Attachment A-Medical Pricing-Categories A and B.pdf

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Attached to
Health Insurance Services for U. S. Mission in France
Solicitation number
19FR6325R0001
Issued by

About this file

This document is an attachment titled "Attachment A-Medical Pricing-Categories A and B.pdf" related to Solicitation ref. 19FR6325R0001 for Health Insurance Services for the U.S. Mission in France.

The attachment provides the pricing and premium information for various medical coverage categories and options, including basic and high options for employees affiliated and not affiliated with the French Social Security system. It lists the current and estimated number of employees, spouses, and children covered, as well as the monthly premium and total amount for a 12-month period. The solicitation is for a fixed-price contract to provide medical, maternity, disability, and death benefits for locally employed staff, former employees, and retirees of the U.S. Government in France and their dependents. The contract period is for one year, and all responsible sources may submit a quotation.

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Solicitation ref. 19FR6325R0001 Attachment A - PRICES/PREMIUMS FOR MEDICAL CONTRACT LINE ITEMS OF CATEGORIES A B Page: 1 of 2

CLIN

Current Members of the U.S.

Mission

Estimated

Members

Premium per

Month & per

Member, €

Total Amount for twelve months, €

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social

Security (Actif Régime Sécurité Sociale Option de Base)

1001 Employees 378 378 -€ 1002 Spouses* 54 54 -€ 1003 Children* 123 123 -€

A-2 High Option-Employees affiliated to Social Security

(Actif Régime Sécurité Sociale Option de Haute)

2001 Employees 189 189 -€ 2002 Spouses* 30 30 -€ 2003 Children* 65 65 -€

A-3 Basic Option-Employees affiliated to Alsace Social

Security (Actif Régime Alsace Option de Base)

3001 Employees 5 5 -€ 3002 Spouses* 0 1 -€ 3003 Children* 0 1 -€

A-4 High Option-Employees affiliated to Alsace Social

Security (Actif Régime Alsace Option de Haute)

4001 Employees 4 4 -€ 4002 Spouses* 0 1 -€ 4003 Children* 0 1 -€

Category B - Employees Not-Affiliated to French Social Security

B-1 Basic Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Base)

5001 Employees 1 1 -€ 5002 Spouses* 0 0 -€ 5003 Children* 0 0 -€

B-2 High Option-Employees not-affiliated to Social

Security (Actif NON Sécurité Sociale Option de Haute)

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE

Solicitation ref. 19FR6325R0001 Attachment A - PRICES/PREMIUMS FOR MEDICAL CONTRACT LINE ITEMS OF CATEGORIES A B Page: 2 of 2

CLIN

Current Members of the U.S.

Mission

Estimated

Members

Premium per

Month & per

Member, €

Total Amount for twelve months, €

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE

6001 Employees (Cadres et Non-cadres) 0 0 -€ 6002 Spouses* 0 0 -€ 6003 Children* 0 0 -€

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only -€

* Spouses and children are benefitting from the contract prices but contributions are paid separately from the contract and are not included in the above total estimated amount

A Health-twelve months

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