Attachment 1 - Pricing Table - 21R0014.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Health and Life Insurance, US Embassy Port Moresby, Papua New Guinea
Solicitation number
19GE5021R0014
Issued by

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Other files

File Type Posted
19GE5021R0014_00002_Q and A_ set one.pdf PDF
Exhibit A - Employee statistic_updated.xlsx XLSX spreadsheet
19GE5021R0014_00002.pdf PDF
19GE5021R0014_00001.pdf PDF
Exhibit B - Salary schedule.xlsx XLSX spreadsheet
19GE5021R0014 Att.2 Past Performance.docx DOCX document
Exhibit A - Employee statistic.xlsx XLSX spreadsheet
19GE5021R0014-.pdf PDF
Attachment 3 - Form W-14.pdf PDF

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Pricing Tables

Number of employees is an estimate only, based on the current situation and subject to change
BASE YEAR
Sub-CLINDescriptionNumber of EmployeesRate per monthRate per YearSubtotal
0001AHealth Insurance Single Employees (Self Only)130- 0
0001BHealth Insurance Employee + 1110- 0
0001CHealth Insurance Family Plan (three or more individuals)760- 0
0002Life Insurance100
TOTAL BASE YEAR
OPTION YEAR 1
Sub-CLINDescriptionNumber of EmployeesRate per monthRate per YearSubtotal
1001AHealth Insurance Single Employees (Self Only)130- 0
1001BHealth Insurance Employee + 1110- 0
1001CHealth Insurance Family Plan (three or more individuals)760- 0
1002Life Insurance100
TOTAL OPTION YEAR 1
OPTION YEAR 2
Sub-CLINDescriptionNumber of EmployeesRate per monthRate per YearSubtotal
2001AHealth Insurance Single Employees (Self Only)130- 0
2001BHealth Insurance Employee + 1110- 0
2001CHealth Insurance Family Plan (three or more individuals)760- 0
2002Life Insurance100
TOTAL OPTION YEAR 2
OPTION YEAR 3
Sub-CLINDescriptionNumber of EmployeesRate per monthRate per YearSubtotal
3001AHealth Insurance Single Employees (Self Only)130- 0
3001BHealth Insurance Employee + 1110- 0
3001CHealth Insurance Family Plan (three or more individuals)760- 0
3002Life Insurance100
TOTAL OPTION YEAR 3
OPTION YEAR 4
Sub-CLINDescriptionNumber of EmployeesRate per monthRate per YearSubtotal
4001AHealth Insurance Single Employees (Self Only)130- 0
4001BHealth Insurance Employee + 1110- 0
4001CHealth Insurance Family Plan (three or more individuals)760- 0
4002Life Insurance100
TOTAL OPTION YEAR 4
Sub Total- 0
VAT (if applicable)percentage: ______
TOTAL ESTIMATED CONTRACT AMOUNT- 0
CURRENCY:

19GE5021R0014

Health & Life Insurance for LES Attachment 1 Pricing Schedule

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