Amendment 0001_19TH2025R0002_GMC Health Insurance_Updated Dec 12 SIGNED.pdf

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 or (c) By separate letter or electronic communication 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 letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

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

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

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 is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

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

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, 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)

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.

15C. DATE SIGNED

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

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

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

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

Amendment No. 0001

Solicitation No. 19TH2025R0002

Page no. 2 of 3

1. SECTION H, SPECIAL CONTRACT REQUIREMENTS, is changed by deleting paragraph no. H.4(b)(4) and replaced by follows:

(4) Settlement shall be by issuance of checks Electronic Funds Transfer (EFT) in the name of the employee for each claim submitted. Each check payment shall be accompanied by a form providing details of the amount reimbursed with an explanation of deductions, if any.

2. SECTION B, PRICES

Paragraph B.2. is changed by deleting the following ‘red’ text on page no.7:

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 100 persons. 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 22,000 persons. This reflects the contract maximum.”

3. SECTION B, PRICES, is changed by deleting paragraph no. B.4.1. and replaced by follows:

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, ie per line item. EPA adjustments will only be made to the contract line item rate amount for each type of premium, and cannot be collected as a lump sum adjustment based on the annual projected price. The retention amount is not subject to adjustment.

Amendment No. 0001

Solicitation No. 19TH2025R0002

Page no. 3 of 3

The U.S. 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.

4. SECTION L, INSTRUCTIONS, CONDITIONS AND NOTICES TO OFFERORS, is changed by deleting paragraph no. L.6.1. and replaced by follows:

L.6.1 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a requirements type contract with fixed priced units with economic price adjustment under which will be issued fixed-price orders that contains fixed prices with economic price adjustment, resulting from this solicitation. The quantities shown in

Section B are estimates only and the Government is not obligated to order the estimated quantities shown in this section.

1. Remove wording "and B.7" from page no. 2 of the solicitation.

2. Correcting SECTION H, SPECIAL CONTRACT REQUIREMENTS, per attachment.

3. Correcting SECTION B, PRICES (paragraph B.2 and B.4), per attachment.

4. Correcting SECTION L, INSTRUCTIONS, CONDITIONS AND NOTICES TO OFFERORS(paragraph L.6.1), per attachment.

GSO/Procurement 120-122 Wireless Rd., Lumpini, Pathumwan, Bangkok, Thailand 10330