19SA7026R0004-A001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE OF PAGES

1 5

2. AMENDMENT/MODIFICATION NO.

A001

3. EFFECTIVE DATE

04/02/2026

4. REQUISITION/PURCHASE REQ. NO.

PR15783249

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

19SA70 7. ADMINISTERED BY (If other than Item 6) CODE 19SA70

Contracting Officer

Embassy of the United States of America

P.O. Box 94309

Riyadh 11693, Saudi Arabia

Tel.: 488-3800 - Fax: 488-7939

Email: RiyadhContracting@state.gov

N/A

8. NAME AND ADDRESS OF CONTRACTOR (NO., street, city, county, State, and ZIP Code)

9a. AMENDMENT OF SOLICITATION NO.

19SA7026R0004

X

9b. DATED (SEE ITEM 11)

03/17/2026

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[ X] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [ ] is extended, [ X ] is not extended

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods: (a) By completing Items 8 and 15 and returning one (1) copy of the amendment;(b) By acknowledging receipt of this amendment on each.

copy of the offer submitted; or(c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers.

FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF

OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b)

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor [ ] is not, [ X ] is required to sign this document and return _01_copy to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The intent of this amendment is to:

The purpose of this amendment is

1. To replace page 12, 13, and 14 of the solicitation (Section B PART II: PRICE - GROUP LIFE INSURANCE) with page 2, 3, 4 and 5 of this amendment. (Group Life Insurance price table has been updated to reflect number of employees)

2. To replace page 18 - 25 of the solicitation (Section C.1 HEALTH INSURANCE SERVICES) with page 6-13 of this amendment. (Section C, Scope of Work C.1.1 Employee and Dependent Health Services Benefits has been updated.

Please note that all other terms and conditions of the solicitation will remain unchanged.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

16A. NAME OF CONTRACTING OFFICER

Nathaniel G. Tishman, Contracting Officer

15B. NAME OF CONTRACTOR/OFFEROR

BY

(Signature of person authorized to sign)

15C.DATE

SIGNED

16B. UNITED STATES OF AMERICA

BY

(Signature of Contracting Officer)

16C.DATE SIGNED

mailto:RiyadhContracting@state.gov Signature

FreeText 4/5/26

Life and Medical Cover for LES Solicitation No. 19SA7026R0004

Embassy of the United States of America, Riyadh Page 2 of 13

PART II: PRICE - GROUP LIFE INSURANCE

ALTERNATE A

B.5. GROUP LIFE INSURANCE SERVICES

The Contractor shall provide the Group Life Insurance services described herein to employees of the Government of the United States of America in Kingdom of Saudi Arabia. The groups of employees who shall be provided this insurance are listed in C.2.3. This insurance shall be provided in accordance with Section C and the Exhibits in Section J.

B.5.1. Official Residence Expense (ORE) Staff and U.S. Embassy Association Employees (EAE) are included under this contract only as a rider; the Contractor shall bill the Chief of Mission and Deputy Chief of Mission (for ORE Staff), the Embassy Association (for EAEs) separately, at the rates specified below. See Section G for billing procedures.

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 the amount of Life Insurance coverage for each employee is SAR 352,000 to provide life insurance, accidental death and dismemberment and partial and total disability coverage are as follows:

B.6.1 CLIN 6001 Base Year of Contract NAICS Code: 524113 Direct Life Insurance Carriers

Bi-Weekly Rates per Employee

Type of Insurance Estimated number of Employees Rate per employee

Bi-Weekly Total

SubCLIN A. Basic Life

SubCLIN B. Accidental Death & Dismemberment SubCLIN C. Partial & Total Disability Coverage

SubCLIN D. Subtotal (A + B + C)

CLIN 6001 Total Price for Base Year (d x 26)

Embassy of the United States of America, Riyadh Page 3 of 13

B.6.2 CLIN 7001 First Year of Contract of Employees Rate per employee

Bi-Weekly Total

CLIN 7001 Total Price for First Year (d x 26)

B.6.3 CLIN 8001 Second Year of Contract of Employees Rate per employee

Bi-Weekly Total

CLIN 8001 Total Price for Second Year (d x 26)

Embassy of the United States of America, Riyadh Page 4 of 13

B.6.5 CLIN 10001 Fourth Year of Contract of Employees Rate per employee Bi-Weekly Total

CLIN 10001 Total Price for Fourth Year (d x 26)

B.6.4 CLIN 9001 Third Year of Contract of Employees Rate per employee

Bi-Weekly Total

CLIN 9001 Total Price for Third Year (d x 26)

Embassy of the United States of America, Riyadh Page 5 of 13

B.6.6. Grand Total of Base plus All Option Years

CLIN 6001 Base Year Total

CLIN 7001 First Option Year Total

CLIN 8001 Second Option Year Total

CLIN 9001 Third Option Year Total

CLIN 10001 Fourth Option Year Total

Grand Total of Base plus All Option Years

Embassy of the United States of America, Riyadh Page 6 of 13

SECTION C

DESCRIPTION/SPECIFICATION/WORK STATEMENT

PART I - HEALTH INSURANCE

C.1. HEALTH INSURANCE SERVICES

The Government of the United States of America requires Health Insurance coverage for its employees as further described in C.1.2 in Riyadh, Jeddah and Dhahran, Kingdom of Saudi Arabia. The Government has determined that the prevailing practice by employers in Saudi Arabia is to provide for their employee’s health insurance protection and that the cost of such insurance protection is usually solely by the employer. The USG will pay 100% of the premium cost for the employee and their covered dependents. Health insurance protection will be representative of locally prevailing compensation practice as further described in C.1.2. The specific health benefit coverage under this contract is set forth in Section C and the Exhibits in Section J.

The Contractor shall insure that health care under this contract does not exclude HIV/AIDS care, unless exclusion has been authorized by Bureau of Human Resources (HR).

The approved health benefit levels and terms to be included in the solicitation are as outlined below. The benefit levels set forth in the authorization cable are the minimum benefit levels acceptable for post’s health insurance contract. Post may accept offers of higher benefit levels as long as post complies with the applicable acquisition regulations. The GMC methodology encourages post to consider off-the-shelf insurance products which meet or exceed the minimum levels. Reimbursement of covered expenses is limited to the stated percentages of reasonable and customary costs.

Reimbursements or payments shall be made for the following covered benefits, subject to reasonable and customary costs in the locality where treatment was provided.

C.1.1 Employee and Dependent Health Services Benefits

Deductible (For Outpatient Treatment Expenses):

Employees are responsible for 20 percent per visit with a maximum of SAR 100 per visit for employees and dependents when visiting outpatient clinic physician including all consultations, lab tests, x-rays, medicines and other medical supplies as well as follow-up visits and referral for the same illness, and not for every procedure separately.

20 percent per visit with a maximum of SAR 100 as outlined above for medical services and expenses when not hospitalized such as laboratory tests and x-rays, prescription medicines, physical therapy, routine annual physical examinations, and inoculations.

The following are the maximum Physician’s Fees in relation to above. Employee is responsible for 20 percent up to the following maximums:

• General Practitioner: SAR 50

• Specialists (Registrar): SAR 100

• Specialist (Senior Registrar): SAR 200

• Consultant: SAR 300

Embassy of the United States of America, Riyadh Page 7 of 13

• Rare medical specialties such as cardiac and neurosurgery and vascular surgery and subspecialties standardized by the Saudi Commission for Health Specialties: SAR 500

C.1.1.1. Hospitalization: (treatment in the hospital for inpatient care):

Services and supplies provided during hospitalization, including services provided by a licensed healthcare provider, bed & board (semi-private accommodations), operating room, recovery room, intensive care, imaging and diagnostic testing, general hospital nursing care, physical therapy, as well as drugs and medicines administered while in-patient. 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. 100% Coverage

See Mental Health and Substance Abuse care (below) for details concerning inpatient psychiatric care. See Outpatient Services (below) for details concerning professional services.

Emergency Services (trips to emergency room):

Services provided for conditions that could lead to serious disability or death if not immediately treated, such as accidents or sudden illness. 100% Coverage

Ambulance:

Professional ground transport to move a patient from the place where s/he is injured or becomes ill to the nearest hospital able to provide treatment or to move a patient from one medical facility to another. 100% Coverage (Emergencies); 80% Minimum Coverage (Non- Emergencies)

C.1.1.2 Outpatient Services:

Services provided by a certified healthcare provider on an ambulatory or outpatient basis

(without being admitted to a hospital), including surgeon’s fees and other medical services that may be provided in a hospital, clinic, doctor’s office, medical facility, etc. Examples include, but are not limited to:

-- Annual physical examinations -- Specialist consultations and treatment, including second surgical opinion -- Minor surgical interventions -- Chemotherapy and radiation treatments -- Immunizations recommended by local authorities and/or the World Health Organization -- Diagnostic tests and diagnostic imaging --Treatment of congenital illness if current or future life-threatening impact for newborns 90% Minimum Coverage.

A visit to a specialized clinic without obtaining a referral from a primary care facility will be covered at 80% minimum. Primary care facilities and specialized clinics as defined in accordance with CCHI may be covered at a higher rate in accordance with CCHI and standard vendor practices. See Rehabilitative and Habilitative Services and Devices (below) for details concerning physical therapy. See Mental Health and Substance Abuse Care (below) for details concerning psychiatric therapy.

Preventive and Wellness and Chronic Disease Management:

Counseling or preventive care designed to prevent or detect medical conditions and care for chronic conditions such as asthma and diabetes. Examples include, but not limited to: physicals, immunization, cancer screenings, and comprehensive integrated program for diabetics care.

90% Minimum Coverage

C.1.1.3. Prescription Drugs and Medicines: 100% reimbursement when hospitalized;

80% reimbursement and 20% deductible per visit with maximum of SAR 30 per visit when not

Embassy of the United States of America, Riyadh Page 8 of 13 hospitalized, of the cost of medicines and drugs for which a prescription is legally required for generic medicines, over the counter (OTC) drug, and/or innovative treatment (Brand Name) when no generic alternative is available. If an innovative treatment (Brand Name) is chosen when a generic medicine is available, the difference between the innovative treatment (Brand Name) and generic medicine will be paid in full by the employee/beneficiary. The price difference will not be included in the maximum deductible amount. There is no maximum cap on employee/beneficiary payment in this situation.

Medications prescribed by a certified health care provider that are medically necessary.

Examples include, but are not limited to: prescription antibiotics to treat an infection; medication used to treat an ongoing condition, such as high cholesterol; prophylaxis; or contraceptive medication.

Inpatient: 100% Coverage; Outpatient: 80% Minimum Coverage

C.1.1.4 For Employees Only HIV/AIDS: 100% reimbursement for Medications to suppress opportunistic infections (such as tuberculosis or toxoplasmosis for covered individuals who have HIV/AIDS). Brief courses of anti-retroviral drugs during childbirth to prevent the transmission of HIV/AIDS to the child. Generally, excludes medication for the long-term suppression of HIV/AIDS through the combination of anti-retroviral drugs in locations with inadequate local healthcare infrastructures.

Note to Contracting Officer: Post should consider electing this option if HIV/AIDS treatment is not covered as prevailing practice by local medical insurance providers or is prohibitively expensive.

The maximum limit for expenses reimbursed under section C.1.1.4 is 100% up to SAR

37,500.00 per contract year per covered individual.

C.1.1.5 Obstetrical Care: Care and services that women receive during pregnancy (prenatal care), throughout labor and delivery, and post-delivery, and outpatient care for newborn babies. Hospitalization during pregnancy and/or delivery will be covered as Hospitalization (treatment in the hospital for inpatient care). All other treatments will be considered Outpatient Services.

Inpatient: 100% Coverage; Outpatient: 90% Minimum Coverage

Critical maternity care, as defined by CCHI: 90% Minimum Coverage. For example, treatment of congenital defects if current or future life-threatening impact.

Reproductive Health:

Prescribed contraceptive devices, preventive care and routine examinations, voluntary sterilization, and diagnosis and treatment of conditions which may cause infertility. Assisted reproductive technology (ART), fertility treatments, and reversal of sterilization are not covered (see Exclusions to Coverage). 90% Minimum Coverage

C.1.1.6 Pediatric Services:

Primary and preventive routine care services for covered dependent children, including, but not limited to: physical examination, developmental assessment, laboratory tests, and immunizations recommended by local authorities or the World Health Organization.

Inpatient: 100% Coverage; Outpatient: 90% Minimum Coverage

Embassy of the United States of America, Riyadh Page 9 of 13

C.1.1.7 Hearing Aids: Examinations and Treatment: 90% Minimum Coverage Hearing Aid Apparatus: Limited to one apparatus per ear. The maximum coverage is

SAR 6,000.00 per covered individual per three-year period. 90% Minimum Coverage; with applicable cap

C.1.1.8 Optical Care: Examinations and Treatment: 90% Minimum Coverage Prescription lenses and frames, or contact lenses: The maximum coverage is SAR

1,125.00 per covered individual every two years annually. 90% Minimum Coverage; with applicable cap. Functional vision corrective intervention treatment is covered for each covered individual irrespective of age, only if treatment will prevent vision loss. No reimbursement for nonprescription lenses or tinting. 90% Minimum Coverage; with cap.

C.1.1.9 Dental Care: Examinations and Treatment: Dentist’s fees, x-rays, examinations and treatment, cleanings, fillings, extractions, false teeth, crowns, and bridges up to a maximum of SAR 12,000.00 per covered individual per contract year. 90% Minimum Coverage; with annual cap. Of the SAR 12,000, SAR 7,200.00 maximum coverage for corrective dentistry mentioned above without deductible from insured individual, and SAR 4,800.00 for treatment of root canals and emergencies with 20 percent deductible with no upper cap.

Orthodontia: Treatment is covered only if treatment begins before age 18, or if required as the result of an accident. A maximum of four years of orthodontia treatment will be covered per covered individual. The maximum coverage is SAR 9,000.00 lifetime limit. 90% Minimum Coverage; with contract lifetime cap.

C.1.1.10 Mental Health and Substance Abuse Care:

Inpatient and outpatient care provided to evaluate, diagnose and treat mental health condition or substance abuse disorder. This includes but is not limited to: Depression, bipolar disorder, anxiety or stress, and other behavioral health treatment, counseling, and psychotherapy.

Services must be provided by a licensed psychiatrist, psychoanalyst, psychologist, or psychiatric social worker. Inpatient care for alcohol and substance abuse must be carried out at a facility licensed for detoxification and rehabilitation. Up to maximum SAR 50,000.00 per patient per contract year. Alzheimer’s cases treatment up to maximum SAR 15,000.00 per patient per contract year.

Inpatient/Emergency: 100% Coverage; Outpatient: 90% Minimum Coverage

Rehabilitative and Habilitative Services and Devices:

Rehabilitative services (e.g., recovering skills, such as speech therapy after a stroke or physical therapy after an accident) and habilitative services (e.g., developing skills, such as speech therapy for children) that help develop skills needed for everyday life. Devices to help gain or recover mental or physical skills lost due to injury, disability or chronic condition, and devices needed for habilitative reasons. 90% Minimum Coverage

Autism: Coverage of the costs of detecting diagnosis and treatment of autistic cases in accordance with the service provided to autistic patients, up to SAR 50,000.00 90% Minimum Coverage; per individual per contract year.

C.1.1.11 Kidney Dialysis Treatment:

In accordance with the maximum limits set out in Saudi Council Cooperative Health

Insurance (CCHI) Policy, up to SAR 180,000.00 per patient per contract year. 90% Minimum

Embassy of the United States of America, Riyadh Page 10 of 13

Kidney Transplant:

When hospitalized in accordance with the maximum limits set out in Saudi Council

Cooperative of Health Insurance (CCHI) policy, up to SAR 250,000.00 per patient per contract year. 100% Minimum Coverage

Obesity Treatment:

Procedures and surgeries such as sleeve gastrectomy surgery, if BMI exceeds 40 or 35 with complications, based on eligibility criteria based on the best indication and international clinical guidelines and The Saudi Guide to Bariatric and Metabolic Surgery, such as but not limited to; Laparoscopic Adjustable Gastric Banding (LABG), Laparoscopic Sleeve Gastrotomy, etc. The maximum limit for operation expenses reimbursed is 80% - 100% with SAR 1,000 cap, up to SAR 15,000.00. 80% - 100% Minimum Coverage

Comprehensive Integrated Program for Diabetics Care:

Personalized health care plan created based on the patient’s health profile to provide comprehensive health care services in accordance with medical best practices. 90% Minimum Coverage.

Telemedicine Services:

Using electronic information and communication technology to provide diagnostic, screening, and medical inspection service to the insured member, service must be provided by a licensed center by the Saudi Ministry of Health (MOH) and in accordance with the rules and regulations approved by the Council Cooperative of Health Insurance (CCHI).

C.1.1.12 Medical Expenses Incurred Out of Country:

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.

Out-of-Country Medical Travel:

Transportation for out-of-country medical treatment will be a covered expense for LE

Staff and eligible family members. To be considered a covered expense, the attending certified health care provider must certify in advance that the treatment is medically necessary and unavailable locally. 80% of covered individual’s transportation expenses by the least expensive, appropriate means of transportation to the nearest city with adequate medical facilities will be covered. 80% of the transportation expenses of an attendant will also be covered, but only if the covered individual's attending certified health care provider certifies that an attendant for the patient is necessary, (e.g., a parent in the case of a patient who is a minor, or a family member to make medical decisions in the case of a patient who is unwell or unconscious). All coverage for transportation for out-of-country medical treatment is subject to the total maximum annual limit.

Transportation to a neighboring country without the attending certified health care provider certifying that the treatment is medically necessary and unavailable locally will not be covered.

180 Day Coverage For Dependents After Employee’s Death:

At the time of a covered employee’s death, his/her eligible dependents covered under post’s medical plan are eligible to continue receiving the same level of medical coverage for up to 180 days. This optional benefit is subject to availability of funds at post, and no extensions are permitted

C.1.1.13 Annual Maximum Limit – The maximum annual reimbursement per patient per contract year, not including expenses covered under C.1.1.4, is SAR 1,000,000 per patient per contract year.

Embassy of the United States of America, Riyadh Page 11 of 13

C.1.2 Health Benefits Conditions and Limitations.

Exclusions to Coverage:

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, intracellular 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.

C.1.3 Eligible Participants

C.1.3.1 Eligible Employees - Employees eligible for the health insurance services include the following:

- Paid under the terms of Mission Saudi Arabia’s Local Compensation Plan (LCP); and –

- Under a non-temporary direct hire appointment, personal services agreement (PSA), or personal services contract (PSC); or

- Under a temporary direct hire appointment or PSA Fixed Term of one year or more.

Not eligible are those working under temporary appointments; those working under a PSC or PSA that is time limited to less than one year; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Saudi Arabia who provides services to other local organizations as well as to the U.S. Mission; employees working on an intermittent or When Actually Employed (WAE) schedule; employees of USAID institutional contractors; Peace Corps personal services contractors as indicated in MS 743; and Recreation Association employees.

Official Residence Expense (ORE) and Employee Association (EA) employees may be covered under a rider to the contract. The employing officer/EA, not the U.S. Government, is responsible for the employer's share of the premium costs for an ORE/EA employee.

C.1.3.2 Location of Employment

The eligible employees covered by C.1.3.1 must be employed within the geographic boundaries of the Kingdom of Saudi Arabia by the U.S. Embassy in Riyadh and U.S. Consulates General in Jeddah and Dhahran.

C.1.3.3 Participants Covered Under a Rider

C.1.3.3.1 All current active employees of the Chief of Mission and the Deputy Chief of Mission assigned to their respective official Government residences and paid under an ORE account (see separate rider, Exhibit B). All costs for ORE employees are the responsibility of the employing officer, not the U.S. Government.

C.1.3.3.2 All current active employees of the Employee Association at Embassy in Riyadh and U.S. Consulates in Jeddah and Dhahran (see separate rider, Exhibit C).

Embassy of the United States of America, Riyadh Page 12 of 13

All costs for Embassy Employee Association EAEs are the responsibility of the Employee Association, not the U.S. Government.

C.1.4. Individuals not Eligible for Coverage .

Individuals not eligible for coverage under this contract are non-personal services contract personnel; employees working on a temporary basis; employees with an intermittent, seasonal, or WAE (when actually employed) schedule; and any other individual not falling within one of the categories of employees described in this clause.

C.1.5. Other Eligible Participants

The following additional categories of persons are covered by this insurance: Reserved

C.1.5. Other Eligible Participants

Dependents:

LE Staff who are eligible to participate in the medical plan automatically confer coverage to eligible family members who meet the following criteria:

• Legal spouse: one legal spouse as defined by local law may be covered. LE Staff with more than one legal spouse must select only one spouse for coverage. Post may continue its current practice of allowing tandem employees to enroll separately as individuals.

• Dependent children: a child is defined as the LE Staff’s natural, adopted, stepchild, or foster child. The child must be unmarried and financially dependent upon the LE Staff. A child will be covered until the end of the contract year in which s/he reaches age 26. An unmarried child determined to be incapable of self-support due to a physical or mental condition will continue to be eligible to participate in the medical plan as long as the condition persists, the child remains unmarried, and the LE Staff maintains coverage.

Unmarried adult female daughter: an adult female daughter of an eligible employee is covered under the medical plan up until the age of 40, if unmarried and unemployed.

C.1.6. Eligibility

C.1.6.1. Term of Eligibility and Effective Date Each current active eligible employee is enrolled for health benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee will be enrolled upon entering on duty with the United States Government. An employee is considered active ("on the rolls") whenever such employee is on approved leave, whether paid or unpaid.

During a period of Leave Without Pay (LWP) or unpaid leave that is one pay period or less, coverage under the insurance contract will continue. The USG will pay the total premium cost to the Contractor. The employee’s share of the premium will be collected through payroll deduction in that or the subsequent pay period.

C.1.6.2. Period of Ineligibility Employees and their dependents are not entitled to health benefits during any period of employment for which premiums are not paid.

Embassy of the United States of America, Riyadh Page 13 of 13

Additionally, employees’ dependents are not entitled to health benefits during any period of employment during which the employee was not eligible to participate.

During a period of extended Leave Without Pay (LWOP) or unpaid leave beyond one pay period, the employer is responsible for the full cost of the insurance premiums for self and dependents. The Mission will pay the premiums directly to the Contractor.

C.1.7. Brochure Requirement.

C.1.7.1. The Contractor shall provide a document (brochure/pamphlet/other written document) in English and Arabic that sets forth a complete listing of the health and life insurance information, benefits and network providers to be provided annually under this contract. This brochure shall be provided in sufficient quantities so that each covered employee receives a copy. The Contractor shall furnish all copies of the brochures to the COR, who will ensure that appropriate distribution is made.

C.1.7.2. The Contractor shall provide the document described in C.1.7.1 to the COR not later than 10 days after date of contract award. The Contractor shall provide additional brochures for new employees within ten (10) days of the COR’s request. And any update should be notified to the COR as it arise.

C.1.7.3. The Contractor assumes full responsibility for ensuring that the document described in C.1.7.1 accurately reflects the requirements of the contract, as implemented by the Contractor’s technical proposal. In all cases, the contract shall take precedence. Should the COR discover that the brochure contains inaccuracies, the Contractor will be notified in writing;

however, failure on the part of the Government to notice any inaccuracies shall in no way limit, revise or otherwise affect the requirement under this contract for the Contractor to fully comply with all contract terms.