Solicitation questions and answer for SAM- OPE approved.docx

Solicitation 19MY3022R0001 Questions & Answers

Q. 1. For Hospitalization (Treatment in the Hospital for Inpatient Care), what is the minimum bed & board rate we need to meet? Is it RM217 (as per existing)?

A. 1. Please see Section C, paragraph C.1.1.1 which states room and board for inpatient hospitalization is a semiprivate room, which is a double occupancy room. There is no CAP for the amount per night.

Q. 2. Under each benefit, the Minimum Coverage, for example, Minimum Coverage - 80% is referring to the 80% of the cost/bill or Overall Annual Limit (OAL)?

A. 2. The minimum coverage is 80% of the cost/bill.

Q. 3. For Hearing Aids, 80% Minimum coverage for Examinations and Treatment is referring to 80% of the cost/bill. For Hearing Aid Apparatus, the 80% Minimum Coverage: with annual cap is referring to 80% of the cost/bill with annual cap at USD 1500?

A. 3. Please see Section C, paragraph C.1.1.9 which states the minimum coverage is 80% of the cost/bill for hearing examination and treatment & is does not have an annual CAP. As for the Apparatus, it is 80% of the cost/bill with the annual cap stated in the solicitation.

Q. 4. For Optical Care, 80% Minimum coverage is referring to 80% of the cost/bill and annual cap is referring to US 300?

A. 4. Please see Section C, paragraph C.1.1.10 which states the minimum coverage is 80% of the cost/bill for examination and treatment without an annual cap. However, for prescription lenses, frames and contact lenses it is covered at a minimum of 80% per covered individual every 2 years at the amount noted in the solicitation.

Q. 5. For Reproductive Health, minimum coverage of 80% is referring to 80% of the cost/bill subject to OAL for Inpatient and Outpatient?

A. 5. Please see Section C, paragraph C.1.1.12 which states Inpatient is covered at 100%, and outpatient is at 80% subject to the OAL.

Q. 6. There is no Maximum Overall Annual Limit (OAL) for Inpatient and Outpatient stated in the tender document. Please advise.

A. 6. Please see amendment 0001, which amended Section C. paragraph C.1.2.

Q. 7. Referring to below clause in the solicitation document, the total premium for 5 years (1 year base+4 years) shall not exceed RM12 million? Please clarify.

A. 7. Please see amendment 0001, which amended Section B.2. paragraph Minimum and Maximum amounts.

Q. 8. Total number of employees as per Section J is 245, whereas category "Self" (excluding riders) in the price tables in Section B states 251. Please confirm the correct numbers under each category in the price tables in Section B.

A. 8. Please see amendment 0001, which amended Sections B.2.3, B.2.4, B.2.5, B.2.6, B.2.7

Q. 9. Section C (C.1.2) does not specify the annual maximum limit. Please provide the annual maximum coverage limit.

A. 9. Please see the answer to Q. 6.

Q. 10. Referring to the Tender for Locally Employed Staff Health Insurance Coverage, we would appreciate if you can provide the Current Schedule of Benefit (SOB)

A. 10. Please refer to the new Schedule of Benefits found in the solicitation- these are now standard worldwide, and thus not comparable to the current Schedule of Benefits contained in the legacy contract.

Q. 11. Referring to the Tender for Locally Employed Staff Health Insurance Coverage, we would appreciate if you can provide the Claims details - claims diagnosis for the past 3 years (2019-2020, 2020-2021 & 2021 (up to Dec)

A. 11. The Embassy has provided 5 years’ worth of claims figures. The claims figure through December 31, 2021 is not yet available from the current vendor’s underwriters.

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