Attachment 1- Pricing.xlsx

XLSX spreadsheet 20 KB Posted

Attached to
Health Insurance, Suva, Fiji
Solicitation number
19GE5023R0043
Issued by

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File Type Posted
19GE5023R0043_00002.pdf PDF
19GE5023R0043_0001.pdf PDF
19GE5023R0043_Questions and Answers.pdf PDF
Attachment 2 - Experience and Past Performance.docx DOCX document
Attachment 3 - Form W-14.pdf PDF
Exhibit A - Employee statistic.pdf PDF
19GE5023R0043.pdf PDF

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Pricing Schedule

001 BASE YEAR
Sub CLINEstimated Number of employeesmonthly premiumTotal
001a Employee70
001b Employee's Spouse55
001c Employee's Dependent Children115

e.subtotal (a+b+c) - 0 f.Total Price for Base Year (e x 12 Months ) - 0

1001 OPTION YEAR ONE
Sub CLINEstimated Numbermonthly premiumTotal
1001a Employee70
1001b Employee's Spouse55
1001c Employee's Dependent Children115

e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR ONE (e x 12 Months ) - 0

2001 OPTION YEAR TWO
Sub CLINEstimated Numbermonthly premiumTotal
2001a Employee70
2001b Employee's Spouse55
2001c Employee's Dependent Children115

e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR TWO (e x 12 Months ) - 0

3001 OPTION YEAR THREE
Sub CLINEstimated Numbermonthly premiumTotal
3001a Employee70
3001b Employee's Spouse55
3001c Employee's Dependent Children115

e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR THREE (e x 12 Months ) - 0

4001 OPTION YEAR FOUR
Sub CLINEstimated Numbermonthly premiumTotal
4001a Employee70
4001b Employee's Spouse55
4001c Employee's Dependent Children115

e.subtotal (a+b+c) - 0 f.Total Price for OPTION YEAR FOUR (e x 12 Months ) - 0

GRAND TOTAL- 0
CURRENCY:

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