Attachment A-1 Medical Pricing-Categories C and D.pdf
PDF 160 KB Posted
- Solicitation number
- 19FR6325R0001
- Issued by
-
Department of State US Embassy Paris
About this file
This document is Attachment A-1 to a federal solicitation for Health Insurance Services for the U.S. Mission in France, Solicitation Number 19FR6325R0001. It provides pricing details for medical coverage for categories of individuals not on the payroll, including retirees, former employees, and their dependents. The coverage is divided into Basic and High Options, with pricing per member per month for various age groups and family compositions. The estimated number of members is provided for each category. The overall solicitation is for a one-year fixed-price contract to provide supplemental medical, maternity, disability, and death benefits coverage for locally employed staff, former employees, retirees, and their dependents affiliated with the French Social Security system. Electronic submissions are allowed, and the contract will be awarded without discussions based on initial offers. The solicitation is issued by the U.S. Embassy in Paris on behalf of the Department of State.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment C - Prevoyance Results.xlsx | XLSX spreadsheet | |
| SF-30 Amendment A0001.pdf | ||
| Letter RFP 19FR63225R0001.pdf | ||
| Solicitation ref. 19FR6325R0001.pdf | ||
| Attachment B - STATISTICS.pdf | ||
| Attachment A-Medical Pricing-Categories A and B.pdf |
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Solicitation ref. 19FR6325R0001 Page: 1 of 3
CLIN
Current Global
Estimated Number of Members
Estimated
Members
Premium per
Month & per
Member, €
Total Amount for twelve months, €
Category C - Retirees, riffed employees, survivors and dependents Affiliated to French Social Security C-1-1 Basic Option-Retirees, survivors and dependents affiliated to Social Security (Retraité, ayant droit et ayant droit de salarié décédé Régime Sécurité Sociale Option de Base) 123
7001 Retirees , up to 69 years old 0 1 € 0.00 7002 Spouses 0 1 € 0.00 7003 Children 0 1 € 0.00 7004 Retirees , 70 to 80 years old 0 1 € 0.00 7005 Spouses 0 1 € 0.00 7006 Children 0 1 € 0.00 7016 Retirees , More than 81 years old 0 1 € 0.00 7017 Spouses 0 1 € 0.00 7018 Children 0 1 € 0.00 7019 Régime Alsace Retirees , up to 69 years old 0 1 € 0.00 7020 Spouses 0 1 € 0.00 7021 Children 0 1 € 0.00 7022 Régime Alsace Retirees , 70 to 80 years old 0 1 € 0.00 7023 Spouses 0 1 € 0.00 7024 Children 0 1 € 0.00 7034 Régime Alsace Retirees , More than 81 years old 0 1 € 0.00 7035 Spouses 0 1 € 0.00 7036 Children 0 1 € 0.00
C-1-2 Basic Option-Riffed employees, survivors and dependents affiliated to Social Security (Licencié, ayant droit et ayant droit de salarié décédé Régime Sécurité Sociale Option de Base)
8001 Former Employees 0 1 € 0.00 8002 Spouses 0 1 € 0.00 8003 Children 0 1 € 0.00
C-2-1 High Option-Retirees, survivors and dependents affiliated to Social Security (Retraité, ayant droit, ayant droit de salarié décédé Régime Sécurité Sociale Option Haute) 106
9001 Retirees , up to 69 years old 0 1 € 0.00 9002 Spouses 0 1 € 0.00 9003 Children 0 1 € 0.00 9004 Retirees , 70 to 80 years old 0 1 € 0.00 9005 Spouses 0 1 € 0.00 9006 Children 0 1 € 0.00 9007 Retirees , More than 81 years old 0 1 € 0.00 9008 Spouses 0 1 € 0.00 9009 Children 0 1 € 0.00
ATTACHMENT A-1 - PRICES/PREMIUMS FOR MEDICAL COVERAGE FOR CATEGORIES NOT ON THE PAYROLL
Solicitation ref. 19FR6325R0001 Page: 2 of 3
Current Global
Estimated Number of Members
Estimated
Members
Premium per
Month & per
Member, €
Total Amount for twelve months, €
ATTACHMENT A-1 - PRICES/PREMIUMS FOR MEDICAL COVERAGE FOR CATEGORIES NOT ON THE PAYROLL
9010 Régime Alsace Retirees , up to 69 years old 0 1 € 0.00 9011 Spouses 0 1 € 0.00 9012 Children 0 1 € 0.00 9013 Régime Alsace Retirees , 70 to 80 years old 0 1 € 0.00 9014 Spouses 0 1 € 0.00 9015 Children 0 1 € 0.00 9016 Régime Alsace Retirees , More than 81 years old 0 1 € 0.00 9017 Spouses 0 1 € 0.00 9018 Children 0 1 € 0.00
C-2-2 High Option-Riffed employees, survivors and dependents affiliated to Social Security (Licencié, ayant droit, ayant droit de salarié décédé Régime Sécurité Sociale Option Haute)
10001 Former Employees 0 1 € 0.00 10002 Spouses 0 1 € 0.00 10003 Children 0 1 € 0.00
Category D - Retirees, riffed employees, survivors and dependents Non-Affiliated to French Social Security D-1-1 Basic Option-Retirees, survivors and dependents not affiliated to Social Security (Retraité, ayant droit et ayant droit de salarié décédé Non Sécurité Sociale Option de Base) 6
11001 Retirees , up to 69 years old 0 1 € 0.00 11002 Spouses 0 1 € 0.00 11003 Children 0 1 € 0.00 11004 Retirees , 70 to 80 years old 0 1 € 0.00 11005 Spouses 0 1 € 0.00 11006 Children 0 1 € 0.00 11007 Retirees , More than 81 years old 0 1 € 0.00 11008 Spouses 0 1 € 0.00 11009 Children 0 1 € 0.00
D-1-2 Basic Option-Riffed employees, survivors and dependents not affiliated to Social Security (Licencié, ayant droit et ayant droit de salarié décédé Non Sécurité Sociale Option de Base)
12001 Former Employees 0 1 € 0.00 12002 Spouses 0 1 € 0.00 12003 Children 0 1 € 0.00
D-2-1 High Option-Retirees, survivors and dependents not affiliated to Social Security (Retraité, Ayant droit et ayant droit de salarié décédé NON Sécurité Sociale Option Haute)
13001 Retirees , up to 69 years old 0 1 € 0.00 13002 Spouses 0 1 € 0.00 13003 Children 0 1 € 0.00 13004 Retirees , 70 to 80 years old 0 1 € 0.00
Solicitation ref. 19FR6325R0001 Page: 3 of 3
Current Global
Estimated Number of Members
Estimated
Members
Premium per
Month & per
Member, €
Total Amount for twelve months, €
ATTACHMENT A-1 - PRICES/PREMIUMS FOR MEDICAL COVERAGE FOR CATEGORIES NOT ON THE PAYROLL
13005 Spouses 0 1 € 0.00 13006 Children 0 1 € 0.00 13007 Retirees , More than 81 years old 0 1 € 0.00 13008 Spouses 0 1 € 0.00 13009 Children 0 1 € 0.00
D-3 High Option-Riffed employees, survivors and dependents not affiliated to Social Security (Licencié, Ayant droit et ayant droit de salarié décédé NON Sécurité Sociale Option Haute)
14001 Former Employees 0 1 € 0.00 14002 Spouses 0 1 € 0.00 14003 Children 0 1 € 0.00
A-1 Health Prices - 12 months
File details come from the government source that posted it. Updated .