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

XLSX spreadsheet 36 KB Posted

Attached to
Health Insurance Services for U. S. Mission in France
Solicitation number
19FR6325R0003
Issued by

About this file

This Excel file is a pricing attachment (Attachment A) for a medical insurance contract for the U.S. Mission in France, detailing premium categories and member estimations across multiple contract years. The document breaks down medical coverage pricing into two primary categories: Category A for employees affiliated with French Social Security and Category B for employees not affiliated with French Social Security, with further subdivisions for basic and high insurance options.

The pricing structure covers different membership types including employees, spouses, and children, with specific line items for various social security regimes (standard French Social Security and Alsace Social Security). The contract spans a base year with four one-year option periods, and while specific premium amounts are not clearly displayed (many cells show ERROR:#REF!), the document provides detailed member count estimates. The solicitation (19FR6325R0003) is issued by the U.S. Embassy in Paris and seeks to provide supplemental health insurance for locally employed staff, former employees, retirees, and their eligible dependents, with contributions for spouses and children to be paid separately from the main contract.

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A Health Prices Base Year

CLIN
CLINCurrent Members of the U.S. MissionEstimated Members of the U.S. Mission + spouses and childrenPremium per Month & per Member, €Total Amount for twelve months, €AG2R Category

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Base) Empl-PP USG-PP

1001Employees378378€ - 0AB1ERROR:#REF!ERROR:#REF!
1002Spouses*5476€ - 0AB5
1003Children*123123€ - 0

A-2 High Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Haute)

2001Employees189178€ - 0AH1ERROR:#REF!ERROR:#REF!ERROR:#REF!
2002Spouses*3030€ - 0
2003Children*6565€ - 0

A-3 Basic Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Base)

3001Employees55€ - 0AB2ERROR:#REF!ERROR:#REF!
3002Spouses*01€ - 0
3003Children*01€ - 0

A-4 High Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Haute)

4001Employees44€ - 0AH2ERROR:#REF!ERROR:#REF!ERROR:#REF!
4002Spouses*01€ - 0
4003Children*01€ - 0

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)

5001Employees11€ - 0AB3ERROR:#REF!
5002Spouses*00€ - 0AB4
5003Children*00€ - 0ERROR:#REF!

B-2 High Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Haute)

6001Employees (Cadres et Non-cadres)00€ - 0AH3ERROR:#REF!ERROR:#REF!ERROR:#REF!
6002Spouses*00€ - 0AH4
6003Children*00€ - 0ERROR:#REF!

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only € - 0

* 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

Solicitation ref. 19FR6325R0003

Attachment A - PRICES/PREMIUMS FOR MEDICAL CONTRACT LINE ITEMS OF CATEGORIES A & B Page: &P of &N

A Health Prices Option Year 1

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE
CLINCurrent Members of the U.S. MissionEstimated Members of the U.S. Mission + spouses and childrenPremium per Month & per Member, €Total Amount for twelve months, €AG2R Category

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Base) Empl-PP USG-PP

1001Employees378378€ - 0AB1ERROR:#REF!ERROR:#REF!
1002Spouses*5476€ - 0AB5
1003Children*123123€ - 0

A-2 High Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Haute)

2001Employees189178€ - 0AH1ERROR:#REF!ERROR:#REF!ERROR:#REF!
2002Spouses*3030€ - 0
2003Children*6565€ - 0

A-3 Basic Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Base)

3001Employees55€ - 0AB2ERROR:#REF!ERROR:#REF!
3002Spouses*01€ - 0
3003Children*01€ - 0

A-4 High Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Haute)

4001Employees44€ - 0AH2ERROR:#REF!ERROR:#REF!ERROR:#REF!
4002Spouses*01€ - 0
4003Children*01€ - 0

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)

5001Employees11€ - 0AB3ERROR:#REF!
5002Spouses*00€ - 0AB4
5003Children*00€ - 0ERROR:#REF!

B-2 High Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Haute)

6001Employees (Cadres et Non-cadres)00€ - 0AH3ERROR:#REF!ERROR:#REF!ERROR:#REF!
6002Spouses*00€ - 0AH4
6003Children*00€ - 0ERROR:#REF!

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only € - 0

* 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 Prices Option Year 2

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE
CLINCurrent Members of the U.S. MissionEstimated Members of the U.S. Mission + spouses and childrenPremium per Month & per Member, €Total Amount for twelve months, €AG2R Category

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Base) Empl-PP USG-PP

1001Employees378378€ - 0AB1ERROR:#REF!ERROR:#REF!
1002Spouses*5476€ - 0AB5
1003Children*123123€ - 0

A-2 High Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Haute)

2001Employees189178€ - 0AH1ERROR:#REF!ERROR:#REF!ERROR:#REF!
2002Spouses*3030€ - 0
2003Children*6565€ - 0

A-3 Basic Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Base)

3001Employees55€ - 0AB2ERROR:#REF!ERROR:#REF!
3002Spouses*01€ - 0
3003Children*01€ - 0

A-4 High Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Haute)

4001Employees44€ - 0AH2ERROR:#REF!ERROR:#REF!ERROR:#REF!
4002Spouses*01€ - 0
4003Children*01€ - 0

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)

5001Employees11€ - 0AB3ERROR:#REF!
5002Spouses*00€ - 0AB4
5003Children*00€ - 0ERROR:#REF!

B-2 High Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Haute)

6001Employees (Cadres et Non-cadres)00€ - 0AH3ERROR:#REF!ERROR:#REF!ERROR:#REF!
6002Spouses*00€ - 0AH4
6003Children*00€ - 0ERROR:#REF!

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only € - 0

* 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 Prices Option Year 3

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE
CLINCurrent Members of the U.S. MissionEstimated Members of the U.S. Mission + spouses and childrenPremium per Month & per Member, €Total Amount for twelve months, €AG2R Category

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Base) Empl-PP USG-PP

1001Employees378378€ - 0AB1ERROR:#REF!ERROR:#REF!
1002Spouses*5476€ - 0AB5
1003Children*123123€ - 0

A-2 High Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Haute)

2001Employees189178€ - 0AH1ERROR:#REF!ERROR:#REF!ERROR:#REF!
2002Spouses*3030€ - 0
2003Children*6565€ - 0

A-3 Basic Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Base)

3001Employees55€ - 0AB2ERROR:#REF!ERROR:#REF!
3002Spouses*01€ - 0
3003Children*01€ - 0

A-4 High Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Haute)

4001Employees44€ - 0AH2ERROR:#REF!ERROR:#REF!ERROR:#REF!
4002Spouses*01€ - 0
4003Children*01€ - 0

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)

5001Employees11€ - 0AB3ERROR:#REF!
5002Spouses*00€ - 0AB4
5003Children*00€ - 0ERROR:#REF!

B-2 High Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Haute)

6001Employees (Cadres et Non-cadres)00€ - 0AH3ERROR:#REF!ERROR:#REF!ERROR:#REF!
6002Spouses*00€ - 0AH4
6003Children*00€ - 0ERROR:#REF!

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only € - 0

* 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 Prices Option Year 4

ATTACHMENT A - PRICES/PREMIUMS FOR MEDICAL COVERAGE
CLINCurrent Members of the U.S. MissionEstimated Members of the U.S. Mission + spouses and childrenPremium per Month & per Member, €Total Amount for twelve months, €AG2R Category

Category A - Employees Affiliated to French Social Security

A-1 Basic Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Base) Empl-PP USG-PP

1001Employees378378€ - 0AB1ERROR:#REF!ERROR:#REF!
1002Spouses*5476€ - 0AB5
1003Children*123123€ - 0

A-2 High Option-Employees affiliated to Social Security (Actif Régime Sécurité Sociale Option de Haute)

2001Employees189178€ - 0AH1ERROR:#REF!ERROR:#REF!ERROR:#REF!
2002Spouses*3030€ - 0
2003Children*6565€ - 0

A-3 Basic Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Base)

3001Employees55€ - 0AB2ERROR:#REF!ERROR:#REF!
3002Spouses*01€ - 0
3003Children*01€ - 0

A-4 High Option-Employees affiliated to Alsace Social Security (Actif Régime Alsace Option de Haute)

4001Employees44€ - 0AH2ERROR:#REF!ERROR:#REF!ERROR:#REF!
4002Spouses*01€ - 0
4003Children*01€ - 0

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)

5001Employees11€ - 0AB3ERROR:#REF!
5002Spouses*00€ - 0AB4
5003Children*00€ - 0ERROR:#REF!

B-2 High Option-Employees not-affiliated to Social Security (Actif NON Sécurité Sociale Option de Haute)

6001Employees (Cadres et Non-cadres)00€ - 0AH3ERROR:#REF!ERROR:#REF!ERROR:#REF!
6002Spouses*00€ - 0AH4
6003Children*00€ - 0ERROR:#REF!

B.2.2.1 Total estimated amount for twelve months of Medical Coverage for Employees only € - 0

* 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

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