First Set Questions and Answers_GMC Hong Kong_RFP_19HK3020R0001 (002).pdf

U.S. Consulate General Hong Kong

First Set of Questions

Solicitation Number 19HK3020R0001

Global Medical Coverage (GMC) Insurance Services to Local Engaged Staffs and Dependents

The Consulate received the followings questions prior to the conference or after the conference.

The information provided in response to these questions is provided for informational purposes and under no circumstances shall it be construed to change any terms, conditions, or requirements within the solicitation.

In addition, any answer provided regarding claims data incurred under the existing contract, please be advised that the benefits levels are not the same nor may this data be indicative of future claims. Therefore, it is each offeror’s decision on whether to use or not to use this information. However, under no circumstances shall the U.S. Government be liable for this data or shall it become the basis for a request to adjust the premium rates once the contract is awarded. Rather, offerors are advised any adjustments to contract premium rates shall be in accordance with the Price Adjustment clause B.4.

Q1: Is C.1.1.16 Catastrophic Coverage really an optional benefit?

If it is optional should we provide a separate price as an additional table in Section B?

A1: Please refer to Amendment 00002, item 2

Q2: Is C.1.1.17 Out-of-Country Medical Treatment really an optional benefit?

If it is optional should we provide a separate price as an additional table in Section B?

A2: Please refer to Amendment 00002, item 2

Q3: There is no inner limits on Hospitalization and Outpatient Benefits, as the plan just capped by the Overall Limit of HK$552,000.- per person per year. Is this the plan you want or we can put a inner limits on it. For example, can we put a limit the Surgeon’s Fee up to HK$50,000 per surgery?

A3: The offeror has the option to include the inner limits in the proposal.

Q4: Hospitalization cover for Semi-Private Room. In Hong Kong, not only the hospital charge differently under different room type, also the doctor’s fee depends on room type. Can we apply an adjustment factor for member admit to higher room type, ie. Private Room? Usually we will apply

50% adjustment factor, that mean the reimbursement will reduce to 50% if member admit to Private

Room.

A4: When private accommodations are provided, coverage will be limited to the cost of a semi-private room unless otherwise covered in an off-the-shelf plan. Please refer to Section C, paragraph C.1.1.1

Hospitalization coverage in the solicitation document.

Q5: Optional Benefits - Catastrophic Coverage – is it a compulsory benefit for all member or will it be on voluntary basis?

A5: Please refer to Amendment 00002, item 2

Q6: Please provide existing benefits for reference.

A6: Prospective offerors are advised there have been numerous changes in the benefits and requirements set forth in the current contract versus the Government’s requirements in the current solicitation. Therefore, each offeror should carefully review the benefits and requirements in the solicitation in developing their proposed firm fixed price premiums, and not focus on the current contract due to the number of changes.

Q7: What is the minimum enrolment age for child (newborn baby)?

A7: Please refer to Section C, paragraph C.1.4.1.1 Definition of Dependents.

Q8: 關於TENDER的問題, 我們需要最 update 的 claim ratio (早前的電郵提及只去到2019年9月), 未

及最更新的資料 (例如2020年3月).

(Translation: Regarding the tender questions, we need the latest claim ratio up to March 2020.)

A8: Please refer to Amendment 00002, item 4 and item 5

Q9: 及你們具体的保障內容及每個項目的保額, 我們才可以安排, 否則我們準備不了TENDER

(Translation: Please provide the specific coverage and provide each benefit level’s coverage limit, otherwise, we may not submit tender)

A9: Please refer to Section C, paragraph C.1.1 to C.1.6 for the benefit level requirement. Please be advised that the benefit levels defined in the solicitation are minimum standards. Prospective bidders may propose off-the-shelf plan to meet or exceed the benefit levels requirement in the solicitation.

10: Who is the current insurance carrier providing coverage?

A10: The name of the current contractor providing the health insurance services for the Consulate is China

Taiping Insurance (HK) Limited.

Q11: Who is the current insurance broker providing coverage?

A11: The Consulate does not use an insurance broker to provide health insurance coverage.

Q12: What are the current policy period claims statistics for the past 9 months?

A12: Please refer to Amendment 00002, item 4 and item 5.

Q13: To clarify the request for claims statistics, what is the 2020 current years claims data as well as the actual amount that was reimbursed.

A13: Please refer Amendment 00002, item 4 and 5.

Q14: Is there further claims data available? Is there a breakdown of inpatient, outpatient?

Do you have a breakdown of Cancer/chronic conditions?

A14: Please refer to Amendment 00002, item 5. The Consulate does not track the data nor do we require the current contractor to track the data on the breakdown of Cancer/chronic conditions.

Q15: Has there been any significant headcount change in the past 3 years?

A15: Please refer to Section J, Exhibit B Employee and Dependents Statistic for the past 4 years.

Q16: Is there any benefit limit increases that must be met compared to the existing policy?

A16: Please refer to answer A6.

Q17: Do the members currently have access to a panel/network?

A17: Yes. The members have access to the list of Panel Doctors.

Q18: Can you please confirm the payment structure and mode?

A18: Please refer to paragraph G.4 Submission of Invoices and Payment and FAR Clause 52.232-33, PAYMENT BY ELECTRONIC FUNDS TRANSFER - SYSTEM FOR AWARD MANAGEMENT in the solicitation document.

Q19: What is the gender and date of birth for each individual?

A19: Please refer to Section J, Exhibit A for information on employee and their family statics. This information is considered Personally Identifiable Information and will be provided to the contractor after contract award.

Q20: Please provide claims breakdown by Inpatient and Outpatient

A20: Please refer to Amendment 00002, item 5.