SF30 AMENDMENT OF SOLICITATION 19SG2022R0002.docx

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19SG2022R0002 - U. S. Embassy Dakar / Senegal - Global Medical Coverage (GMC)Insurance Services to Local Employed Staff and Dependents
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19SG2022R0002
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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

PAGE 1 OF 5 PAGES

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO.

PR9777309-V2

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

American Embassy Dakar GSO/Procurement Route des Almadies Dakar – Senegal

7. ADMINISTERED BY (If other than Item 6) CODE American Embassy Dakar

HUMAN RESSOURCES

Route des Almadies Dakar - Senegal

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

9a. AMENDMENT OF SOLICITATION NO.

19SG2022R0002

9b. DATED (SEE ITEM 11) January 12, 2022.

10a. MODIFICATION OF CONTRACT/ORDER NO.

10b. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

[ ] The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers [X] is extended, [ ] 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 _______ copies of the amendment;(b) By acknowledging receipt of this amendment on each copy of the offer submitted; or© 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 IS 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:

X
D. OTHER (Specify type of modification and authority)

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

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

This solicitation amendment is done on the following sections:

A. Section J is revised to answers to questions #1, #2, #4, #5, #8, B. Section M is revised to provide additional information to questions #11 and #13 C. To extend the solicitation closing date to March 7, 2022, at 12.00 PM local time.

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

Jonas B. GIL

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

Standard Form 30 American Embassy Dakar Solicitation no 19SG2022R0002 – Global Medical Coverage insurance service for locally employed staff and dependents.

Virtual Pre-proposal conference held on January 27, 2022.

QUESTIONS AND ANSWERS SHEET

Q 1. I need to know the nationalities or at least the percentage of nationalities of the insurers as in some cases there is a limit on how many local nationals, they can cover of the international health plan contracts. Therefore, it is important to know the split between local employees, and foreign national employees.

Answer: Senegalese 89% (365)– Dual citizens (Senegal/USA) 4% (14) – Other countries 7% (30). There is no limit for local nationals to get coverage of international health plan.

Q 2. Please provide average insured member counts for the last 5 years – 2021, 2020, 2019, 2018 & 2017. It is standard practice in the insurance industry (and in other Department of State insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.

Answer: for statistics regarding the insured population, refer to section J on page 41. These are the most recent data, which shows the average population to consider for this solicitation.

In addition below also is also provided.

2017
2018
2019
2020
2021
444
442
430
420
416
Average
430.40

Q 3. When is this plan likely to commence?

Answer: Most likely Early May 2022.

Q 4. Please provide five years of loss data (Table 1) by year of account including annual net premium (for the same period), incurred claims and membership history. For membership history please provide the number of Employees with single coverage and with family coverage at the end of each year. Please do not include any confidential information, just the overall statistics for the group. Claims information is critical to our pricing and the relationship of claims to employee growth or shrinkage is part of the claims analysis.

Contractual year
Total claims paid (local currency)
Retention amount (local currency)
Total premium paid to Insurer (local currency)
Net gain (local currency)
Net gain USD or EUR
dd/mm/2016 – dd/mm/2017
340,826,459

157,805,076

573,850,368

dd/mm/2017 – dd/mm/2018
370,263,894

161,433,376

587,029,716

dd/mm/2018 – dd/mm/2019
368,225,932

161,317,962

586,619,904

dd/mm/2019 – dd/mm/2020
396,464,311

164,152,664

530,172,760 dd/mm/2020 – dd/mm/2021

167,458,044

531,161,410

Table 2

Contractual year
Single
Self plus ONE
Family plans
dd/mm/2016 – dd/mm/2017
54
dd/mm/2017 – dd/mm/2018
54
dd/mm/2018 – dd/mm/2019
53
dd/mm/2019 – dd/mm/2020
44
dd/mm/2020 – dd/mm/2021
38

Answer: for statistics regarding the insured population and claims paid, refer to section J of the solicitation on page 41. Offerors should carefully review the benefits and requirements in this solicitation.

Q 5. We would like to know if you have been informed of Catastrophic cases, such as: Hemodynamics, Open Heart Surgery, Orthopedic Mayor Surgeries, Organ Transplant, Traumatic Accident, Cancer and Oncology Cases (Radio and Chemotherapy), and hospitalizations with more than 10 days Answer Hemodynamics (04), Open Heart Surgery (02), Orthopedic Mayor Surgeries (07), Organ Transplant (0), Traumatic Accident (0), Cancer and Oncology Cases (Radio and Chemotherapy) (03), and hospitalizations with more than 10 days (09).

Q 6. What is the name if the insurance company that currently provides coverage?

Answer: AXA Assurances Senegal

Q 7. Is there a preferred list of Hospitals, Clinics or other Medical Facilities that the Embassy employees prefer? If yes, please provide a list of these facilities Answer: No. there is no list of preferred Hospitals and clinics. However, some employees have dependents living in other regions of Senegal than Dakar. Therefore, a wide network of service providers within the country shall be considered.

Q 8. Could you please provide information about the claims you have had out of country during your current coverage?

Answer: Claims out of country during the current coverage is 35,261,210 FCFA.

Q 9. Has there been any changes to the Table of Benefits over the past 5 years?

Answer: yes, this is GMC, which is entirely new and different from previous Health Insurance Solicitations. the level of benefits described under section C, page shall be implemented for the first time under the new contract and shall be used as a guide in the proposals.

Q 10. Would the Embassy accept proposals in USD where premium is also paid in USD from non-US companies?

Answer: Yes, proposals in USD are accepted as mentioned in section B of the solicitation.

Q 11. Can also claims be paid in USD or is there a need to be paid in the local currency?

Answer: Claims must be paid in local currency.

Q 12. Can proposals be submitted electronically or does the Embassy insist on hard copies?

Answer: both are acceptable. refer to the solicitation covering letter for instructions on how to submit the proposal. Proposals can be submitted via electronic email or personally delivered to the U.S. Embassy Dakar.

Q 13. Would the Embassy accept a proposal from an internationally licensed insurance company under an offshore jurisdiction or does it insist on a locally licensed insurance company only?

Answer: The requirements regarding licensure and related requirements to perform this effort are listed in several places in the Solicitation to include, but not limited to: H.6.2 - Licenses and Local Laws; DOSAR 652.242-73

– Authorization and Performance; L.4.3 – Technical Proposal (Part 4, Licensing Information), and M.5 -Technical Evaluation, paragraph (ii).

The offeror must comply with all requirements regarding licenses, certifications, and approvals from the Host Country (Senegal). For further clarity, we are providing the relevant section of L.4.3 that details the compliance required if your company is not currently licensed/certified/accredited to provide health insurance coverage to persons in the Host Country.

Part 4, Licensing Information:

The offeror shall include a notarized copy of the most current license/certificate/-accreditation, which demonstrates that the offeror is licensed/certified/accredited or otherwise authorized by the Government of Senegal or its agent (e.g., insurance commission, board) to provide health insurance coverage to persons (to include organizations, companies, groups) within the host country. If the offeror is not licensed/certified/accredited or otherwise authorized by the Government of Senegal it must demonstrate that it is licensed/certified/accredited by a government other than Senegal to provide health insurance for persons in Senegal and must demonstrate its capacity to provide health benefits in Senegal to meet the minimum requirements and other conditions set forth in this solicitation.

Q 14. Would 2 % tax based on James Zadroga Act be applicable to this solicitation?

Answer: Yes

Q 15. Is this a mandatory plan, meaning all employees of the Embassy will be covered or voluntary, meaning the employees will be given the option to sign up for the health insurance?

Answer: this is a mandatory plan

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