Sources Sought Moldova Embassy Chisinau Health Insurance May 2025.pdf

REQUEST FOR INFORMATION

19MD7025N0132

1.0 Description

1.1 The United States Embassy Chisinau, Moldova is seeking information on how any interested contractor could provide Health Insurance Coverage for employees at the U.S. Embassy in Chisinau, Moldova.

1.2 THIS IS A REQUEST FOR INFORMATION (RFI) ONLY. This RFI is issued solely for information and planning purposes – it does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. This request for information does not commit the Government to contract for any supply or service whatsoever. Further, U.S. Embassy Chisinau, Moldova is not at this time seeking proposals and will not accept unsolicited proposals.

Respondees are advised that the U.S. Government will not pay for any information or administrative costs incurred in response to this RFI; all costs associated with responding to this RFI will be solely at the interested party’s expense. Not responding to this RFI does not preclude participation in any future RFP, if any is issued. If a solicitation is released, it will be synopsized on the SAM.gov website. It is the responsibility of the potential offerors to monitor this site for additional information pertaining to this requirement.

2.0 Background

Requirement for Health Insurance Coverage for employees of U.S. Embassy Chisinau, Moldova

2.1 Planned Award: December 1, 2025

2.2 Delivery Period Base Year: January 1 – December 31, 2026

Option Year 1: January 1 – December 31, 2027 Option Year 2: January 1 – December 31, 2028 Option Year 3: January 1 – December 31, 2029 Option Year 4: January 1 – December 31, 2030

2.3 Number of employees: 219

Categories: 47 Singles 172 Families

3.0 Requested Information:

Answer the following questions and provide any supporting information you may have. Please note that no premium costs/rates are being requested.

1. What health insurance plans can you offer for a large group of employees?

2. Provide the specifications of each available plan you can offer for a large group of employees.

3. State the hospitals that are included at each plan as part of coverage.

https://sam.gov/

4. Specify the annual average coverage amount regularly offered.

5. How are the premiums of each plan calculated?

6. How are the payment rates to network providers calculated?

a. Hospitals

b. Doctors and other Medical Providers

c. Labs

d. Pharmacies

e. Other

7. Does the coverage and type of plan impact the payment rates authorized for doctors and other medical providers?

8. Does maximum coverage affect premium rates?

9. Do co-insurance percentages affect premium rates?

10. Do deductible amounts affect premium rates?

11. What additional coverage is generally available?

a. Hospitalization (inpatient care)

b. Emergency room

c. Ambulance

d. Ambulatory treatment (outpatient care)

e. Obstetric/newborn care

f. Pediatric services

g. Prescription drugs

h. Preventive services and chronic disease management

i. Hearing aids

j. Optical care

k. Dental care

l. Reproductive health (contraceptive devices, sterilization, infertility treatment)

m. Mental health and substance abuse care

n. Rehabilitative services and devices

o. HIV/AIDS

p. Out-of-country medical treatment

q. Out-of-country medical travel

r. Catastrophic coverage

s. Other

12. What is the age limit to be covered by any of the plans?

13. Are there different levels of family plans depending on the number of dependents?

14. If international coverage is available, will premiums cover any type of medical assistance. If so, please specify what types.

15. What International hospitals are included in your network?

16. How is international medical assistance evaluated and approved for payment?

17. Is international assistance provided by your company or by a third party?

18. How do you determine if medical expenses are to be paid through direct payment or through reimbursement?

19. How are claim requests submitted for review? (i.e. Via e-mail, apps, electronic files, hardcopies to customer representatives? Other?)

20. What is the timeframe to approve or reject reimbursement requests?

21. What is the timeframe to approve or reject scheduled surgery or other procedures?

22. What is the timeframe to approve or reject direct payment for emergencies?

23. What is the timeframe for payment of approved reimbursements?

24. How do you determine that a request is acceptable for payment?

25. Do you have offices at any hospitals in Moldova?

26. What is the process to enroll employees to the policy?

27. How long does it take to enroll a new employee to the policy?

28. How would you provide insurance certificates? Are these digital or in hard copy?

29. What is the process to distribute the certificates?

30. Is a policy issuance fee charged?

31. If answer to question 30 is yes, when and how many times is this fee charged?

32. If answer to question 30 is yes, can this fee be added to the total premium?

33. Is there a difference in rates when policies are paid on an annual or a quarterly basis?

34. Can your plans and policies be modified to add or remove services?

4.0 Responses

4.1 Interested parties are requested to respond to this RFI with a white paper.

4.2 White papers in Microsoft Word are due no later than 17:00 local time (UTC + 3:00) on Friday, June 20, 2025. Responses shall be limited to 10 pages for Section 2 and submitted via e-mail only to WolfRC@state.gov. All correspondence via email should include 19MD7025N0132 in the subject. Proprietary information, if any, should be minimized and MUST BE CLEARLY MARKED. To aid the Government, please segregate proprietary information.

Please be advised that all submissions become Government property and will not be returned

4.3. Section 1 of the white paper shall provide administrative information, and shall include the following as a minimum:

4.3.1. Name, mailing address, phone number and e-mail of designated point of contact.

4.3.2. Contracting strategy to provide Health Insurance for employees of U.S. Embassy Chisinau.

The number of pages in Section 1 of the white paper shall not be included in the 80-page limitation, i.e., the 80-page limitation applies only to Section 2 of the white paper.

4.4 Section 2 of the white paper shall answer the issues addressed in Section 3 of this RFI and shall be limited to 80 pages.

mailto:WolfRC@state.gov

5.0 Industry Discussions

Embassy representatives may or may not choose to meet with potential offerors. Such discussions would only be intended to get further clarification of potential capability to meet the requirements.

6.0 Questions

Questions regarding this announcement shall be submitted in writing by e-mail to the Contracting Officer email address. Verbal questions will NOT be accepted. Questions will be answered by posting answers to the SAM.gov website; accordingly, questions shall NOT contain proprietary or classified information. The Government does not guarantee that questions received after 17:00 local time (UTC + 3:00) on Friday, June 6, 2025 will be answered.

7.0 Summary

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY to identify sources that can provide Health Insurance coverage for employees at the U.S. Embassy in Chisinau, Moldova. The information provided in the RFI is subject to change and is not binding on the Government. The U.S. Embassy Chisinau, Moldova has not made a commitment to procure any of the items discussed, and release of this RFI should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become Government property and will not be returned.