19HA7020R0002 - Amended Solicittion for Haiti LES Health and Life Insurance Coverage.pdf

19HA7020R0002-0001

1. Accordingly DELETE clause B.2 PRICES and replace with the following:

B.2. PRICES

Note: All Prices are to be quoted in Haitian Gourdes

B.2.1 VALUE ADDED TAX.

The Government will not reimburse the Contractor for VAT under this contract. The Contractor shall not include a line for VAT on Invoices as the U.S. Embassy has a tax exemption certificate with the host government.

B.2.2 This is a fixed price with economic price adjustment requirements type contract under which will be issued firm, fixed-price task orders. The fixed prices/premium rates for the health insurance services as specified in Section C are as follows:

B.2.3 Base Year of Contract

B.2.3.1 Bi-Weekly Rates Per Premium

Category Estimated Number of

Premiums*

Rate per

Premium

Extended Bi-Weekly

Total

a. Self 200

b. Self Plus One 300

c. Family (3 or more individual)

d. Subtotal

B.2.3.2 Total Premium for Base Year (d x 26)**

B.2.3.3 Health Clinic

Description UoM Quantity Unit Price Total

a. Medical Staff, supplies and medication

Monthly 12

B.2.3.4 Total for Health Clinic for Base Year

Grand Total for the Base Year (B.2.3.2 + B.2.3.4)

*estimated number of premiums does not include any Riders (B.1.1)

**does not include any premiums for Riders.

B.2.4 First Option Year of Contract

B.2.4.1 Bi-Weekly Rates Per Premium

Category Estimated Number of

Premiums*

Rate per

Premium

Extended Bi-Weekly

Total

a. Self 200

b. Self Plus One 300

c. Family (3 or more individual)

d. Subtotal

B.2.4.2 Total Premium for First Option Year (d x 26)**

B.2.4.3 Health Clinic

Description UoM Quantity Unit Price Total

a. Medical Staff, supplies and medication

Monthly 12

B.2.4.4 Total for Health Clinic for First Option Year

Grand Total for the First Option Year (B.2.4.2 +

B.2.4.4)

B.2.5 Second Option Year of Contract

B.2.5.1 Bi-Weekly Rates Per Premium

Category Estimated Number of

Premiums*

Rate per

Premium

Extended Bi-Weekly

Total

a. Self 200

b. Self Plus One 300

c. Family (3 or more individual)

d. Subtotal

B.2.5.2 Total Premium for Second Option Year (d x 26)**

B.2.5.3 Health Clinic

Description UoM Quantity Unit Price Total

a. Medical Staff, supplies and medication

Monthly 12

B.2.5.4 Total for Health Clinic for Second Option Year

Grand Total for the Second Option Year (B.2.5.2 +

B.2.5.4)

B.2.6 Third Option Year of Contract

B.2.6.1 Bi-Weekly Rates Per Premium

Category Estimated Number of

Premiums*

Rate per

Premium

Extended Bi-Weekly

Total

a. Self 200

b. Self Plus One 300

c. Family (3 or more individual)

d. Subtotal

B.2.6.2 Total Premium for Third Option Year (d x 26)**

B.2.6.3 Health Clinic

Description UoM Quantity Unit Price Total

a. Medical Staff, supplies and medication

Monthly 12

B.2.6.4 Total for Health Clinic for Third Option Year

Grand Total for the Third Option Year (B.2.6.2 +

B.2.6.4)

B.2.7 Fourth Option Year of Contract

B.2.7.1 Bi-Weekly Rates Per Premium

Category Estimated Number of

Premiums*

Rate per

Premium

Extended Bi-Weekly

Total

a. Self 200

b. Self Plus One 300

c. Family (3 or more individual)

d. Subtotal

B.2.7.2 Total Premium for Fourth Option Year (d x 26)**

B.2.7.3 Health Clinic

Description UoM Quantity Unit Price Total

a. Medical Staff, supplies and medication

Monthly 12

B.2.7.4 Total for Health Clinic for Fourth Option Year

Grand Total for the Fourth Option Year (B.2.7.2 +

B.2.7.4)

B.2.8. Grand Total of Base plus All Option Years

Base Year Total

First Option Year Total

Second Option Year Total

Third Option Year Total

Fourth Option Year Total

Grand Total of Base plus All Option Years

B.2.9 Health Clinic

B.2.(3-7).3. Shall include all costs associated with operating and delivering the employee Health Clinic benefit in compliance with local law to include staff, office supplies and equipment (computer, etc.), support services (internet, etc.), medical equipment and supplies and medication.

2. Accordingly DELETE clause B.6. GROUP LIFE INSURANCE RATES and replace with:

B.6. GROUP LIFE INSURANCE RATES

This is a fixed-price with economic-price- adjustment-requirements type contract under which the Government will issue firm-fixed price task orders. The fixed prices/premium rates Gourdes per one thousand of salary to provide life insurance and accidental death coverage are as follows:

3. Insert the following clause in Section C:

C.1.1.16 Out-of-Country Medical Treatment

Medical expenses incurred out-of-country will be covered, but coverage will be the same and subject to the same total maximum annual limit as for medical expenses incurred in-country.

4. Accordingly DELETE clause C.1.3 and REPLACE with the following:

C.1.3 Exclusions and Limitations

There is no reimbursement for elective cosmetic surgery; spa cures; rejuvenation cures; massage;

exercise therapy; long-term rehabilitative therapy; non-medical hospital charges (e.g., telephone, television, etc.); home help, family help, or similar household assistance; fees of persons who are not certified health care providers; advanced reproductive technology (e.g., in-vitro fertilization, intra-cellular sperm injection, artificial insemination, microsurgical epididymal sperm aspiration, testicular sperm extraction, cryopreservation, etc.); or services or supplies which have not been prescribed or approved by a certified health care provider. Exclusions to coverage may be amended if provided in an off the shelf plan and is the lowest-cost and technically acceptable.

Removal of any exclusions require prior authorization.

There is no reimbursement for expenses that will be reimbursed or paid directly under a host country medical program or workers' compensation program, the U.S. workers’ compensation program, or post’s LE Staff workers’ compensation program.

5. Accordingly DELETE clause C.1.8 Health Clinic and replace with the following:

C.1.8 Health Clinic

The Government of Haiti requires Health Insurers to operate a medical clinic on or near the US

Embassy compound to provide first-aid care of insured Embassy employees. Haitian law should be reviewed for specific requirements. The insurer should be prepared to lease space, furnish equipment, and provide medical staff per local law.

C.1.8.1 Medical Staff, medication and supplies

The Health Infirmary shall be staffed with:

a. One Registered Nurse on premises throughout all business hours (6 days a week)

b. One Medical Doctor (generalist) from 8:00 am-12:00 noon (6 days a week)

The medical staff shall be licensed according to all educational and legal requirements in the country of Haiti. They shall provide occupational health and wellness services to the embassy’s local staff.

The Health Insurer is responsible to provide all medical supplies and medications needed to provide first-aid care to embassy employees.

C.1.8.2 Space Requirements

For the first year of the contract, the Embassy will provide a temporary location with the following minimum space requirements:

a. 400 square feet for consultation and temporary immobilization (resting couch)

b. 200 square feet for Nurse reception and waiting room

Subsequently, the Government will make available a more permanent location on or outside the

Embassy compound.

C.1.8.2 Medical Equipment and Furniture

The Health Infirmary will be equipped by the US Embassy to contain desks, chairs, consultation table, resting couch, defibrillator, electrocardiogram machine. See Exhibit D in Section J for an exhaustive list of GFP. All other materials not listed under Exhibit D are the responsibility of the

Contractor.

6. Accordingly DELETE clause C.2.1. Group Life Insurance Coverage and replace with the following:

C.2.1. Group Life Insurance Coverage

The amount of group life insurance coverage is as follows:

C.2.1.1 Amount of Employee Life Insurance.

The amount of life insurance coverage for each employee is equal to Gourdes 1,250,000 in the event of the employee’s death of natural causes.

C.2.1.2 Amount of Accidental Death Coverage.

The employee's estate will receive an amount equal to Gourdes 1,400,000 in the event of the employee’s death as the result of an accident.

7. Add at Section H:

H.9 Government Furnished Property

The Contractor shall physically inventory all Government-Furnished Property in its possession at least annually or as requested by the COR. Physical inventories consist of sighting, tagging or marking, describing, recording, reporting, and reconciling the property with written records. The Contractor shall follow the inventory practices prescribed in FAR 52.245-1, Government Property. The Contractor shall have ten (10) days from the effective date of award to inspect the property and acceptance. A final inventory shall be conducted at the completion or termination of the contract as directed by the

CO. Unless approved in advance by the CO, personnel other than those who maintain the property records or who have custody of the property shall conduct the inventory. The Contractor shall establish and maintain a property management system that is in accordance with FAR 52.245-1, Government

Property clause. Government-Furnished Property, Government Property, and Contractor-Acquired

Property are all defined in FAR 45.101.

H.9.1 Pre-Inventory Meetings

The Government shall hold a pre-inventory meeting with the Contractor to discuss property locations and review the layout of areas to be inventoried and establish an orderly movement through locations to avoid property being overlooked.

The Contractor shall ensure that all property record data remains current and accurate. The inventory process shall be conducted in accordance with the requirements of the Foreign Affairs Handbook (FAH)

14-1 H-620, titled Inventory Requirements for Department and Field Offices. A copy of the FAH can be provided to the Contractor by request to the CO or COR.

H.10 KEY CONTROL

The Contractor shall receive, secure, issue, and account for any keys issued for access to buildings, offices, equipment, gates, and similar controls for the purposes of this contract. The Contractor shall not duplicate keys without the COR's approval. If the Contractor or its agents have duplicated a key without permission of the COR, the Contractor shall remove the individual(s) responsible from work under this contract. If the Contractor has lost any keys used under this contract, the Contractor shall immediately notify the COR. For lost or improperly duplicated keys, the Government shall deduct from the

Contractor’s next invoice the cost of re-keying any compromised system.

8. At Section I

Incorporate 52.245-1, Government Property (Jan 2017)

9. Accordingly DELETE EXHIBIT B – CLAIMS PAID OUT FOR THE PAST 3 YEARS and replace with the following:

EXHIBIT B – CLAIMS PAID OUT FOR THE PAST 3 YEARS.

YEAR TOTAL

GOURDES

TOTAL USD

10/1/2016 – 9/30/2017 65,754,890 996,286.21

10/1/2017 – 9/30/2018 47,847,056 759,477.07

10/1/2018 – 9/30/2019 47,171,961 673,885.15

10. Insert the following in SECTION J – LIST OF EXHIBITS/ATTACHMENTS:

EXHIBIT D – GOVERNMENT FURNISHED PROPERTIES (GFP)

The US Government will make available to the Contractor the following medical equipment and furniture:

2 small desks

2 desk chairs for doctor and nurse

2 visitor chairs for patients

4 chairs for waiting area.

1 consultation table

1 resting couch

Privacy fabric partitions.

1 defibrillator

1 portable electrocardiogram machine

11. At Section L, insert the following:

L.4.2.1 Health Clinic Services Benefit (B.2.X.3) -The offeror is requested to provide pricing breakdown information for the Health Clinic Services benefit CLIN. By Period of Performance

(B.2.X.3), which portion of the Health Clinic Services benefit CLIN proposed pricing is attributable to 1) staff, 2) office supplies and equipment (computer, etc.), 3) support services

(internet, etc.), 4) medical equipment and supplies and 5) medication.