ATT 2_ Quote Schedule 24361821R0002 03.15.2022.xlsx
XLSX spreadsheet 40 KB Posted
- Solicitation number
- 24361821R0002
- Issued by
-
Office of Personnel Management
About this file
This document contains a quote schedule template and instructions for a federal solicitation seeking benefits enrollment and premium administration services for the BENEFEDS program. Key details include:
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The solicitation seeks proposals for enrollment, premium administration, and reconciliation services for FEDVIP dental, vision, FSAFEDS, and FLTCIP programs. The contract will have base and three one-year option periods, with anticipated period of performance from January 2023 through December 2026. Pricing is to be provided using firm fixed prices on a per enrollee basis by plan type in the template.
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The quote schedule template includes instructions for offerors to fill in pricing and estimated quantities by contract line item number for the base and each option period. Pricing is to be provided for "basic" required services and optional capabilities like incapable of self support certification. The template auto-populates totals to calculate total contract values with and without optional line items.
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The solicitation will result in a single IDIQ contract award with OPM as the sole ordering agency. The anticipated award date is June 30, 2022. A two-phase proposal process will be used for evaluation.
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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 | |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) | $ - 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 | ||||
| Subtotal of BENEFEDS "OPTIONAL" Services (Estimated) | $ - 0 | ||||||
| Subtotal for Base Period of Performance | $ - 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 | |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) | $ - 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 | ||||
| Subtotal of BENEFEDS "OPTIONAL" Services (Estimated) | $ - 0 | ||||||
| Subtotal for OPTION ONE Period of Performance | $ - 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 | |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) | $ - 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 | ||||
| Subtotal of BENEFEDS "OPTIONAL" Services (Estimated) | $ - 0 | ||||||
| Subtotal for OPTION TWO Period of Performance | $ - 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 | |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) | $ - 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 | ||||
| Subtotal of BENEFEDS "OPTIONAL" Services (Estimated) | $ - 0 | ||||||
| Subtotal for OPTION THREE Period of Performance | $ - 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.
| Start Up Period: Initial Development and Transition Services | $ - 0 |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) - BASE YEAR | $ - 0 |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) - OPTION ONE | $ - 0 |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) - OPTION TWO | $ - 0 |
| Subtotal of BENEFEDS "BASIC" Services (Estimated) - OPTION THREE | $ - 0 |
| TCV without optional CLINS | $ - 0 |
| TCV without optional CLINS | |
| Start Up Period: Initial Development and Transition Services | $ - 0 |
| Subtotal for Base Period of Performance (BASIC and OPTIONAL Services) | $ - 0 |
| Subtotal for OPTION ONE Period of Performance (BASIC and OPTIONAL Services) | $ - 0 |
| Subtotal for OPTION TWO Period of Performance (BASIC and OPTIONAL Services) | $ - 0 |
| Subtotal for OPTION THREE Period of Performance (BASIC and OPTIONAL Services) | $ - 0 |
| TCV with BASIC and OPTIONAL CLINS | $ - 0 |
| *Offerors will need to enter these figures in Item 3 of the the Attachment 7 SBPCD Template | |
| NOTE: BOTH the "TCV without Optional CLINS" and the "TCV with Basic and Optional CLINS" must comply with the 30% minimum small business participation requirement |
File details come from the government source that posted it. Updated .