Attachment C- Claims Report.pdf
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- Solicitation number
- 19J01022R0001
- Issued by
-
Department of State
About this file
This solicitation requests proposals for health and life insurance services for locally employed staff at the Embassy of the United States in Amman, Jordan. Offerors are invited to propose off-the-shelf plans that meet at least the minimum benefit levels required, including health insurance coverage for the base year 2018 and option years 2019 through 2021, as well as life insurance claims data from 2018 through 2021. Proposals are due by 4:00 PM local time on October 5th, 2022 and must include completed SF-33, Section B pricing and retention schedules, Section K representations and certifications, and any additional information required in Section L. Questions must be submitted in writing by the pre-proposal conference date. The successful offeror must register in SAM prior to award. The Department of State intends to award a contract to the responsible offeror with the lowest price based on initial proposals without discussions, but may hold discussions with offerors in the competitive range if needed.
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SENSITIVE BUT UNCLASSIFIED
Health and Life Insurance Services Attachment C - Claims Report
Solicitation #19-J010-22-R-0001 – Amendment 0001
- Health/Medical Insurance claim history for the past 4 years in Jordanian Dinar:
Period of Performance Embassy Staff
Base year 2018 1,248,400.49
First Option Year 2019 1,115,130.73
Second Option Year 2020 1,089,970.07
Third Option Year 2021 1,684,774.31
- Life Insurance claim history for the past 4 years:
Claim type 2018 in JOD 2019 in JOD 2020 in JOD 2021 in JOD
Death 0.00 28,980.00 45,960.00 21,140.00
Disability 0.00 0.00 0.00 0.00
The claims paid by the incumbent contractor are provided for informational purposes only and under no circumstances shall it be construed to change any terms or conditions or requirements within the solicitation. 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 after contract award. Offerors are advised any adjustments to contract premium rates shall be in accordance with the B.4.
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