ATT 2_ Quote Schedule 24361821R0002 03.04.2022.xlsx
XLSX spreadsheet 39 KB Posted
- Solicitation number
- 24361821R0002
- Issued by
-
Office of Personnel Management
About this file
This document contains a quote schedule template and solicitation for benefits enrollment and premium administration services for the BENEFEDS program. The quote schedule template provides pricing tables for offerors to submit fixed prices per enrollment type for FEDVIP dental and vision plans, FSAFEDS, and FLTCIP. Prices should be entered for a base period of performance from 1/1/2023 through 12/31/2023 and three option periods, with estimated enrollment quantities provided for evaluation purposes. The solicitation seeks these services through an unrestricted IDIQ contract with OPM as the sole ordering agency. The period of performance is anticipated to be 54 months with an award date on or about 6/30/2022. The two-phase proposal process includes pass/fail and confidence rating evaluations.
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Instructions
| Instructions: |
| Fill out Offeror Name and DUNS on Start Up Period Tab and the entries will carry through to all subsequent tabs |
| Fill in all YELLOW fields using prices that contain only two digits after the decimal point (whole cents). Do not enter formulas into the YELLOW fields above. |
| Do not leave any YELLOW fields blank. Be cerain that your prices entered above include and account for all costs incurred in performance of the services as defined in the PWS and pricing langauge in the solicitation. |
| The PINK fields will autocalculate based on the criteria noted. DO NOT type over the formulas in these fields |
| If your price for any of the YELLOW fields is $0.00, you must explain why your price is $0.00 in the ORANGE space provided. |
| For BLUE CLINS 00008, 10008, 20008, 30008: Replace the Text "Additional upgrade deliverables as suggested by Offeror" with a brief description of the corresponding deliverable from your technical proposal. Copy this line and create additional CLINS 00010 and so forth if suggesting multiple separately priced Additional upgrade deliverables. Be sure to include the additional CLINS on BASE and all Option Periods |
| The GREEN fields will auto populate or auto calculate. DO NOT type over the formulas in these fields. |
| Use the PURPLE fields for pricing explanation of OPTIONAL REQUIREMENT CLINS X0007 and X0008 |
Start Up Period
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | ||||
| Offeror DUNS | ||||
| Start Up / Transition Period | ||||
| CLIN | Description | Dates of Performance | Line Item Type | Amount |
| 00001 | Start Up Period: Initial Development and Transition Services | Contract Award through 12/31/2022 | Firm Fixed Price (FFP) | |
| 00002 | Start Up Period: Travel Expenses | Contract Award through 12/31/2022 | Cost, Estimated, Not-To-Exceed | |
| Explain any $0.00 entries above in the space below. |
Incumbent Contractor ONLY: If proposing costs in CLINS 00001 or 00002, you must explain why there is a start up cost for the new contract that was not already included in the prices under the expiring contract. You may not use Start Up Costs to recoup losses from the previous contract
BASE Period
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | 0 | ||||||
| Offeror DUNS | 0 | ||||||
| Base Period | The GREEN fields below auto-fill using formulas in each block. Do not type over these formulas. | ||||||
| CLIN | Description | Dates of Performance | Line Item Type | Unit of Measure | Unit Price | Estimated Quantity (For evaluation purposes only, does not establish a guarantee) | Extension (Unit Price x Estimated Quantity x 26 pay periods) |
| 00003a | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,506,203 | $ - 0 | |
| 00003b | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,399,410 | $ - 0 |
| 00003c | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 904,844 | $ - 0 |
| 00004a | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 987,622 | $ - 0 | |
| 00004b | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 912,136 | $ - 0 |
| 00004c | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE) | 1/1/2023 through 12/31/2023 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 581,599 | $ - 0 |
| 00005 | FSAFEDS Premium Administration and Reconciliation Service Fee | 1/1/2023 through 12/31/2023 | FFP | Per Eligible Confirmed Participant Per Year | 541,633 | $ - 0 | |
| 00006 | FLTCIP Enrollment Premium Administration and Reconciliation Service Fee | 1/1/2023 through 12/31/2023 | FFP | Per Eligible Confirmed Participant Per Month | 259,558 | $ - 0 | |
| 00007 | OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification | 1/1/2023 through 12/31/2023 | FFP | ||||
| 00008 | OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror | 1/1/2023 through 12/31/2023 | FFP | ||||
| Estimated Total for BASE Period | $ - 0 | ||||||
| Explain any $0.00 entries above in the space below. |
OPTION ONE
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | 0 | ||||||
| Offeror DUNS | 0 | ||||||
| Option Period One | The GREEN fields below auto-fill using formulas in each block. Do not type over these formulas. | ||||||
| CLIN | Description | Dates of Performance | Line Item Type | Unit of Measure | Unit Price | Estimated Quantity (For evaluation purposes only, does not establish a guarantee) | Extension (Unit Price x Estimated Quantity x 26 pay periods) |
| 10003a | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,613,587 | $ - 0 | |
| 10003b | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,499,181 | $ - 0 |
| 10003c | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 969,355 | $ - 0 |
| 10004a | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,063,685 | $ - 0 | |
| 10004b | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 982,385 | $ - 0 |
| 10004c | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE) | 1/1/2024 through 12/31/2024 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 626,391 | $ - 0 |
| 10005 | FSAFEDS Premium Administration and Reconciliation Service Fee | 1/1/2024 through 12/31/2024 | FFP | Per Eligible Confirmed Participant Per Year | 562,874 | $ - 0 | |
| 10006 | FLTCIP Enrollment Premium Administration and Reconciliation Service Fee | 1/1/2024 through 12/31/2024 | FFP | Per Eligible Confirmed Participant Per Month | 259,176 | $ - 0 | |
| 10007 | OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification | 1/1/2024 through 12/31/2024 | FFP | ||||
| 10008 | OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror | 1/1/2024 through 12/31/2024 | FFP | ||||
| Estimated Total for OPTION PERIOD ONE | $ - 0 | ||||||
| Explain any $0.00 entries above in the space below. |
Use the field below for pricing explanation of CLINS 10007 or 10008
OPTION TWO
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | 0 | ||||||
| Offeror DUNS | 0 | ||||||
| Option Period Two | The GREEN fields below auto-fill using formulas in each block. Do not type over these formulas. | ||||||
| CLIN | Description | Dates of Performance | Line Item Type | Unit of Measure | Unit Price | Estimated Quantity (For evaluation purposes only, does not establish a guarantee) | Extension (Unit Price x Estimated Quantity x 26 pay periods) |
| 20003a | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,728,628 | $ - 0 | |
| 20003b | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,606,065 | $ - 0 |
| 20003c | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 1,038,465 | $ - 0 |
| 20004a | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,145,606 | $ - 0 | |
| 20004b | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,058,044 | $ - 0 |
| 20004c | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE) | 1/1/2025 through 12/31/2025 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 674,633 | $ - 0 |
| 20005 | FSAFEDS Premium Administration and Reconciliation Service Fee | 1/1/2025 through 12/31/2025 | FFP | Per Eligible Confirmed Participant Per Year | 584,948 | $ - 0 | |
| 20006 | FLTCIP Enrollment Premium Administration and Reconciliation Service Fee | 1/1/2025 through 12/31/2025 | FFP | Per Eligible Confirmed Participant Per Month | 258,794 | $ - 0 | |
| 20007 | OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification | 1/1/2025 through 12/31/2025 | FFP | ||||
| 20008 | OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror | 1/1/2025 through 12/31/2025 | FFP | ||||
| Estimated Total for OPTION PERIOD TWO | $ - 0 | ||||||
| Explain any $0.00 entries above in the space below. |
Use the field below for pricing explanation of CLINS 20007 and 20008. Simply writing "see Option One" is sufficient.
OPTION THREE
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | 0 | ||||||
| Offeror DUNS | 0 | ||||||
| Option Period Three | The GREEN fields below auto-fill using formulas in each block. Do not type over these formulas. | ||||||
| CLIN | Description | Dates of Performance | Line Item Type | Unit of Measure | Unit Price | Estimated Quantity (For evaluation purposes only, does not establish a guarantee) | Extension (Unit Price x Estimated Quantity x 26 pay periods) |
| 30003a | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,851,870 | $ - 0 | |
| 30003b | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,720,569 | $ - 0 |
| 30003c | FEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 1,112,502 | $ - 0 |
| 30004a | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | Per Eligible, Confirmed Enrollee Per Biweekly Pay Period | 1,233,836 | $ - 0 | |
| 30004b | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | same, automatically calculated as 2x the Self Only rate | $ - 0 | 1,139,531 | $ - 0 |
| 30004c | FEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE) | 1/1/2026 through 12/31/2026 | FFP | same, automatically calculated as 3x the Self Only Rate | $ - 0 | 726,591 | $ - 0 |
| 30005 | FSAFEDS Premium Administration and Reconciliation Service Fee | 1/1/2026 through 12/31/2026 | FFP | Per Eligible Confirmed Participant Per Year | 607,887 | $ - 0 | |
| 30006 | FLTCIP Enrollment Premium Administration and Reconciliation Service Fee | 1/1/2026 through 12/31/2026 | FFP | Per Eligible Confirmed Participant Per Month | 258,413 | $ - 0 | |
| 30007 | OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification | 1/1/2026 through 12/31/2026 | FFP | ||||
| 30008 | OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror | 1/1/2026 through 12/31/2026 | FFP | ||||
| Estimated Total for OPTION PERIOD THREE | $ - 0 | ||||||
| Explain any $0.00 entries above in the space below. |
Use the field below for pricing explanation of CLINS 30007 and 30008. Simply writing "see Option One" is sufficient.
TCV Calculation
| Quote Schedule | Solicitation # | 24361821R0002 |
| BENEFEDS Administration Services |
| Offeror Name | 0 |
| Offeror DUNS | 0 |
| NOTE: | The fields below auto-fill based on calculations on the relevant tabs. Do not type over these formulas. | |
| CLIN 00001 Start Up Period: Initial Development & Transition Services | $ - 0 | |
| Estimated Total for BASE Period | $ - 0 | |
| Estimated Total for OPTION PERIOD ONE | $ - 0 | |
| Estimated Total for OPTION PERIOD TWO | $ - 0 | |
| Estimated Total for OPTION PERIOD THREE | $ - 0 | |
| Total Contract Value, excluding Base Period Travel ODCs | $ - 0 | |
| *Offerors will need to enter these figures in Item 3 of the the Attachment 7 SBPCD Template |
File details come from the government source that posted it. Updated .