ATT 2_ Quote Schedule 24361821R0002 01.13.21.xlsx

XLSX spreadsheet 34 KB Posted

Attached to
Benefits Enrollment and Premium Administration Services for BENEFEDS Program Federal contract opportunity
Solicitation number
24361821R0002
Issued by
Office of Personnel Management

About this file

Written by GovTribe AI ·

This document contains a pricing template and instructions for a firm fixed price solicitation seeking benefits enrollment and premium administration services for the BENEFEDS program. Offerors must provide pricing for enrollment, premium administration, and reconciliation services for FEDVIP dental and vision plans, FSAFEDS, and FLTCIP. Pricing is to be provided for a start-up/transition period and three one-year option periods using the specified CLIN structure. Prices must be entered in the highlighted cells and include all costs. The incumbent contractor may have additional requirements for proposing start-up costs. Proposals are due in two phases, with Phase One requiring the pricing template and past performance questionnaires by the specified deadline. Award is expected on or about June 30, 2022 for an IDIQ contract with a maximum period of performance of 54 months.

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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
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 00009, 10009, 20009, 30009: 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

Start Up Period

Quote ScheduleSolicitation #24361821R0002
BENEFEDS Administration Services
Offeror Name
Offeror DUNS
Start Up / Transition Period
CLINDescriptionDates of PerformanceLine Item TypeAmount
00001Start Up Period: Initial Development and Transition ServicesContract Award through 12/31/2022Firm Fixed Price (FFP)
00002Start Up Period: Travel ExpensesContract Award through 12/31/2022Cost, 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 ScheduleSolicitation #24361821R0002
BENEFEDS Administration Services
Offeror Name0
Offeror DUNS0
Base Period
CLINDescriptionDates of PerformanceLine Item TypeUnit of MeasureUnit Price
00003aFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
00003bFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPsame, automatically calculated as 2x the Self Only rate$ - 0
00003cFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
00004aFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
00004bFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPsame, automatically calculated as 2x the Self Only rate$ - 0
00004cFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE)1/1/2023 through 12/31/2023FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
00005FSAFEDS Premium Administration and Reconciliation Service Fee1/1/2023 through 12/31/2023FFPPer Eligible Confirmed Participant Per Year
00006FLTCIP Enrollment Premium Administration and Reconciliation Service Fee1/1/2023 through 12/31/2023FFPPer Eligible Confirmed Participant Per Month
00007OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification1/1/2023 through 12/31/2023FFP
00008OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror1/1/2023 through 12/31/2023FFP
Explain any $0.00 entries above in the space below.

OPTION ONE

Quote ScheduleSolicitation #24361821R0002
BENEFEDS Administration Services
Offeror Name0
Offeror DUNS0
Option Period One
CLINDescriptionDates of PerformanceLine Item TypeUnit of MeasureUnit Price
10003aFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
10003bFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPsame, automatically calculated as 2x the Self Only rate$ - 0
10003cFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
10004aFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
10004bFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPsame, automatically calculated as 2x the Self Only rate$ - 0
10004cFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE)1/1/2024 through 12/31/2024FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
10005FSAFEDS Premium Administration and Reconciliation Service Fee1/1/2024 through 12/31/2024FFPPer Eligible Confirmed Participant Per Year
10006FLTCIP Enrollment Premium Administration and Reconciliation Service Fee1/1/2024 through 12/31/2024FFPPer Eligible Confirmed Participant Per Month
10007OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification1/1/2024 through 12/31/2024FFP
10008OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror1/1/2024 through 12/31/2024FFP
Explain any $0.00 entries above in the space below.

OPTION TWO

Quote ScheduleSolicitation #24361821R0002
BENEFEDS Administration Services
Offeror Name0
Offeror DUNS0
Option Period Two
CLINDescriptionDates of PerformanceLine Item TypeUnit of MeasureUnit Price
20003aFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
20003bFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPsame, automatically calculated as 2x the Self Only rate$ - 0
20003cFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
20004aFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
20004bFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPsame, automatically calculated as 2x the Self Only rate$ - 0
20004cFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE)1/1/2025 through 12/31/2025FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
20005FSAFEDS Premium Administration and Reconciliation Service Fee1/1/2025 through 12/31/2025FFPPer Eligible Confirmed Participant Per Year
20006FLTCIP Enrollment Premium Administration and Reconciliation Service Fee1/1/2025 through 12/31/2025FFPPer Eligible Confirmed Participant Per Month
20008OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification1/1/2025 through 12/31/2025FFP
20009OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror1/1/2025 through 12/31/2025FFP
Explain any $0.00 entries above in the space below.

OPTION THREE

Quote ScheduleSolicitation #24361821R0002
BENEFEDS Administration Services
Offeror Name0
Offeror DUNS0
Option Period Three
CLINDescriptionDates of PerformanceLine Item TypeUnit of MeasureUnit Price
30003aFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
30003bFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPsame, automatically calculated as 2x the Self Only rate$ - 0
30003cFEDVIP Dental Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS FAMILY ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
30004aFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF ONLY ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPPer Eligible, Confirmed Enrollee Per Biweekly Pay Period
30004bFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF PLUS ONE ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPsame, automatically calculated as 2x the Self Only rate$ - 0
30004cFEDVIP Vision Enrollment, Premium Administration, and Reconciliation Service Fee (SELF AND FAMILY ENROLLMENT TYPE)1/1/2026 through 12/31/2026FFPsame, automatically calculated as 3x the Self Only Rate$ - 0
30005FSAFEDS Premium Administration and Reconciliation Service Fee1/1/2026 through 12/31/2026FFPPer Eligible Confirmed Participant Per Year
30006FLTCIP Enrollment Premium Administration and Reconciliation Service Fee1/1/2026 through 12/31/2026FFPPer Eligible Confirmed Participant Per Month
30007OPTIONAL REQUIREMENT: Incapable of Self Support (IOSS) certification1/1/2026 through 12/31/2026FFP
30008OPTIONAL REQUIREMENT: Additional upgrade deliverables as suggested by Offeror1/1/2026 through 12/31/2026FFP
Explain any $0.00 entries above in the space below.

File details come from the government source that posted it. Updated .