Attachment 1 - Pricing.xlsx

XLSX spreadsheet 22 KB Posted

Attached to
Health Insurance for LES, US Embassy Ankara, Turkey
Solicitation number
19GE5022R0048
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File Type Posted
19GE5022R0048_Q and A set two (1).pdf PDF
19GE5022R0048_0003.pdf PDF
19GE5022R0048_0002.pdf PDF
19GE5022R0048_Q and A set one_revised.pdf PDF
19GE5022R0048_Q and A set one.pdf PDF
19GE5022R0048_0001.pdf PDF
Exhibit A - Employee statistic.pdf PDF
Attachment 2 - Experience.docx DOCX document
Attachment 3 - Form W-14.pdf PDF
RFP Cover Letter_19GE5022R0048.pdf PDF
19GE5022R0048.pdf PDF
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Text version

A. Contract Pricing

CLINCategoryestimated number of employeesmonthly premiumAnnual premiumtotal
001BASE YEAR
001ASingle Employee (Self Only)25000
001BEmployee plus one (two individuals)19000
001CFamily (three or more individuals)48000
TOTAL BASE YEAR0
1001OPTION YEAR ONE
1001ASingle Employee (Self Only)25500
1001BEmployee plus one (two individuals)20000
1001CFamily (three or more individuals)49500
TOTAL OPTION YEAR ONE0
2001OPTION YEAR TWO
2001ASingle Employee (Self Only)26500
2001BEmployee plus one (two individuals)21000
2001CFamily (three or more individuals)50500
TOTAL OPTION YEAR TWO0
GRAND TOTAL OF BASE PLUS ALL OPTION YEARS
BASE YEAR TOTAL0
OPTION YEAR ONE TOTAL0
OPTION YEAR TWO TOTAL0
GRAND TOTAL0
CURRENCYTURKISH LIRA

B. Rider and Optional Benefits

THESE RIDERS WILL NOT BE EVALUATED AS PART OF THE OVERALL PRICE EVALUATIONS
ALL OFFERORS SHALL SUBMIT A PRICING FOR THESE CLINS
CLINCategoryestimated number of employeesmonthly premiumAnnual premiumtotal
3001BASE YEAR
3001ARetired Employees and their dependents6800
001BExcess coverage of $28,000.001500
TOTAL BASE YEAR RIDERS0
4001OPTION YEAR ONE
4001ARetired Employees and their dependents7100
4001BExcess coverage of $28,000.002500
TOTAL OPTION YEAR ONE RIDERS0
5001OPTION YEAR TWO
5001ASingle Employee (Self Only)7400
5001BEmployee plus one (two individuals)2500
TOTAL OPTION YEAR TWO RIDERS0
GRAND TOTAL OF BASE PLUS ALL OPTION YEARS
BASE YEAR TOTAL RIDERS0
OPTION YEAR ONE TOTAL RIDERS0
OPTION YEAR TWO TOTAL RIDERS0
GRAND TOTAL0
CURRENCYTURKISH LIRA

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