, self plus one is two people, and the family is 3 or more.

Q14. Can we have the current benefits of your exis�ng contract?

R.14. No, that is not relevant informa�on to this new solicita�on.

Q15. Does the excess coverage include all the benefits of the main coverage?

R15. Yes, the excess coverage should consider the same coverage of the main insurance coverage.

Q16. How should the charges of the excess coverage be handled? Should it be invoiced separately? Is VAT affected?

R16. This is part of your business proposal on how you will handle this service. It should be invoiced separately to all those who decide to purchase it and yes, it is VAT affected.

Q17. How many people are currently paying for the addi�onal excess coverage?

R17. Under this current contract, we have X people enrolled in the excess coverage plan.

Q18. About exclusions/limita�ons, the ones described in the solicita�on are the only ones applicable or is it possible to add addi�onal exclusions?

R.18 The exclusions and limita�ons detailed are the acceptable exclusions. We will need a detailed list of addi�onal exclusions to verify if they have been considered as a coverage or exclusion/limita�on.

Q19. Can documents issued by the insurance company be signed by the USG representa�ve? For example consent forms.

R19. The USG representa�ve is authorized to sign only the main contract. Any other enrollment documenta�on shall be signed by each employee to become part of the new insurance policy.

Q20. In reference to C.2.4.1 about the maximum age for life insurance?

R20. Please refer to C.2.3. for eligible par�cipants.

We want to rec�fy the informa�on discussed during the pre-proposal conference about the limita�on of coverage up to the age of 60 years old; which is NOT correct. All eligible par�cipants are covered while they comply with the requirements of C.2.3.

The not eligible par�cipant are those new employees that start working for the USG who are age 60 or older, are not eligible for enrollment under the life insurance coverage benefit.

Q21. Can you update the sta�s�cs of the current insurance policy up to August 2025?

R21. Following are the updated charts received:

ACTUALIZADO September 6,2025

Year Total GTQ total USD Total GTQ total USD 5/23/2021 – 5/21/2022 Q 10,845,415.67 Q 294,000.00 5/22/2022 – 5/20/2023 Q 11,341,530.39 Q 522,000.00 5/21/2023 – 5/18/2024 Q 10,336,242.03 Q - 5/19/2024 – 5/17/2025 Q 12,637,321.24 Q - 5/18/2025 – 9/06/2025* Q 3,803,986.04 Q -

* Se indica el período hasta el cual se incluye la información de la vigencia actual (PP17-2025)

Exibit A - EMPLOYEE STATISTICS

Year Siniestros Primas

Siniestralidad Siniestros Primas % Siniestralidad

5/23/2021 – 5/21/2022 8,350,298.96Q 6,190,822.86Q 135% 294,000.00Q 772,805.11Q 38% 5/22/2022 – 5/20/2023 9,404,572.55Q 7,967,374.29Q 118% 522,000.00 810,824.78Q 64% 5/21/2023 – 5/18/2024 7,821,871.56Q 7,993,398.10Q 98% -Q 820,910.16Q 0% 5/19/2024 – 5/17/2025 9,151,234.82Q 8,446,854.29Q 108% -Q -Q 0% 5/18/2025 – 9/06/2025* 2,768,812.74Q 2,571,920.95Q 108% -Q 660,343.88Q 0%

Exhibit B - ORE EMPLOYEES RIDER

Year Siniestros Primas % Siniestralidad Siniestros Primas % Siniestralidad

5/23/2021 – 5/21/2022 101,304.00Q 228,074.29Q 44% -Q 8,169.84Q 0% 5/22/2022 – 5/20/2023 134,779.21Q 315,965.71Q 43% -Q 9,762.48Q 0% 5/21/2023 – 5/18/2024 72,743.53Q 313,790.48Q 23% -Q 0% 5/19/2024 – 5/17/2025 154,135.92Q 279,620.95Q 55% -Q 9,958.20Q 0% 5/18/2025 – 9/06/2025* 8,695.68Q 77,241.90Q 11% -Q 6,706.98Q 0%

Exhibit C – PEACE CORP RIDER

Year Siniestros Primas % Siniestralidad Siniestros Primas % Siniestralidad

5/23/2021 – 5/21/2022 929,665.02Q 773,442.86Q 120% -Q 111,714.26Q 0% 5/22/2022 – 5/20/2023 773,548.82Q 1,109,588.57Q 70% -Q 125,150.34Q 0% 5/21/2023 – 5/18/2024 730,033.32Q 1,114,110.48Q 66% -Q 0% 5/19/2024 – 5/17/2025 1,155,987.99Q 1,079,165.71Q 107% -Q 130,889.78Q 0% 5/18/2025 – 9/06/2025* 375,500.14Q 314,294.29Q 119% -Q 101,540.46Q 0%

EXHIBIT D – RETIREES RIDER

Year Siniestros Primas % Siniestralidad Siniestros Primas % Siniestralidad

5/23/2021 – 5/21/2022 1,464,147.70Q 577,038.10Q 254% n/a n/a n/a 5/22/2022 – 5/20/2023 1,028,629.81Q 767,718.01Q 134% n/a n/a n/a 5/21/2023 – 5/18/2024 1,711,593.62Q 888,241.69Q 193% n/a n/a n/a 5/19/2024 – 5/17/2025 2,175,962.52Q 918,074.29Q 237% n/a n/a n/a 5/18/2025 – 9/06/2025* 650,977.48Q 254,231.43Q 256% n/a n/a n/a

GASTOS MÉDICOS VIDA

GASTOS MÉDICOS VIDA

GASTOS MÉDICOS VIDA

GASTOS MÉDICOS VIDA

GASTOS MÉDICOS VIDA

(if full �me student)

Q22. Is it possible to provide details of the reasons of each claim? Or at least the Top 10 diagnos�cs?

R22. The top 10 diagnos�cs by frequency are:

1) Hypertension

2) Dental treatment

3) Diabetes Mellitus Type II

4) Dry eye

ACTUALIZADO October 13,2025

EMPLOYEES BY GENDER WITHIN AGE RANGES

FEMALE MALE

Age (years)Number Age (years)Number 20-34 19 20-34 20 35-45 57 35-45 56 46-55 55 46-55 48 56-65 42 56-65 38 66+ 20 66+ 20

TOTAL 193 TOTAL 182

EMPLOYEE SPOUSES BY GENDER WITHIN AGE RANGES

FEMALE MALE

Age (years)Number Age (years)Number 20-34 14 20-34 3 35-45 44 35-45 24 46-55 36 46-55 27 56-65 23 56-65 20 66+ 12 66+ 10

TOTAL 129 TOTAL 84

DEPENDENT CHILDREN BY GENDER WITHIN AGE RANGES

FEMALE MALE

Age (years)Number Age (years)Number 0-10 47 0-10 40 11,18 47 11,18 78 19-25 (if full- 55 19-25 (if full- 58

TOTAL 149 TOTAL 176

5) Chronic rhini�s

6) Upper respiratory infec�on

7) Hypothyroidism

8) Dyslipidemia

9) Gastroesophageal reflux

10) Rhinosinusi�s

The top 10 diagnos�cs by severity are:

1) Dental treatment

2) Hypertension

3) Diabetes Mellitus Type II

4) COVID-19

5) Ophthalmologic benefit

6) Prematurity

7) Abdominal pain to study

8) Uterine Leiomyomatosis

9) Pneumonia

10) Breast cancer

Q23. How is the broker fee considered under this contract?

R23. The USG will not consider any broker fee.

Q24. If a broker can provide addi�onal services, how will they be considered under the offer?

R24. You can include any addi�onal services as part of your business proposal. All offers will be evaluated as detailed under Sec�on M – Evalua�on Factors for Award of the solicita�on.

Q25. The premiums from 2024 to 2025 under Sec�on J are annually or they are part of the represented period?

R25. Please refer to Sec�on J and verify that the informa�on provided includes the period it represents.

Q26. Can you provide the insured value for life insurance?

R26. The current es�mated payroll every 14-days is Q5,072,579.80.

Q27. What language should the proposals be submited in?

R27. Proposals shall be submited in English language.

End of Ques�ons and Answers.