Attachment 1 Questions and Answers Solicitation 19NG6025R0001.docx

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Medical Health Plan Services - LES GMC Health Insurance Services Amendment 1
Solicitation number
19NG6025R0001A00001
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This document is a Questions and Answers (Q&A) file for Solicitation 19NG6025R0001, related to Medical Health Plan Services for the Department of State. The Q&A addresses key details about employee enrollment, claims data, and insurance coverage. The solicitation involves health insurance for approximately 584 current employees (543 male, 41 female), with potential coverage expansion to 800 employees across different plan types (Self, Self-Plus-One, and Family Coverage). Historical claims data and insured member counts were provided, showing an average of 3,433 total covered individuals (employees, dependents, and spouses) annually, with projections ranging from 3,317 to 3,600 members between 2020 and 2024. The claims data covers a period from March 2022 to January 2023, with total claims amounts provided in local currency (XOF) and USD.

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SF30 LE Staff Health Insurance Solicitation Amendment 00012025.doc DOC document

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QUESTION/ANSWERS FOR 19NG6025R0001 SOLICITATION

Question 1: Total number of employees as per Section J, Exhibit A is 584 (543 male and 41 female employees). However, the total number of employees whereas the total number of employees as per the price tables under Section B.2.2 is 800 (90 Self + 60 Self-Plus-One + 650 Family Coverage. Please confirm the actual member counts to be considered under Section B.2.2.

Answer:

Under section B.2, the number of employees is an estimate of the coverage we may need/anticipate in this new effort during the execution of the contract once awarded. These numbers provide a more accurate pricing structure for potential requirement increases from today’s numbers and serves as a “Not-to-Exceed” amount for the Government to place Orders against. These numbers allow flexibility for potential/anticipated growth of personnel electing to take the coverage.

The number of employees listed in the different categories shown in Section J is the current actual number of employees, spouses and dependent children that are being covered. This is provided for the vendors benefit to show the anticipated coverage that will be required at contract award and provide data points for vendors to calculate their rate structures for the proposal.

Question 2: Section J, Exhibit F contains claims data for the period from 03/13/2022 to 01/12/2023. Please provide claims date for Health Insurance for the last 5 years – 2024, 2023, 2022, 2021 & 2020. It is standard practice in the insurance industry (and in other Department of State insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.

Answer: the solicitation is being updated with available information under the Exhibit F- Claims Paid as follows:

EXHIBIT F – CLAIMS PAID OUT FROM 03/13/2022 TO 01/12/2023.

YEAR
TOTAL XOF
TOTAL USD
3/13/2022 – 1/12/2023
339,880,765
573,154.74
05/23/2024 – 04/02/2025
588,006,806
1,026,637.81

Question 3: Please confirm if the historical claims data includes claims from Retirees and ORE staff.

Answer: No. Government does not administrate this portion of the contract.

Question 4: Please provide average insured member counts (employees + dependent child + dependent spouse) for Health Insurance for the last 5 years – 2024, 2023, 2022, 2021 & 2020. It is standard practice in the insurance industry (and in other Department of State insurance solicitations) to provide this information to ensure equal/fair opportunity for all offerors in an open solicitation.

Answer:

2020 3376 (employees + dependent child + dependent spouse) 2021 3452 (employees + dependent child + dependent spouse) 2022 3317 (employees + dependent child + dependent spouse) 2023 3420 (employees + dependent child + dependent spouse) 2024 3600 (employees + dependent child + dependent spouse) Average is 3433 (employees + dependent child + dependent spouse).

Question 5: When is the plan likely to commence?

Answer: Under Section F, F.2 Period of Performance.

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