19SN1022R0001 - LES Health and Life Insurance Solicitation.pdf

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 350)

RATING PAGE OF PAGES

1 /77

2. CONTRACT (Proc. Inst. Ident.) NO.

3. SOLICITATION NO.

19SN1022R0001

4. TYPE OF SOLICITATION

[ ] SEALED BID (IFB)

[x] NEGOTIATED (RFP)

5. DATE ISSUED

March 14, 2022

6. REQUISITION/PURCHASE NO.

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than item 7)

General Services Office

American Embassy

27 Napier Road, Singapore 258508

Phone: Fax:

The Contracting Officer

American Embassy

27 Napier Road, Singapore 258508

NOTE: In sealed bid solicitation "offer" and "offeror” mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and see Section L copies for furnishing the supplies or services in the Schedule will be received at the place specified, in the depository located in 27 Napier Road, Singapore 258508 until April 12, 2022 local time 1630.

(date) (hour)

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L. Provision No. 52.215-1. All offers are subject to all items and conditions contained in this solicitation.

10. FOR

INFORMATION CALL:

A. NAME

JOSEPH D. HOGAN

MEENA PALANISAMY

B. TELEPHONE (NO COLLECT CALLS)

(65) 6476-9426

(65) 6476-9404

C. E-MAIL ADDRESS

SGProcurementRFQ@state.gov

11. TABLE OF CONTENTS

(✓) SEC. DESCRIPTION PAGE(S) (✓) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

✓ A SOLICITATION/CONTRACT FORM 1 ✓ I CONTRACT CLAUSES 34-47

✓ B SUPPLIES OR SERVICE AND PRICES/COSTS 2-12 PART III - LIST OF DOCUMENTS, EXHIBITS, AND OTHER ATTACH.

✓ C DESCRIPTION/SPECS/WORK STATEMENT 13-23 ✓ J LIST OF ATTACHMENTS 48

✓ D PACKAGING AND MARKETING 24 PART IV - REPRESENTATIONS AND INSTRUCTIONS

✓ E INSPECTION AND ACCEPTANCE 25-26 ✓ K REPRESENTATIONS, CERTIFICATIONS, AND 49-66

✓ F DELIVERIES OR PERFORMANCE 27 OTHER STATEMENTS OF OFFERORS

✓ G CONTRACT ADMINISTRATION 28-29 ✓ L INSTRS., COND., AND NOTICES TO OFFERORS 67-74

✓ H SPECIAL CONTRACT REQUIREMENTS 30-33 ✓ M EVALUATION FACTORS FOR AWARD 75-77

OFFER (Must be fully completed by offeror)

NOTE: ITEM 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (120 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See section I, Clause No 52.232-8)

10 CALENDAR DAYS

20 CALENDAR DAYS

30 CALENDAR DAYS

CALENDAR DAYS

14. ACKNOWLEDGMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the solicitation and related documents) numbered and dated:

15A. NAME CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED

AND

ADDRESS

OF

OFFEROR

TO SIGN OFFER (Type or print)

15B. TELEPHONE NO. (Include area code)

15C. CHECK IF REMITTANCE ADDRESS [ ] IS

DIFFERENT FROM ABOVE - ENTER SUCH

ADDRESS

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEM NUMBERED

20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

[ ] 10 U.S.C. 2304(c)( ) [ ] 41 U.S.C. 253(c)( )

23. SUBMIT INVOICES TO ADDRESS SHOWN

IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTRATION BY (If other than Item 7)

CODE

25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print)

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this form, or on the Standard Form 26, or by other authorized official written notice.

NSN 7540-01-152-8064 STANDARD FORM 33 (REV 9-97)

PREVIOUS EDITION NOT USABLE Prescribed by GSA

RFQ No. 19SN1022R0001

LES Health and Life Insurance

SECTION B

PART I. PRICE -HEALTH INSURANCE

B.1 HEALTH INSURANCE SERVICES

The Contractor shall provide the Health Insurance services to employees of the

Government of the United States of America in Singapore and their eligible dependents as described in Section C. This insurance shall be provided in accordance with Section

C.

B.1.1 Official Residence Expense (ORE) Staff 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), at the rates specified below. Note that USG is not responsible, nor liable, for any riders.

B.2 PRICES

B.2.1 VALUE ADDED TAX.

The Contractor shall include VAT as a separate charge on the Invoice and as a separate line item in Section B.

B.2.1.1 U.S. Firms. U.S. firms are eligible to be paid in U.S. dollars. U.S. firms desiring to be paid in U.S. dollars should submit their offer in U.S. dollars and clearly identify they are proposing in US dollars. A U.S. firm is defined as a company which operates as a corporation incorporated under the laws of a state within the United States.

Foreign Firms. Any firm, which is not a U.S. firm, is a foreign firm. Any firm that does not meet the above definition of U.S. firm shall submit its prices and receive payment in local currency. Each Offeror shall state the currency (local currency or US$), and foreign firms may only submit in local currency. The Contractor shall be paid in the currency that is stated in this section. Also, see Section M, FAR 52.225-17 EVALUATION OF

FOREIGN CURRENCY OFFERS (FEB 2000).

B.2.2 This is a fixed price with economic price adjustment requirements type contract under which will be issued firm, fixed-price task orders. The fixed prices/premium rates for the health insurance services as specified in Section C are as follows:

Prices quoted below are in __________________(currency)

B.2.3. BASE YEAR OF CONTRACT

Semi Annual Rates per Plan

Category/Plan

Estimated

Number of

Plan

Rate per Plan Semiannual Total

a. Single Employees (Self Only) 50

b. Employee + spouse or child 34

c. Family Plan (Employee+spouse + children) 53

d. Subtotal (a + b + c)

e. GST (7%) for d

f. Total Price for Base Year ([d+e]x2)

B.2.4. FIRST OPTION YEAR

Estimated

Number of

Plan

Rate per Plan Semiannual Total

a. Single Employees (Self Only) 50

b. Employee + spouse or child 34

f. Total Price for First Option Year ([d+e]x2)

B.2.5. SECOND OPTION YEAR

Estimated

Number of Plan

Rate per

Plan

Semiannual

Total

a. Single Employees (Self Only) 50

b. Employee + spouse or child 34

f. Total Price for Second Option Year ([d+e]x2)

B.2.6. THIRD OPTION YEAR

Estimated

Number of Plan

Rate per

Plan

Semiannual

Total

a. Single Employees (Self Only) 50

b. Employee + spouse or child 34

f. Total Price for Third Option Year ([d+e]x2)

B.2.7. FOURTH OPTION YEAR

Estimated

Number of Plan

Rate per

Plan

Semiannual

Total

a. Single Employees (Self Only) 50

b. Employee + spouse or child 34

f. Total Price for Fourth Option Year ([d+e]x2)

B.2.8. GRAND TOTAL OF BASE AND

ALL OPTION YEARS FOR HEALTH INSURANCE CURRENCY ______

Base Year Total

First Option Year

Second Option Year

Third Option Year

Fourth Option Year

Grand Total of Base and All Option Years

MINIMUM AND MAXIMUM AMOUNTS

During the Base Year of the contract, and during the option year that might be exercised, the United States Government (USG) shall place orders totaling a minimum of

SGD100,000.00. This reflects the contract minimum guarantee for each period of performance. The amount of all orders, for base and all option years shall not exceed

SGD4,000,000.00 This reflects the contract maximum.”

B.3 ADMINISTRATIVE RETENTION AMOUNTS

B.3.1 If the Contractor requests a price adjustment under B.4 below, the Contractor shall present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.2. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit.

Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the health care provider/claimant. B.3.2 sets forth the retention amounts per premium paid for each category of premium and for each period of performance.

NOTE TO OFFEROR: Fill in the fixed semi-annual retention amounts for each period of performance and for each category of premium. This fixed amount shall be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.3.2 Semi Annual Retention Amounts per separate premium paid per single employee, employee+spouse or child and per family plan.

Period of Performance Single Employees

Plan

Employee + Spouse

Plan Family Plan

Base Period

First Option Year

Second Option Year

B.4 ECONOMIC PRICE ADJUSTMENT-HEALTH INSURANCE PREMIUMS

B.4.1 Premium Adjustment Based on Experience - For health insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract, and it specifically excludes all riders in B.1.1. No adjustment will be allowed during the first twelve months. After such time, the Contractor or the Government may request an adjustment in premiums on an annual basis. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. This information shall be provided per type of premium, i.e., per line item. The retention amount is not subject to adjustment. The

Government reserves the right to have an independent third party review the balance sheet and claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government.

Any failure to reach agreement under this clause shall be subject to the procedures in the

Disputes clause.

B.4.2 Premium Adjustment Based on Laws - The rates may also be adjusted during the performance period of the contract because of laws enacted by the host Government if such change in the laws has a direct impact on the cost to the Contractor to perform this contract at the contracted rate. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate. The

Contractor agrees to provide all documentation necessary to support any requested adjustment.

B.4.2.1 Employee Pool – This clause is only in effect if the Contractor included details in its offer regarding a pooling arrangement, of which this contract is a part.

Before any adjustment is made under this price adjustment clause, the Contractor shall include in its proposal for adjustment, details setting forth how the pool impacts the request for equitable adjustment.

PART II: PRICE - GROUP LIFE INSURANCE

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 Singapore. 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 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), 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 Singapore Dollars per one thousand [of salary to provide life insurance, accidental death and dismemberment and partial and total disability coverage are as follows:

Prices quoted below are in __________________(currency)

B.6.1. BASE YEAR OF CONTRACT

Type of Insurance Annual Sum

Assured (S$)

Semi-annual

Premium rate

(Per $1,000)

Semi-Annual

Premium

a. Natural Death coverage:

36 months 28,438,761.00

b. Accidental Death &

Disability/Dismemberment

Coverage: 36 months

28,438,761.00

c. Semiannual total for Base

Year (a+b)

d. Total for Base Year (d x 2)

B.6.2. FIRST OPTION YEAR OF CONTRACT

Type of Insurance Annual Sum

Assured (S$)

Semi-annual

Premium rate

(Per $1,000)

Semi-Annual

Premium

a. Natural Death Coverage:

36 months 28,438,761.00

b. Accidental Death &

Disability/Dismemberment

Coverage: 36 months

28,438,761.00

d. Total for First Option Year

(d x 2)

B.6.3. SECOND OPTION YEAR OF CONTRACT

Assured (S$)

Semi-annual

Premium rate

(Per $1,000)

Semi-Annual

Premium

a. Natural Death Coverage:

36 months 28,438,761.00

b. Accidental Death &

Disability/Dismemberment

Coverage: 36 months

28,438,761.00

d. Total for Second Option

Year (d x 2)

B.6.4. THIRD OPTION YEAR OF CONTRACT

Type of Insurance Annual Sum

Assured (S$)

Semi-annual

Premium rate

(Per $1,000)

Semi-Annual

Premium

a. Natural Death Coverage:

36 months 28,438,761.00

b. Accidental Death &

Disability/Dismemberment

Coverage: 36 months

28,438,761.00

c. GST (NA for a and b)

d. Semiannual total for Base

e. Total for Third Option Year

(d x 2)

B.6.5. FOURTH OPTION YEAR OF CONTRACT

Assured (S$)

Semi-annual

Premium rate

(Per $1,000)

Semi-Annual

Premium

a. Natural Death Coverage:

36 months 28,438,761.00

b. Accidental Death &

Disability/Dismemberment

Coverage: 36 months

28,438,761.00

d. Total for Fourth Option

Year (d x 2)

B.6.6. GRAND TOTAL OF BASE AND ALL OPTION YEARS

FOR LIFE INSURANCE

Base Year Total

First Option Year

Second Option Year

Grand total for Base and all Option Years

B.6.7 TOTAL AMOUNT OF CONTRACT

Total Amount for Health Insurance (B.2.8)

Total Amount for Life Insurance (B.6.6)

Grand Total Amount of The Contract

B.7 ADMINISTRATIVE RETENTION AMOUNTS

B.7.1 If the Contractor requests a price adjustment under B.8 below, the Contractor must present cost experience data that includes the retention amount. For purposes of any economic price adjustment, this retention amount is a fixed amount that is a part of the premium amounts in B.6. This retention amount will not be adjusted for any reason.

The retention amount is part of the premium and may include, but not be limited to, such costs as overhead and general and administrative costs. It will also include any profit.

Essentially, it includes all costs except the actual portion of the premium intended to fund claims paid to the claimant. B.7.2. Sets forth the retention amounts per premium paid for each category of premium and for each period of performance.

NOTE TO OFFEROR: Fill in the fixed retention amounts for each period of performance and for each category of premium. This fixed amount must be expressed in the currency in which the premium amount is proposed. The fixed retention amount shall NOT be expressed in terms of a percentage of the premium.

B.7.2 Retention Amounts per Separate Premium Paid per Employee SGD1,000 of annual assured sum:

Period of Performance Basic Life Accidental Death and

Dismemberment

Base Period

First Option Year

Second Option Year

B.8 ECONOMIC PRICE ADJUSTMENT (EPA)-LIFE INSURANCE PREMIUMS

B.8.1 Premium Adjustment Based on Experience: For life insurance, prices may be adjusted upward or downward based on the experience rating of the Mission(s) covered by this contract, and it specifically excludes all riders in B.1.1. No adjustment will be allowed during the first twelve months. After such time, the Contractor or the Government may request an adjustment in premiums on an annual basis. Adjustments are not retroactive to previous contract terms. Before any such adjustment is made, the Contractor agrees to provide the Government a balance sheet showing three main components for the time period: (1) receipts (premiums received) minus the retention amount, (2) number of insurance plans and (3) claims paid. The information shall be provided per type of premium, i.e., per line item. The retention amount is not subject to adjustment. The

Government reserves the right to select an independent third party to review the balance sheet and claims and make recommendations regarding the appropriateness of the requested adjustment. Any adjustment shall be subject to mutual agreement of the parties and shall result in a written modification to the contract. Mutually agreed to adjustments shall be effective thirty days after complete information is received by the Government.

Any failure to reach agreement under this clause shall be subject to the procedures in the

Disputes clause.

B.8.2 Premium Adjustment Based on Law: The rates may also be adjusted during the performance period of the contract because of laws enacted by the host Government, if such change in the laws has a direct impact on the cost to the Contractor to perform this contract at the rate contracted for herein. In that event, the Contracting Officer may enter into negotiations with the Contractor to modify the contract to adjust the premium rate.

The Contractor agrees to provide all documentation necessary to support any requested adjustment.

SECTION C

DESCRIPTION/SPECIFICATION/WORK STATEMENT

PART 1 – HEALTH INSURANCE

C.1 HEALTH INSURANCE SERVICES

The Government of the United States of America requires Health Insurance coverage for its employees as described herein in C.1.2 in Singapore. The specific health benefit coverage under this contact is set forth in Section C and the Exhibits in Section J.

C.1.1 Employee and Dependent Health Service Benefits

C.1.1.1 Hospitalization (Treatment in the Hospital for Inpatient Care): Minimum

Coverage - 100%

Services and supplies provided during hospitalization including services provided by a licensed healthcare provider, bed, and board (semi-private accommodations), operating room, recovery room, intensive care, imaging and diagnostic testing, and 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.

See Mental Health and Substance Abuse care (C.1.1.13) for details concerning inpatient psychiatric care.

See Outpatient Services (C.1.1.4) for details concerning professional services.

C.1.1.2 Emergency Services (Trips to Emergency Room): Minimum Coverage - 100%

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

C.1.1.3 Ambulance: Minimum Coverage - 80%

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.

C.1.1.4 Outpatient Services: Minimum Coverage - 80%

Services provided by a certified/licensed healthcare provider on an ambulatory or outpatient basis (without being admitted to a hospital), including surgeon’s fees and other medical services provided at 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

See Rehabilitative and Habilitative Services and Devices (see C.1.1.14) for details concerning physical therapy.

See Mental Health and Substance Abuse Care (C.1.1.13) for details concerning psychiatric therapy.

C.1.1.5 Obstetric and Newborn Care: Minimum Coverage - Inpatient: 100%; Outpatient:

80%

Care and services that women receive during pregnancy (prenatal care), throughout labor, delivery and post-delivery, and outpatient care for newborn babies. Hospitalization during pregnancy and/or delivery will be reimbursed as inpatient care All other treatments will be considered outpatient services and will be reimbursed at that rate.

C.1.1.6 Pediatric Services: Minimum Coverage - Inpatient: 100%, Outpatient: 80%

Primary and preventive routine care services for covered dependent children, including, but not limited to physical examinations, developmental assessments, laboratory tests, and immunizations recommended by local authorities and/or the

World Health Organization.

C.1.1.7 Prescription Drugs: Minimum Coverage -Inpatient: 100%, Outpatient: 80%

Medications prescribed by a licensed health care provider that are medically required. 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, contraceptive medication.

C.1.1.8 Preventive and Wellness Services and Chronic Disease Management: Minimum

Coverage - 80%

Counseling or preventive care designed to prevent or detect medical conditions and care for chronic conditions such as asthma and diabetes. Examples include but are not limited to physicals, immunizations, and cancer screenings.

C.1.1.9 Hearing Aids: Minimum Coverage – 80%

Examinations and Treatment: 80% Minimum Coverage

Hearing Aid Apparatus: Limited to one apparatus per ear up to a maximum of

SGD 2,000 per covered individual per three-year period. 80% Minimum

Coverage: with annual cap.

C.1.1.10 Optical Care: Minimum Coverage – 80%

Examinations and Treatment: 80% Minimum Coverage

Prescription lenses and frames or contact lenses: Covered up to a maximum of

SGD400 per covered individual every two years. 80% Minimum Coverage; with annual cap.

C.1.1.11 Dental Care: Minimum Coverage – 80%

Examinations and Treatment: Dentist’s fees, x-rays, examinations and treatment, cleanings, fillings, extractions, false teeth, crowns, and bridges up to a maximum of SGD 4300 per covered individual per contract year. 80% Minimum Coverage:

with annual 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 up to a maximum of

SGD3,200lifetime limit. 80% Minimum Coverage; with contract lifetime cap.

C.1.1.12 Reproductive Health: Minimum Coverage - 80%

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).

C.1.1.13 Mental Health and Substance Abuse Care: Minimum Coverage - 50%

Inpatient and outpatient care provided to evaluate, diagnose, and treat a mental health condition or substance abuse disorder. This includes 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 provided at a facility licensed for detoxification and rehabilitation.

C.1.1.14 Rehabilitative and Habilitative Services and Devices: Minimum Coverage - 50%

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, etc.) that help develop skills needed for everyday life. Devices to help gain or recover mental or physical skills lost due to injury, disability or a chronic condition, and devices needed for habilitative reasons.

C.1.1.15 HIV/AIDS: 100% up to SGD13,500 per contract year per covered individual

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.

C.1.2 Annual Maximum Limit - The maximum annual reimbursement per covered individual per contract year, not including expenses defined under Exclusions and Limitations

(C.1.3), or those covered under C.1.1.15, HIV/AIDS, is equivalent to SGD104,000.00

C.1.3 Exclusions to Coverage:

There is no coverage 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, intra-cellular 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 coverage 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.

There is no coverage for medical expenses incurred out-of-country. There is no reimbursement for out-of-country treatment.

C.1.4 Eligible Participants

C.1.4.1 Identification of Eligible Employees and Dependents: U.S. Mission Singapore will provide a list of all eligible employees and dependents with relationship to employee (self/spouse/child) and DOB for each dependent. Updates will be provided to add or remove individuals on a semi-annual basis.

C.1.4.1.1 Definition of Dependents:

C1.4.1.1.1 Spouse: a limit of one legal spouse as defined by local law per employee will be covered. LE Staff with more than one legal spouse must select only one spouse for coverage.

In cases where LE Staff and their legal spouse both work for the mission and both are eligible to participate in the medical plan, one will be designated as the lead for purposes of the medical plan, and the other will be considered a legal spouse.

C.1.4.1.1.2 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, if unmarried and financially dependent on the LE staff, will be covered until the end of the contract year in which s/he reaches age 26. An unmarried child if 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, and the LE Staff maintains coverage.

C.1.4.2 Location of Employment: The eligible employees covered by C.1.4.1 must be employed within the geographic boundaries of Republic of Singapore by the following agencies:

1. Department of State (DOS),

2. U.S. Commercial Service (USCS),

3. Department of Homeland Security

- Immigration & Customs Enforcement (ICE),

- Customs & Border Protection (CBP),

- Container Security Initiative (CSI).

4. Federal Aviation Administration (FAA)

5. Office of Defense Cooperation (ODC),

6. Defense Threat Reduction Agency (DTRA)

7. Defense Attaché Office (DAO),

8. Agricultural Affairs Office (AAO)

9. Transport Security Administration (TSA)

10. Bureau of Industry and Security (BIS)

11. Naval Medical Research Center – Asia (NMRC-A)

12. Any agency that employs Locally Employed Staff employees who fall under the eligibility definition of C.1.4.

C.1.4.3 Participants Covered Under a Rider

All current active ORE Staff personally employed by the Chief of Mission and the

Deputy Chief of Mission and assigned to their respective official Government residences and paid under an ORE account. All costs for coverage of ORE Staff are the responsibility of the Chief of Mission and the Deputy Chief of Mission, not the U.S. Government.

C.1.4.4 Reserved.

C.1.5 Eligibility

C.1.5.1 Term of Eligibility and Effective Date

Each current active eligible employee and their eligible dependents are enrolled for health benefits under this contract upon award and thereafter during the performance period of this contract. Each new eligible employee and eligible dependents 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.

C.1.6 Brochure Requirement

C.1.6.1 The Contractor shall provide a document (brochure/pamphlet/other written document) in English that sets forth a complete listing of the health insurance benefits to be provided 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.1.6.2 The Contractor shall provide the document described in C.1.6.1 to the COR not later than 14 days after date of contract award. The Contractor shall provide additional brochures for new employees within ten (10) business days of the

COR’s request.

C.1.6.3 The Contractor assumes full responsibility for ensuring that the document described in C.1.6.1 accurately reflects the requirements, coverage, and contract terms 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 document contains inaccuracies, the Contractor will be notified in writing;

however, failure on the part of the U.S. 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.

PART II: GROUP LIFE INSURANCE

C.2 GROUP LIFE INSURANCE

The Government of the United States of America requires group life insurance coverage for its employees, as further described in C.2.2, in Singapore. The specific group insurance coverage under this contract is set forth in this part of Section C and the

Attachments in Section J.

C.2.1 Group Life Insurance Coverage

The amount of group life insurance coverage is as follows:

C.2.1.1 Amount Natural Death Coverage.

The following benefit will be paid to the participant's named beneficiaries or estate upon the death of the participant:

(1) Natural Death: 36 times the monthly basic salary with a maximum of

SGD2.0M.

C.2.1.2 Accidental Death and Dismemberment Coverage.

The employee's estate or employee will receive an amount equal as follows, in addition to the life insurance benefit in C.2.1.1, in the event the employee is killed in an accident.

(2) Accidental Death & Disability/Dismemberment: 36 times the monthly basic salary with a maximum of S$1.5M.

C.2.2 Life Insurance Benefits Conditions and Limitations

Conditions and limitations on the entitlement to life insurance benefits under this contract are as follows:

C.2.3 Exclusions:

C.2.3.1 No benefits shall be payable if an employee's death or other insurance event was caused directly or indirectly by war. War shall be defined as declared or non-declared war or any martial operations or invasion, hostile acts of foreign powers, rebellion, riot, civil war, uprising, mutiny, operations by military or usurpatory authorities, martial law or state of siege or any other similar event or reason for declaring martial law or war. A terrorist attack shall not be considered war.

C.2.3.2 No benefit shall be payable under this contract if the employee's bodily injuries have been caused directly or indirectly and totally or partially by:

C.2.3.2.1 Violating the law or in resisting detention or arrest, C.2.3.2.2 Participation in competitions involving the use of wheeled vehicles, horses, boats, or water skis, C.2.3.2.3 An accident resulting from the employee being under the influence of alcohol, drugs or other toxic substance unless administered by a physician.

C.2.3.2.4 Death as a result of a disease or physical or mental infirmities and medical or surgical treatment thereof (except pyogenic infection due to an accidental cut or wound) shall be considered a natural and not an accidental death. Suicide will not be covered.

C.2.4 Eligible Participant

C.2.4.1 Eligible Employees. The employees eligible for the group life insurance coverage include the following:

C.2.4.1.1 All current active employees of the United States Government employed withing the geographic boundaries of Singapore paid under the Local Compensation Plan and certified by the Contracting Officer.

C.2.4.1.2 Locally hired U.S. citizens employed under direct hire appointments, PSAs, and

PSCs.

C.2.4.2 Location of Employment

C.2.4.2.1 The individuals covered by C.2.4.1 must be employed within the geographic boundaries of Singapore by:

Department of State (DOS), U.S. Commercial Service (USCS), Department of Homeland Security - Immigration & Customs Enforcement (ICE), Customs & Border Protection (CBP), Container Security Initiative (CSI).

Federal Aviation Administration (FAA)

Office of Defense Cooperation (ODC), Defense Threat Reduction Agency (DTRA)

Defense Attaché Office (DAO), Agricultural Affairs Office (AAO)

Transport Security Administration (TSA)

Bureau of Industry and Security (BIS)

Naval Medical Research Center – Asia (NMRC-A)

Any agency that employs Locally Employed Staff employees who fall under the eligibility definition of C.2.3.

C.2.4.3 Participants Covered Under a Rider

C.2.4.3.1 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.2.4.3.2 LE Staff working under temporary appointments; those working under a PSA or

PSC that is time limited to less than one year; those with a When Actually

Employed (WAE) workweek schedule; non-personal services contract personnel and their employees, supplied by an independent contractor licensed to do business in Singapore who provide services to other local organizations as well as to the U.S. Mission; employees of USAID institutional contractors; and Peace

Corps personal services contractors as indicated in MS 743.

C.2.5 Participants not Eligible for Coverage

C.2.5.1 The following additional categories of persons are not covered by this insurance:

C.2.5.1.1 Dependents

C.2.5.1.2 Retirees

C.2.6 Eligibility and Effective Date

C.2.6.1 Term of Eligibility and Effective Date

Each current active eligible employee is enrolled for life insurance and disability 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.

C.2.7 BROCHURE REQUIREMENT

C.2.7.1 The Contractor shall provide a document (brochure/pamphlet/other written document) in English that sets forth a complete listing of the life insurance benefits to be provided 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.2.7.2 The document described in C.2.7.1 shall be provided to the COR not later than 14 days after date of contract award. The Contractor shall provide additional brochures for new employees within ten days of the COR’s request.

C.2.7.3 The Contractor assumes full responsibility for ensuring that the document described in C.2.7.1 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.

G.4.0 DEFINITIONS

COR Contracting Officer’s Representative (COR) is the

Human Resources Officer (HRO) at post.

Customary and Reasonable

Treatment

A diagnostic test or medical treatment which is usually performed in the community where the individual is being treated.

Dependent See Section C.1.5 for definition

Disability – Total and

Permanent

A physical or mental impairment which precludes the individual from performing ordinary motor or bodily functions and which requires separation from employment. If the impairment is the result of previous impairment, it shall be considered a continuation of the prior impairment.

Employee An individual employed by the U.S. Government, under a direct-hire appointment, Personal Services

Contract (PSC), or Personal Services Agreement

(PSA), as further defined in Section C.1.3 for health insurance and C.2.4 for life insurance. This may also include ORE Staff if this category of individual is listed as participating under a rider in C.1.3.3 for health insurance and C.2.4.3 for life Insurance

Employer The United States Government or in the case of ORE;

the Chief of Mission/Deputy Chief of Mission.

FMO The Financial Management Officer (FMO) or the paying office for all U.S. Government Agencies, except U.S. AID.

GSO General Services Officer in change of the General

Services Office at post. This office is usually the

Contracting Officer (CO) for this contract.

Hospital Patient An individual who has been admitted to a hospital, is assigned a bed, and is given diagnostic tests or receives treatment for a disease or an injury.

Maximum Benefit The total amount that will be paid to any one covered individual for covered medical expenses or life insurance/disability benefit.

Physician An individual who has graduated from an accredited medical school and is licensed to practice medicine in the jurisdiction in which the contract is to be performed. If the individual is a medical specialist, then he or she is Board Certified in that specialty.

Surgical Procedure Any invasive medical procedure by manual or instrument operation undertaken for diagnosis or treatment of a diseased patient.

SECTION D

PACKAGING AND MARKING

(RESERVED)

SECTION E

INSPECTION AND ACCEPTANCE

E.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the

FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or

Excite) to obtain the latest location of the most current FAR.

The following Federal Acquisition Regulation clause(s) is/are incorporated by reference:

CLAUSE TITLE AND DATE

52.246-4 INSPECTION OF SERVICES - FIXED PRICE (AUG 1996)

E.2. QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan is designed to provide an effective surveillance method to promote effective

Contractor performance. The QASP provides a method for the Contracting Officer's

Representative (COR) to monitor Contractor performance, advise the Contractor of unsatisfactory performance, and notify the Contracting Officer of continued unsatisfactory performance. The Contractor, not the Government, is responsible for management and quality control to meet the terms of the contract. The role of the

Government is to conduct quality assurance to ensure that contract standards are achieved.

Performance Objective

PWS

Paragraph Performance Threshold

Services

Performs all the insurance services set forth in the Performance Work Statement (PWS)

C.1.0 thru

C.1.6

All required services are performed and no more than two (2) customer complaint is received per month

E.2.1 Surveillance. The COR will receive and document all complaints from Government personnel regarding the services provided. If appropriate, the COR will send the complaints to the Contractor for corrective action.

https://acquisition.gov/browse/index/far https://gov.ecfr.io/cgi-bin/text-idx?SID=d9a7851186785ba2b1896db79b1b6b29&mc=true&tpl=/ecfrbrowse/Title48/48tab_02.tpl

E.2.2 Standard. The performance standard is that the Government receives no more than two

(2) customer complaint per month. The COR shall notify the Contracting Officer of the complaints so that the Contracting Officer may take appropriate action to enforce the inspection clause (FAR 52.246-4, Inspection of Services – Fixed Price (AUG 1996) or the appropriate Inspection of Services clause), if any of the services exceed the standard.

E.2.3 Procedures

(i) If any Government personnel observe unacceptable services, either incomplete work or required services not being performed, they should immediately contact the COR.

(ii) The COR will complete appropriate documentation to record the complaint.

(iii) If the COR determines the complaint is invalid, the COR will advise the complainant. The COR will retain the annotated copy of the written complaint for his/her files.

(iv) If the COR determines the complaint is valid, the COR will inform the Contractor and give the Contractor additional time to correct the defect, if additional time is available. The COR shall determine how much time is reasonable.

(v) The COR shall, as a minimum, orally notify the Contractor of any valid complaints.

(vi) If the Contractor disagrees with the complaint and challenges the validity of the complaint, the Contractor will notify the COR. The COR will review the matter to determine the validity of the complaint.

(vii) The COR will consider complaints as resolved unless notified otherwise by the complaint.

(viii) Repeat customer complaints are not permitted for any services. If a repeat customer complaint is received for the same deficiency during the service period, the COR will contact the Contracting Officer for appropriate action under the

Inspection clause.

SECTION F

DELIVERIES OR PERFORMANCE

F.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. In addition, the full text of a clause may be accessed electronically at: Acquisition.gov this address is subject to change.

If the Federal Acquisition Regulation (FAR) is not available at the location indicated above, use the Department of State Acquisition website at e-CFR to see the links to the

FAR. You may also use an Internet “search engine” (for example, Google, Yahoo or

Excite) to obtain the latest location of the most current FAR.

The following Federal Acquisition Regulation clauses are incorporated by reference:

52.242-15 STOP WORK ORDER (AUG 1989)

52.242-17 GOVERNMENT DELAY OF WORK (APR 1984)

F.2 PERIOD OF PERFORMANCE. The performance period of this contract is one year beginning on 45 days following contract award with four (4) one-year options to renew.

F.3 OPTIONS

(a) The Government may extend this contract in accordance with the option clause at

Section I, clause I.2, FAR Clauses Incorporated by Full Text (FAR 52.217-9, Option to Extend the Term of the Contract), which also specifies the total potential duration of the contract.

(b) The Government may exercise the option set forth at Section I, "FAR 52.217-8, Option to Extend Services".

F.4 REPORTS AND OTHER DELIVERABLES

All reports and other deliverables required under this contract shall be delivered to the following address:

The Human Resources Office

American Embassy

27 Napier Road

Singapore 258508

Or

Via email to the COR (address to be provided on award) https://gov.ecfr.io/cgi-bin/text-idx?SID=d9a7851186785ba2b1896db79b1b6b29&mc=true&tpl=/ecfrbrowse/Title48/48tab_02.tpl

SECTION G

CONTRACT ADMINISTRATION DATA

G.1 652.242-70 CONTRACTING OFFICER’S REPRESENTATIVE (COR) (AUG 1999)

(a) The Contracting Officer may designate in writing one Government employee, by name or position title, to take action for the Contracting Officer under this contract. This designee shall be identified as a Contracting Officer’s

Representative (COR). Such designation shall specify the scope and limitations of the authority so delegated; provided, that the designee shall not change the terms or conditions of the contract, unless the COR is a warranted Contracting Officer, and this authority is delegated in the designation.

(b) The COR for this contract is the Human Resources Specialist.

G.2 COR DUTIES

G.2.1 The COR is responsible for inspection and acceptance of services. These duties include review of Contractor invoices, including the supporting documentation required by the contract. The COR may provide technical advice, substantive guidance, inspections, invoice approval, and other purposes as deemed necessary under the contract.

G.2.2 In addition, the COR shall maintain updated list of employees and dependents insured, which will supersede the initial list provided under this contract and as reported to the insurer without prejudice to the ineligibility clause.

G.2.3 The COR has the additional responsibility of maintaining the eligible listing of employees and dependents for insurance coverage.

G.2.4 The COR may not change the terms and conditions of the contract. While the COR is authorized to provide the Contractor with updated listings of eligible employees and dependents, only the Contracting Officer may modify existing task orders or issue new task orders, reflecting these changes, since only the Contracting Officer can obligate funding and commit the Government.

G.3 Payment shall be made in Singapore Dollars. US. firms shall be paid in US currency, if they propose in U.S. currency; otherwise, they shall be paid in local currency

G.4 SUBMISSION OF INVOICES AND PAYMENT

G.4.1 Invoices for U.S. Government employees shall be submitted in an original pdf format to the following address (designated billing office only for the purpose of submitting invoices):

American Embassy

FMO-Voucher Section

27 Napier Road

Singapore 258505

Email: SingaporeDBO@state.gov

G.4.2 Frequency of Payments. All funds under this contract will be obligated by issuance of task orders, as described in H.3 for all non-rider coverage. Each task order will fund a specific period and number of employees, and the task orders will be issued at the frequency described in H.3. Contractor may submit invoices semi-annually for payment to be made at the beginning of each 6-month period for which insurance coverage is provided in accordance with FAR 32.404.

G.4.3 U.S. Government Employees. The Government shall make payments directly to the

Contractor for all Government employees.

G.4.4 Riders:

a. ORE. The Chief of Mission and/or Deputy Chief of Mission will make payment directly to the Contractor for the entire premium amount of the ORE staff, whether the ORE employee is contributing to the premium amount.

b. EAE Staff. [RESERVED]

c. Retirees. [RESERVED]

G.5 REFUNDS TO THE GOVERNMENT

If at any time during performance of the contract the Government finds that the

Contractor has been overpaid because the number of employees and/or dependents covered has decreased, the Contracting Officer may either allow that overpayment to be credited to the Government’s account or require that the Contractor refund the overpayment. If the Contracting Officer requests a refund, the Contractor shall make that refund to the Government within ten calendar days of receipt of the request.

G.6 VALUE ADDED TAX

VALUE ADDED TAX (VAT). The Contractor shall include VAT as a separate charge on the Invoice and as a separate line item in Section B.

mailto:SingaporeDBO@state.gov

SECTION H

SPECIAL CONTRACT REQUIREMENTS

H.1 SECURITY. On occasion, a Contractor employee may require entry into U.S.

Government-owned or -operated facilities. If so, the Contractor should be prepared to provide the necessary identification to permit escorted access within that facility.

H.2 STANDARDS OF CONDUCT. The Contractor shall maintain satisfactory standards of employee competency, conduct, cleanliness, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to employees as may be necessary. Each Contractor employee is to adhere to standards that reflect credit on themselves, their employer, and the United States Government.

H.3 ORDERING PROCEDURES. The Government will issue a task order as soon as possible after contract award to identify all employees to be covered by the insurance described in this contract and the coverage selected by each employee, including dependents to be covered. The COR will make subsequent additions or deletions to this list in writing and provide the revised list to the Contractor. All such revisions shall be consolidated, and a new or modified task order will be issued by the Contracting Officer.

If any changes have been made to the coverage listing, the Government anticipates issuance of a new task order on a semi-annual basis. This new task order will include all changes made since the previous task order was issued and will include any increase or decrease in necessary funding. The changes to the list of eligible individuals will supersede the initial list provided under prior task orders without prejudice to the ineligibility clause.