Attachment 1 - Pricing Table.xlsx
XLSX spreadsheet 20 KB Posted
- Attached to
- LES Health Insurance - US Embassy Rabat, Morocco
- Solicitation number
- 19GE5022R0041
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Questions-Answers-2 22R0041.pdf | ||
| 22R0041 0002 orig sig.pdf | ||
| 22R0041 0001 orig sig.pdf | ||
| Questions-Answers.pdf | ||
| Attachment 2 - Experience.pdf | ||
| Exhibit A - Empl. Statistic.docx | DOCX document | |
| Exhibit B - Claims History.xls | XLS spreadsheet | |
| Solicitation 19GE5022R0041.pdf | ||
| Cover Letter 22R0041 orig sig.pdf | ||
| Att 3 W14 Certificate.pdf |
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Text version
Pricing Tables
| Number of employees is an estimate only, based on the current situation | |||||
| BASE YEAR | |||||
| Sub-CLIN | Description | Number of Employees* | Rate per month | Rate per Year | Subtotal |
| 0001A | Single Employees (Self Only) | 111 | 0 | - 0 | |
| 0001B | Employee + 1 | 38 | 0 | - 0 | |
| 0001C | Family Plan | 197 | 0 | - 0 | |
| Base YEAR TOTAL** | - 0 |
| OPTION YEAR 1 | |||||
| Sub-CLIN | Description | Number of Employees* | Rate per month | Rate per Year | Subtotal |
| 1001A | Single Employees (Self Only) | 115 | 0 | - 0 | |
| 1001B | Employee + 1 | 41 | 0 | - 0 | |
| 1001C | Family Plan | 200 | 0 | - 0 | |
| OPTION YEAR 1 TOTAL** | - 0 |
| OPTION YEAR 2 | |||||
| Sub-CLIN | Description | Number of Employees* | Rate per month | Rate per Year | Subtotal |
| 2001A | Single Employees (Self Only) | 119 | 0 | - 0 | |
| 2001B | Employee + 1 | 44 | 0 | - 0 | |
| 2001C | Family Plan | 203 | 0 | - 0 | |
| OPTION YEAR 2 TOTAL** | - 0 |
| OPTION YEAR 3 | |||||
| Sub-CLIN | Description | Number of Employees* | Rate per month | Rate per Year | Subtotal |
| 3001A | Single Employees (Self Only) | 123 | 0 | - 0 | |
| 3001B | Employee + 1 | 47 | 0 | - 0 | |
| 3001C | Family Plan | 206 | 0 | - 0 | |
| OPTION YEAR 3 TOTAL** | - 0 |
| OPTION YEAR 4 | |||||
| Sub-CLIN | Description | Number of Employees* | Rate per month | Rate per Year | Subtotal |
| 4001A | Single Employees (Self Only) | 127 | 0 | - 0 | |
| 4001B | Employee + 1 | 50 | 0 | - 0 | |
| 4001C | Family Plan | 209 | 0 | - 0 | |
| OPTION YEAR 4 TOTAL** | - 0 |
| TOTAL BASE + ALL OPTIONS | - 0 | ||||
| VAT (if applicable) | Percentage: _______ % | ||||
| GRAND TOTAL | - 0 | ||||
| CURRENCY: | Moroccan Dirhams (MAD) | ||||
| *estimated number of premiums does not include any Riders (III, D) | |||||
| **does not include any premiums for Riders. | |||||
| Section 1, III Prices , E. Administrative Retemtion Amounts | |||||
| Period of | |||||
| Performance | Single Employees | ||||
| (Self Only) | Employee + 1 | Family Plan | |||
| Base Year | |||||
| Option Year 1 | |||||
| Option Year 2 | |||||
| Option Year 3 | |||||
| Option Year 4 |
19GE5022R0041
Locally Engaged Staff Health Insurance Attachment 1 Pricing Schedule
File details come from the government source that posted it. Updated .