Attachment 1 - Price Proposal Breakdown.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Health Insurance for Locally Employed Staff (LES), U. S. Embassy Skopje, North Macedonia
- Solicitation number
- 19GE5025R0095
About this file
The file is a Price Proposal Breakdown Excel spreadsheet for Solicitation 19GE5025R0095, detailing health insurance pricing for locally employed staff at the U.S. Embassy in Skopje, North Macedonia. The pricing schedule outlines premium categories for five contract periods (base year and four option years), with three coverage tiers: Self Only (30 individuals), Self Plus One (47 individuals), and Family (148 individuals). The spreadsheet provides a structured breakdown of estimated premiums across different enrollment types, though the actual premium amounts are not specified in this document. The solicitation is issued by the Department of State Office of Acquisition Management through the Regional Procurement Support Office (RPSO) Frankfurt, seeking healthcare services for embassy staff in North Macedonia.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5025R0095-A0002.pdf | ||
| Attachment 1 - Price Proposal Breakdown (updated).xlsx | XLSX spreadsheet | |
| Attachment 5 - Exhibit A (updated).pdf | ||
| 19GE5025R0095-A0001.pdf | ||
| Attachment 2 - Contract Information Sheet.docx | DOCX document | |
| Attachment 4 - Form W-14 Instructions.pdf | ||
| 19GE5025R0095.pdf | ||
| Attachment 5 - Exhibit A.pdf | ||
| Attachment 3 - Form W-14.pdf |
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Pricing Schedule
| SOLICITATION 19GE5025R0095 - PRICING SCHEDULE | |||||
| CLIN | Category | Estimated Number of Premiums* | Monthly Premium | Annual Premium | Total |
| 001 | BASE YEAR | ||||
| 001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL BASE YEAR | - 0 | ||||
| 1001 | OPTION YEAR ONE | ||||
| 1001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 1001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 1001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR ONE | - 0 | ||||
| 2001 | OPTION YEAR TWO | ||||
| 2001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 2001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 2001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR TWO | - 0 | ||||
| 3001 | OPTION YEAR THREE | ||||
| 3001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 3001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 3001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR THREE | - 0 | ||||
| 4001 | OPTION YEAR FOUR | ||||
| 4001A | Self Only (one individual) | 30 | - 0 | - 0 | |
| 4001B | Self Plus One (two individuals) | 47 | - 0 | - 0 | |
| 4001C | Family (three or more individuals) | 148 | - 0 | - 0 | |
| TOTAL OPTION YEAR FOUR | - 0 |
| BASE YEAR TOTAL | - 0 |
| OPTION YEAR ONE TOTAL | - 0 |
| OPTION YEAR TWO TOTAL | - 0 |
| OPTION YEAR THREE TOTAL | - 0 |
| OPTION YEAR FOUR TOTAL | - 0 |
| GRAND TOTAL | - 0 | |
| CURRENCY | ||
| *estimated number of premiums does not include any Riders (Section I, C.4.3) | ||
| **does not include any premiums for Riders. |
File details come from the government source that posted it. Updated .