Attachment 0004 Industry Clarification and Questions W519TC-24-R-2050.pdf

Solicitation Requirement Medical, Dental, and Vision Insurance

Date Question Question Response

4/3/2024 1

I have reviewed the information regarding the announcement and have a question about prior coverage for the proposed insured. Did they have previous coverage and if so, which carrier and experience.

Yes, there is an incumbent contract, W519TC-24-C-2008, as synopsized on www.sam.gov.

4/30/2024 2

We have come to know that there is 450 lives to be insured for the period of 1 year to 3 years extendable.

Can you send us their date of birth, nationality and saudi ID or resident ID to check the exact pricing before we quote it.

Customer requires all persons covered to receive the same coverage regardless of sex or age. For privicy consideration, we will not be providing information about specific persons and that information is unknown at this time.

4/29/2024 3 Can you fill the details here as attached. (contractor excel spreadsheet, dated 29 April 2024)

This information is not available at this time. The persons requiring coverage will be determined after time of award.

4/29/2024 4

Kindly provide the average insured member counts for the past five years, from 2018 to 2023.

Currently, there are 96 Military students,141 dependents with a total of 237 persons. Please propose in accordance with the Performance Work Statement found at attachment 0001.

4/29/2024 5

Kindly provide the claims data for the past 5 years, from 2018 to 2023. It is standard practice in the insurance industry (and in other Department of Defence insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.

Claims go directly to medical Insurance company. The customer does not track and can not provide this information. Please see Attachment 0005- Historical Claims.

4/29/2024 6

Kindly provide member census along with their Date of Birth or Age Range. This information is not available at this time. The persons requiring coverage will be determined after time of award. Persons requiring coverage will be added and removed as requested by customer, during the entire duration of the contract.

5/6/2024 7

I am excited about submitting a proposal for the employer group; however, there is some specific information required in order for the software to generate a price quote for the group. I have attached the census sheet requesting the information.

(contractor excel spreadsheet dated 06 May 2024)

This information is not available. The persons requiring coverage will be determined after time of award. Persons requiring coverage will be added and removed as requested by customer, during the entire duration of the contract.

W519TC-24-R-2050

5/7/2024 8

We are seeking clarification on one additional item, training duration in the US and member counts, specifically:

1.In Calendar Year the Approximate Number of Trainees (and their dependents) for 1 week training in the US

2.In Calendar Year the Approximate Number of Trainees (and their dependents) for 1 month training in the US

3.In Calendar Year the Approximate Number of Trainees (and their dependents) for 3 month training in the US

4.In Calendar Year the Approximate Number of Trainees (and their dependents) for 6 month training in the US

5.In Calendar Year the Approximate Number of Trainees (and their dependents) for 12 month training in the US

6.In Calendar Year the Approximate Number of Trainees (and their dependents) for 24 month training in the US

7.In Calendar Year the Approximate Number of Trainees (and their dependents) for 36 month training in the US

Currently, there are 96 Military students,141 dependents, a total of 237 persons covered.

The amount of time spent, age, or sex are not tracked. Client requires all persons covered to receive the same coverage, regardless of Sex or Age. For privicy consideration, we will not be providing information about specific persons and that information is unknown at this time.

5/10/2024 9 In reference to solicitation number W519TC-24-R-2050 - Related Notice W519TC- 24-R-2050, who is the current incumbent and what is the contract number and value?

Yes, there is an incumbent contract, W519TC-24-C-2008, as synopsized on www.sam.gov.

8/1/2024 10

In the insurance industry, the overall maximum limit (i.e. title of item 2.2 in Performance Work Statement of the solicitation) is defined as the annual maximum benefit amount paid towards covered medical expenses. However, item 2.2 of the Performance Work Statement of the solicitation fails to provide this limit per member per year, but instead mentions the cost of insurance. So, please clarify the annual maximum amount.

The current contract has a Plan Annual Maximum of 28,173,750 per Year of Insurance, applying per insured person per Year of Insurance. It is at the Offeror's discretion to determine the dollar value/risk in determining the value of the Plan Annual Maximum to ensure the minimum requirements of the PWS, Attachment 0001 are met.