ATTACHMENT L-2 PRICING TABLE.xlsx
XLSX spreadsheet 25 KB Posted
- Attached to
- Health Care Benefits Services Contract - Request For Proposal (RFP) Federal contract opportunity
- Solicitation number
- 1145PC22R0001
- Issued by
- Peace Corps
About this file
This pricing table and related federal contract opportunity document request pricing for health care benefits administration and short-term health insurance services for Peace Corps volunteers, trainees, and returned volunteers. The Peace Corps is soliciting these services through a request for proposal with an anticipated award date in 2022. Services will be for a base period of one year with four optional one-year extensions and include health care administrative services, medical consulting, and access to a short-term group health insurance policy. Pricing is requested as firm fixed price, time and materials, and unit prices defined by plan and contract period. Estimated values are provided for other direct medical claims costs.
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Text version
Sec B Pricing Table
| ITEM NO. | SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | AMOUNT | HOURLY RATE for CLINS 0004,0012,0018,0024,0030 | Possible 6 month Extension | Total Evaluated Price: | $0.00 |
| BASE AWARD | |||||||||
| 0001 | Transition Phase-In (Firm Fixed Price (FFP)) Planning and Implementation of Transition Period In Accordance With (IAW) Statement of Work (SOW), Sections C.1, C.3 | 1 | Lot | $0.00 |
0002 Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 6,500 CL $0.00
0003 Health Care Administrative Services for Peace Corps Volunteers (Plan 2) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.5 (See Note A) 7,000 MM $0.00
0004 Medical Consulting Services (Plan 2) Time and Materials(T&M)/Labor Hour (LH) 1 NTE $0.00
0005 Health Care Administrative Services for Returned Peace Corps Volunteer- (Plan 3) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.6 (See Note A) 4,000 MM $0.00
0006 Access to Short-Term Group Health Insurance Policy (Plan 4) (Fixed Price with Economic Price Adjustment) IAW Sections C.1, C.2 and C.7. (See Notes A and B) 4,000 CA See Plan 4 Pricing Table Tab $0.00
0007 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C) 1 Lot $6,600,000.00
0008 Automated Eligibility and Authorization System (Option) (FFP) IAW Section C.9 (See Note D) 1 Lot $0.00
0009 Data for Items 0001 - 0006, and (if options are exercised) 0009 through 0029 IAW Section C.9 (Not Separately Priced (NSP)) 1 Lot NSP and will not be added in the total evaluated price
| OPTION I | ||||
| 0010 | Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 | 6,825 | CL | $0.00 |
0011 Health Care Administrative Services for Peace Corps Volunteers (Plan 2) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.5 (See Note A) 7,800 MM $0.00
0012 Medical Consulting Services (Plan 2) Time and Materials(T&M)/Labor Hour (LH) 1 NTE $0.00
0013 Health Care Administrative Services for Returned Peace Corps Volunteers- (Plan 3) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.6 (See Note A) 4,300 MM $0.00
0014 Access to Short-Term Group Health Insurance Policy (Plan 4) (Fixed Price with Economic Price Adjustment) IAW Sections C.1, C.2 and C.7. (See Note A) 4,200 CA See Plan 4 Pricing Table Tab $0.00
0015 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note B) 1 Lot $6,930,000.00
| OPTION II | ||||
| 0016 | Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 (See Note D) | 7,166 | CL | $0.00 |
0017 Health Care Administrative Services for Peace Corps Volunteers (Plan 2) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.5 (See Notes A and D) 8,500 MM $0.00
0018 Medical Consulting Services (Plan 2) Time and Materials(T&M)/Labor Hour (LH) 1 NTE $0.00
0019 Health Care Administrative Services for Returned Peace Corps Volunteers (Plan 3) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.6 (See Notes A and D) 4,600 MM $0.00
0020 Access to Group Health Insurance Policy (Plan 4) (Fixed Price with Economic Price Adjustment) IAW Sections C.1, C.2 and C.7. (See Notes A, B, and D) 4,410 CA See Plan 4 Pricing Table Tab $0.00
0021 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $7,276,500.00
| OPTION III | ||||
| 0022 | Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 (See Note D) | 7,524 | CL | $0.00 |
0023 Health Care Administrative Services for Peace Corps Volunteers (Plan 2) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.5 (See Notes A and D) 8,700 MM $0.00
0024 Medical Consulting Services (Plan 2) Time and Materials(T&M)/Labor Hour (LH) 1 NTE $0.00
0025 Health Care Administrative Services for Returned Peace Corps Volunteers (Plan 3) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.6 (See Notes A and D) 4,630 MM $0.00
0026 Access to Group Health Insurance Policy (Plan 4) (Fixed Price with Economic Price Adjustment) IAW Sections C.1, C.2 and C.7. (See Notes A, B, and D) 4,630 CA See Plan 4 Pricing Table Tab $0.00
0027 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $7,640,325.00
| OPTION IV | |||||
| 0028 | Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 (See Note D) | 7,900 | CL | $0.00 | $0.00 |
0029 Health Care Administrative Services for Peace Corps Volunteers (Plan 2) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.5 (See Notes A and D) 8,900 MM $0.00 $0.00
0030 Medical Consulting Services (Plan 2) Time and Materials(T&M)/Labor Hour (LH) 1 NTE $0.00 $0.00
0031 Health Care Administrative Services for Returned Peace Corps Volunteers (Plan 3) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.6 (See Notes A and D) 4,700 MM $0.00 $0.00
0032 Access to Group Health Insurance Policy (Plan 4) (Fixed Price with Economic Price Adjustment) IAW Sections C.1, C.2 and C.7. (See Notes A, B, and D) 4,862 CA See Plan 4 Pricing Table Tab $0.00 $0.00
0033 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $8,022,341.00
0034 Transition Phase Out (Firm Fixed Price) IAW Section C.3.2 (See Note D) 1 Lot $0.00 $0.00
Possible six (6) month extension of services under FAR 52.217-8, Option to Extend Services Total Evaluated Price: $0.00
*Provide Labor Categories and Hourly Rates for the Medical Consulting Services CLINs 0004,0012,0018,0024,0030
Plan 4 Pricing Table
| Contract Period | Plan 4 - Sub-Category | Qty | Unit Price | Amount |
| Base Award | 4000 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option I | 4200 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option II | 4410 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option III | 4630 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option IV | 4862 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) |
Total Evaluated Price for Short-Term Health Insurance (Plan 4): $0.00
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