ASO_10_Year_Vision_Insurance_Amendment_0002.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE PAGE OF PAGES

1 126

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE

4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

6. ISSUED BY CODE OCC 7. ADMINISTERED BY (If other than Item 6) CODE Comptroller of the Currency Acquisitions Management

400 7TH STREET SW

Washington DC 20219

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (x) 9A. AMENDMENT OF SOLICITATION NO.

CC16HQR0019

x 9B. DATED (SEE ITEM 11)

06/23/2016

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

x The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers x is extended, is not extended.

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The first sentence of Section B.1 General is revised from, “The contractor shall provide the services specified in Section C, Statement of Work, of this contract for a one-year base period and four one-year option periods at the rates specified in each Contract Line Item

Number (CLIN,” to “The contractor shall provide the services specified in Section C, Statement of Work, of this contract for a 15-month base period and nine 12-month option periods at the rates specified in each Contract Line Item Number (CLIN).

A revised copy of the statement of work with tracked changes is attached.

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

AMENDMENT 0002

PART I THE SCHEDULE

SECTION B – SERVICES AND PRICES

B.1 GENERAL

The contractor shall provide the services specified in Section C, Statement of Work, of this contract for a one-year base15-month base period and four nine one-year 12-month option periods at the rates specified in each Contract Line Item Number (CLIN). These prices shall be in effect through the base period of the contract and through all option periods, if exercised.

The contractor shall administer an Administrative Services Only (ASO) vision insurance plan for Office of the Comptroller of the Currency (OCC) employees, OCC disabled retirees, and their eligible family members as well as employees of the Office of Financial Research (OFR) and their dependents.

B.2 PRICING SCHEDULE FOR ASO VISION INSURANCE

The Contractor shall administer vision insurance benefits in accordance with the plan design described in Section C.

The OCC pays 100 percent of the administrative fees and claims for its active employees, OFR employees, disabled OCC retirees and their eligible family members.

The number of eligible employees enrolled in the vision plan is estimated and used for the purpose of establishing a funding amount for each performance period. The OCC employee population may fluctuate within each performance period resulting in an increase or decrease throughout the year (i.e., there may be a variation in quantity). The number of eligible employees enrolled in the vision plan is also subject to change.

Funds will be obligated at time of award for the base period (or at the time each option period is exercised, if the Government chooses to exercise an option). Funds will be added to the contract by modification for eligible employees who are hired after January 1 of that period of performance, if needed.

The contractor shall notify the Contracting Officer (CO) when 75% of the funds for claims have been invoiced to the OCC. The contractor shall provide an estimate of additional funds required for the remainder of the period of performance.

B.3 CONTRACT LINE ITEM NUMBER (CLIN) DESCRIPTION AND

ARRANGEMENT, ASO VISION INSURANCE

This contract is a firm fixed price type contract. Rates for contract option periods 1 through 9 may increase only by mutual agreement of the parties. The fixed monthly rates specified herein shall include all overhead, fringe benefits, general and administrative expenses, and profit for the successful performance of all specified services.

Additionally, the base period includes a transition period (date of award until December 31, 2016) to enroll employees into the vision plan, which is separately priced.

OCC will only pay the administrative fee for the number of eligible employees enrolled.

Base Period (Transition): October 1, 2016 – December 31, 2016

CLIN

Description Quantity

Unit of Measure Unit Price

Extended Price

0001 Administration Costs Related to Enrollment

3 Months $ $

Base Period – January 1, 2017 through December 31, 2017

Description Quantity

Unit of Measure Unit Price

Extended Price

0002 ASO Monthly Fee – OCC Employees and OCC Disabled Retirees

4,100 EA $ $

0003 ASO Monthly Fee – OFR Employees

300 EA $ $

0004 Claim Costs - Total In and Out-of-Network NTE $1,100,000.00

Base Period Total $

Option Period One – January 1, 2018 through December 31, 2018

Description Quantity

Unit of Measure Unit Price

Extended Price

0101 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,128 EA $ $

0102 ASO Monthly Fee –

0103 Claim Costs - Total In and Out-of-network NTE $1,126,000.00

Option Period One Total $

Option Period Two – January 1, 2019 through December 31, 2019

Description Quantity

Unit of Measure Unit Price

Extended Price

0201 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,226 EA $ $

0202 ASO Monthly Fee

– OFR Employees

0203 Claim Costs - Total In and Out-of-network NTE $1,153,000.00

Option Period Two Total $

Option Period Three – January 1, 2020 through December 31, 2020

CLIN Description Quantity Unit of Measure Unit Price

Extended Price

0301 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,328 EA $ $

0302 ASO Monthly Fee –

0303 Claim Costs - Total In and Out-of-network NTE $1,180,000.00

Option Period Three Total $

Option Period Four – January 1, 2021 through December 31, 2021

Description Quantity

Unit of Measure Unit Price

Extended Price

0401 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,431 EA $ $

0402 ASO Monthly Fee

0403 Claim Costs - Total In and Out-of-network NTE $1,208,000.00

Option Period Four Total $

Option Period Five – January 1, 2022 through December 31, 2022

Description Quantity

Unit of Measure Unit Price

Extended Price

0501 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,502 EA $ $

0502 ASO Monthly Fee

0503 Claim Costs - Total In and Out-of-network NTE $1,228,000.00

Option Period Five Total $

Option Period Six – January 1, 2023 through December 31, 2023

Description Quantity

Unit of Measure Unit Price

Extended Price

0601 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,574 EA $ $

0602 ASO Monthly Fee

0603 Claim Costs - Total In and Out-of-network NTE $1,248,000.00

Option Period Six Total $

Option Period Seven – January 1, 2024 through December 31, 2024

Description Quantity

Unit of Measure Unit Price

Extended Price

0701 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,647 EA $ $

0702 ASO Monthly Fee

0703 Claim Costs - Total In and Out-of-network NTE $1,267,000.00

Option Period Seven Total $

Option Period Eight – January 1, 2025 through December 31, 2025

Description Quantity

Unit of Measure Unit Price

Extended Price

0801 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,721 EA $ $

0802 ASO Monthly Fee

0803 Claim Costs - Total In and Out-of-network NTE $1,288,000.00

Option Period Eight Total $

Option Period Nine – January 1, 2026 through December 31, 2026

Description Quantity

Unit of Measure Unit Price

Extended Price

0901 ASO Monthly Fee -for OCC Employees and OCC Disabled Retirees

4,798 EA $ $

0902 ASO Monthly Fee

0903 Claim Costs - Total In and Out-of-network NTE $1,308,000.00

Option Period Nine Total $

ASO Vision Insurance Total (Base plus Nine Options) $

PART I – THE SCHEDULE

SECTION C – STATEMENT OF WORK (SOW)

C.1 INTRODUCTION

The Office of the Comptroller of the Currency (OCC), headquartered at 400 7th Street, SW, Washington, DC 20219, is a non-appropriated federal financial regulatory bureau of the Department of the Treasury. OCC charters, regulates, and supervises national banks, including supervision of federal branches and agencies of foreign banks. It employs approximately 3,959 employees of which approximately 1,000 employees are located at its headquarters facility. Other OCC employees work in approximately 70 cities nationwide with primary locations in Chicago, Dallas, Denver, Houston and New York.

OCC has approximately five (5) employees stationed in its London, England office.

C.2 BACKGROUND

The OCC is unique from most other federal government agencies because it has independent authority to offer its employees compensation and benefits not offered by other agencies. Any reference to “employees” in this Statement of Work (SOW) or otherwise, means OCC and Office of Financial Research (hereinafter “OFR”) active employees.

The OCC, as a governmental plan, is specifically exempted from Title I of The Employee Retirement Income Security Act (ERISA).

The Contractor is to provide services in accordance with this SOW regardless of the actual amount of services or fluctuation in services. Any information in this SOW regarding estimated or historical services is strictly to aid the Contractor in understanding the requirements associated with the SOW and in submitting an appropriate proposal.

C.3 SCOPE OF WORK

The OCC seeks an experienced and qualified Contractor to provide vision care insurance services to OCC and OFR employees, OCC disabled retirees, and eligible family members. The Contractor must be experienced in providing plan administration services for an employer-sponsored vision care insurance program.

In addition, the Contractor shall:

• Support OCC wellness initiatives by collaborating with the OCC Wellness Coordinator on ways to promote healthy eye care for employees and their eligible family members. The Contractor shall support OCC’s wellness fairs (no more than one per year) at its headquarters location in Washington, DC. At a minimum, the Contractor shall secure a vendor to provide wellness demonstrations or screenings.

• Attend an onsite, one-day, health benefits fair during OCC’s annual benefits open season period. Open season is held over a four-week period between the months of November and December. The health benefits fair is held at OCC’s headquarters location in Washington, DC and the Contractor is required to attend and provide program materials.

• Prepare a vision program Administration Manual that describes, at a minimum, the enrollment, invoicing, and claims processes. This includes the claims submission requirements and the dispute process for denied claims. The manual shall include both the responsibility of the Contractor as well as that of the OCC.

The Contractor shall provide the OCC a copy of the manual in electronic format.

• Provide vision program materials in electronic form (preferably in a fillable .pdf) for posting on OCC’s intranet for employee use.

• Produce a vision program brochure and send the OCC a shipment of 500 brochures annually.

C.3.1 Plan Design

The OCC will offer the benefits as outlined in the plan design below without any deviations by the Contractor that result in a reduction of benefits to employees. The vision benefits plan design is as follows:

Services

In-Network Benefits

[employee pays]

Out-of-Network Benefits

[plan will reimburse employee]

Eyeglass Exam (once every 12 months)

$0 up to $60

Prescription Eyeglasses (one pair every 12 months):

- Single Vision Lenses, or

- Lined Bifocal Lenses, or

- Lined Trifocal Lenses, or

- Lenticular Lenses

- Lens Options:

- Standard scratch-resistant coating

- All types of progressive lenses

- All types of anti-reflective coating

- Photochromic lenses

- Polycarbonate lenses

- Ultraviolet coating

- Tints

- Eyeglass Frame

$20 copay

$0

Cost above $200 allowance up to $61 up to $94 up to $127 up to $165

$0 (not covered) up to $75

Elective Contact Lenses (in lieu of eyeglass benefit):

- Benefit includes fitting/evaluation fee and generally 3 to 4 boxes of contact lenses)

Cost above $160 allowance up to $88

Medically Necessary Contact Lenses (in lieu of eyeglass benefit)

$0 up to $220

Prescription Computer Eyeglasses (one pair every 12 months for Employees only and is in addition to the eyeglass benefit):

- Single Vision Lenses, or

- Lined Bifocal Lenses, or

- Lined Trifocal Lenses, or

- Lenticular Lenses

- Lens Options:

- Standard scratch-resistant coating

- Standard anti-reflective coating

- Eyeglass Frame

$0 copay

Cost above $90 allowance

$0 (not covered)

Non-Prescription Post Lasik Surgery Sunglasses (in lieu of eyeglass benefit)

Cost above $200 allowance $0 (not covered)

Extra Discounts and Savings:

- Costs above plan benefits

- 2nd pair of eyeglasses

- Prescription sunglasses

- Contacts in addition to Eyeglasses

- Laser Vision Surgery

Minimum 20% discount

Minimum 15% discount

Minimum 15% discount

N/A

C.3.2 Eligibility

The OCC will determine eligibility of benefits for employees. The OCC will permit all full-time and part-time employees with an offer of employment that is expected to last for more than one year to participate in the vision program. Employees will have the option, within the first 31 days of their date of hire, to enroll their eligible family members. Then, if the employee experiences a qualifying life event resulting in the addition of an eligible family member or family members, the employee will be permitted to enroll their newly eligible family members within 31 days of the qualifying life event. If employees fail to enroll eligible family members within the specified timeframe of their initial eligibility, then employees will be permitted to enroll eligible family members during OCC’s annual open season. Employees will be permitted to cancel the coverage of an eligible family member at any time without having to experience a qualifying life event.

Below is a chart that defines eligible family members of OCC employees.

Eligible Family Members

OCC Definition

Spouse A lawful spouse or domestic partner of the same-sex or opposite-sex

Child An unmarried person under the age of 22 who is the employee’s natural offspring, stepchild, foster child, legally adopted child, child under guardianship, or child of his/her domestic partner

Student A child who is above age 22 but under age 25 who is enrolled in a college degree program and attending on a full-time basis

Disabled Child A child with a disability that began before attaining age 22 who is incapable of self-support and has been certified as disabled by a county, state or federal entity or through the Federal Employees Health Benefits Program.

Other than eligible employees actively employed by the OCC and OFR and their eligible family members, the Contractor shall include as a covered class OCC employees from the federal government on a disability retirement.

C.3.3 Enrollments and Effective Dates

The Contractor shall make available to OCC employees an online enrollment application that will allow the employee to complete an enrollment application during the employee’s first 31 days of eligibility. The enrollment application must generate an email confirmation notice to the employee after the employee has completed the enrollment application. Employees who wish to enroll newly eligible family members (mid-year changes) as a result of a qualifying life event will be required to initiate that type of enrollment change through the OCC. Employees are allowed 31 days from the date of the qualifying life event to notify the OCC of the newly eligible family member and to provide supporting documentation of the qualifying life event. The Contractor shall allow the OCC the functionality to update the eligibility of dependents as a result of a qualifying life event. The OCC shall be granted the ability to add, terminate, and update dependent data on an ongoing basis.

It is not required, but it is desirable, that the Contractor’s online enrollment capabilities have a self-service feature that will allow employees the ability to cancel a family member’s eligibility at any time and to add eligible family members only during OCC’s annual open season.

Below is a chart that identifies the enrollment opportunities and the corresponding effective date of the enrollment or change.

Enrollment Opportunity Description Effective Date Newly Hired or Newly Eligible

A newly hired employee or an employee who has a change in their employment status that makes them eligible for vision coverage for the first time. Employee has 31 days from the date of first eligible to enroll.

1st of the month following the date enrollment completed

Qualifying Life Event (mid-year changes)

An event that happens to the employee, during the year, that results in the employee gaining a dependent. Employee has 31 days from the date of the qualifying life event to submit the required documentation to the OCC.

1st of the month following the date the employee submitted required documentation to the

OCC

Annual Open Season Generally, a four-week period during the months of November and December each year when employees can add eligible family members without providing any documentation. OCC will announce the period annually.

January 1st

In order to provide another level of protection of an employee’s Personal Identifiable Information (PII), the Contractor shall provide a mechanism to assign an ‘alternate identifier’ as the employee’s vision ID number instead of the use of the employee’s social security number for benefit purposes.

C.3.4 Coverage Ineligibility

Coverage eligibility for an employee whose employment terminates for any reason will end on the date the employee terminates. For family members who become ineligible for coverage (i.e., divorce, dissolution of domestic partnership, child aging out, getting married, or no longer certified as a full-time student) their eligibility will end on the date they no longer meet OCC’s eligibility requirements. For family members whose eligibility has been voluntarily terminated by the employee, their coverage will end at the end of the month in which the employee initiated the cancellation of coverage. OCC is responsible for providing this information to the contractor.

C.4 VISON PROGRAM SERVICES

C.4.1 Provider Network

The Contractor shall make available a provider network that consists of optometrists, ophthalmologists and opticians with, at a minimum, 50,000 provider access locations nationwide. The Contractor’s provider network must include full service providers that provide exam and dispensing services at the same location. At least 85 percent of the OCC population must have access to two (2) network providers within a five-mile radius of the employee’s home zip code. The Contractor’s network of participating providers must consist of at least 40 percent private practice providers.

C.4.2 Order Fulfillment and Out of Network Adjudication

The Contractor shall ensure that its network providers provide a ‘prescription satisfaction’ warranty on eyeglass orders. At a minimum, employees must be afforded a 90-day warranty period from date the eyeglass order was filled.

The Contractor shall require network providers to fulfill eyeglass orders within 10 business days of a complete eyeglass order.

The Contractor shall adjudicate out-of-network claims within 10 business days of receipt of a complete eyeglass order.

C.4.4 Customer Service and Website Access

The Contractor shall provide live customer service assistance to answer a toll-free telephone number for employees and OCC disabled retirees, at a minimum, between the core hours of 8:00 a.m. until 8:00 p.m., Eastern time, Monday through Friday (excluding Federal holidays). Live customer service representatives are to be available on Saturdays between the core hours of 9:00 a.m. until 2:00 p.m. (Eastern time). The Contractor shall make available an alternative solution for callers who prefer to speak with a customer service representative in another language. The alternative solution shall accommodate at least 100 languages. During the non-core hours, the Contractor shall make available an Interactive Voice Response System.

The Contractor shall make available a secure website that is available to employees 24/7 to perform the following functions:

• Network provider search

• View eye health information

• Print ID card with employee’s name and alternative identifier

• View a list of enrolled eligible family members

• View claims history

• Print a copy of the program benefit summary of benefits

Employees shall be required to register on the Contractor’s website using their assigned vision alternate identifier, instead of their social security number, for the process of creating a user name and password.

C.4.5 TRANSITION

After contract award, and before services start on January 1, 2017, the contractor shall provide online enrollment in November and December of 2016 to active OCC and OFR employees, and OCC disabled retirees.

C.5 ELECTRONIC FILE TRANSMISSION REQUIREMENTS

The contractor is required to establish and maintain a secure File Transfer Protocol (FTP) site.

The OCC will send the Contractor a data file through the secure FTP site established by the Contractor. This data file will be sent each week and will consist of demographic data for every eligible OCC employee, OFR employee, and OCC disabled retiree. The Contractor shall process the file within two (2) business days and send an error file to the OCC through the secure FTP site. The error file shall identify any records that could not be updated due to invalid or missing data.

C.6. KEY PERSONNEL REQUIREMENTS

The Contractor shall appoint a single point of contact that will be the Account Manager who will serve as a liaison between the Contractor and the OCC on all services related to this contract. The Account Manager shall be involved with the contract implementation and will address day-to-day issues and respond to the OCC on outcomes and solutions.

The Account Manager must ensure a smooth administration of this contract. The individual must have a minimum of five (5) years of account management experience in the health care insurance industry.

C.7 PERIOD OF PERFORMANCE

The contract award period includes one (1) 15-month base period, which will commence on October 1, 2016, and nine (9) 12-month option periods. The base period includes a three-month transition period for the Contractor to perform the required services involved with contract implementation.

C.8 PLACE OF PERFORMANCE

Employees of the Contractor shall perform all of its duties relating to this contract at the Contractor’s location.

C.9 IT ACCESSIBILITY

All electronic documents and proposed solution, such as a web-based automated enrollment system, shall comply with Section 508 of the Rehabilitation Act of 1973 as amended. The OCC has identified the following applicable standards:

36 CFR 1194.21 – Software Applications & Operating Systems 36 CFR 1194.22 – Internet and Intranet Information and Applications 36 CFR 1194.31 – Functional Performance Criteria 36 CFR 1194.41 – Information, Documentation, and Support

APPENDIX A: PERFORMANCE REQUIREMENTS SUMMARY

1.0 OVERVIEW

All services under this contract will be subject at all times to inspection by the Government. Although the Government retains the right to specifically enforce all provisions in the contract, the Performance Requirements Summary identifies those contract requirements considered most important to acceptable contract performance and the Government’s intended quality assurance procedures. Below is a chart that identifies the qualitative performance standards (objectives), the Government’s intended quality assurance procedures and frequency of inspection (measures), and what the Government believes is the minimum satisfactory rating (expectations) at this time.

PERFORMANCE REQUIREMENT SUMMARY

Objectives Measurement Tool Expectations Account Manager or his/her designee responds to inquiries raised by the OCC COR in a timely manner.

The COR will maintain a record of all issues the Account Manager is made aware of. The COR will document the date the Account Manager (or designee) is informed, and the date the Account Manager responds.

- Account Manager or his/her designee will acknowledge issues brought to his/her attention within the next business day.

- Account Manager or his/her designee will respond to the OCC with a resolution of the issue or status as to when the issue will be resolved within three (3) business days.

APPENDIX B: REQUIRED DOCUMENTS

Name of Document Purpose Due Date Administration Manual Document the following: 1) system access by the OCC; 2) how all enrollments are handled (new hire enrollments, qualifying life events, cancellations and terminations); 3) the weekly file transfer process and explain how records are updated (along with the purpose of the error report that generates after each weekly file transfer process); and 4) invoicing.

Once – Submit to the COR by March 31, 2017

Claims Activity Report Capture vision benefits usage, both in and out of network benefits, for all employee groups (OCC employees, OFR employee and OCC disabled retirees) and their eligible family members.

Monthly – Submit to the COR at the end of the month following the previous month

Issues Log Record and track all instances of requests made by the COR to the Account Manager.

Quarterly – Submit to the COR at the end of the month following the end of the previous calendar quarter

Headcount Activity Report Reconciliation of the monthly billing invoice for administrative fees. The report shows the enrollment activity for all employee groups (OCC employees, OFR employee and OCC disabled retirees) that occurred from one month to the next.

Monthly – Submit to the COR along with the monthly invoice

Disabled Child Report Identifies family members who are not identified as a spouse or domestic partner with a relationship designation that they are a disabled child and are eligible for continued enrollment beyond age 22.

Monthly – Submit to the COR by the 10th of each month

Dependent Child Report Identifies family members who are not identified as a spouse or domestic partner but have a relationship designation of ‘child.’

The report will be used to identify any dependent child who is age 22

Monthly – Submit to the COR by the 10th of each month or older and should either be terminated or have their relationship designation changed from ‘child’ to ‘student.’

Full-time Student Report Identifies family members who are not identified as a spouse or domestic partner but have a relationship designation of ‘student.’ The report will be used to identify any dependent child who is age 22 or older.

Monthly – Submit to the COR by the 10th of each month

Vision Eligibility Report Identify every employee (OCC only) that is enrolled in the vision program. Data will be used to upload to an online benefits statement on the OCC intranet.

Employee can use the statement to confirm their enrollment in the program.

Monthly – Submit to the COR by the 10th of each month

SECTION D – PACKAGING AND MARKING

D.1 PAYMENT OF POSTAGE AND FEES

All postage and fees related to submitting information, including forms, reports, etc., to the Contracting Officer (CO) or the Contracting Officer’s Representative (COR) shall be paid by the Contractor.

D.2 MARKING

All information submitted to the CO or the COR shall be clearly marked to show the following:

1. Name of the Contractor

2. Contract Number

3. Consignee’s name and address

4. Date of Submission

D.3 REPORT COVER SHEET

Each report submitted by the Contractor shall have a cover sheet containing the following information:

1. Title of report

2. Report number or type

3. Period covered by the report

4. Contract number

5. Name and address of the Contractor

6. Name of the COR

7. Date of Submission

SECTION E – INSPECTION AND ACCEPTANCE

See FAR 52.212-4(a) Inspection/Acceptance.

SECTION F – DELIVERIES OR PERFORMANCE

F.1 FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: http://www.acquisition.gov/far/.

(End of Clause)

FAR

Clause

Title Date

52.242-15 Stop-Work Order Aug 1989

F.2 OCC 1052.242-8002 PERIOD OF PERFORMANCE (SEP 2012)

The Base Period of this contract is from October 1, 2016 through December 31, 2017.

If exercised, Option Period One will extend the contract period of performance from January 1, 2018 through December 31, 2018.

If exercised, Option Period Two will extend the contract period of performance from January 1, 2019 through 1 December 31, 2019.

If exercised, Option Period Three will extend the contract period of performance from January 1, 2020 through December 31, 2020.

If exercised, Option Period Four will extend the contract period of performance from January 1, 2021 through December 31, 2021.

If exercised, Option Period Five will extend the contract period of performance from January 1, 2022 through December 31, 2022.

If exercised, Option Period Six will extend the contract period of performance from January 1, 2023 through December 31, 2023.

If exercised, Option Period Seven will extend the contract period of performance from January 1, 2024 through December 31, 2024.

If exercised, Option Period Eight option period will extend the contract period of performance from January 1, 2025 through December 31, 2025.

If exercised, Option Period Nine will extend the contract period of performance from January 1, 2026 through December 31, 2026.

http://www.acquisition.gov/far/

F.3 BUSINESS HOURS AND COVERAGE

The Contractor shall provide live customer service assistance to answer a toll-free telephone number for employees and OCC disabled retirees, at a minimum, between the core hours of 8:00 a.m. until 8:00 p.m., Eastern time, Monday through Friday (excluding Federal holidays). Live customer service representatives are to be available on Saturdays between the core hours of 9:00 a.m. until 2:00 p.m. (Eastern time).

F.4 LEGAL HOLIDAYS

The following legal holidays are observed:

New Year’s Day* January 1 Martin L. King’s Birthday Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May Independence Day* July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day* November 11 Thanksgiving Day Fourth Thursday in November Christmas Day* December 25

*Holidays that fall on Saturday are observed on Friday and holidays that fall on Sunday are observed on Monday.

SECTION G – CONTRACT ADMINISTRATION DATA

G.1 OCC 1052.201-8000 CONTRACTING OFFICER'S REPRESENTATIVE

(COR) DELEGATION AND AUTHORITY (DEC 2013)

(a) The contracting officer's representative will be identified via separate letter to the contractor.

(b) Performance of work under this contract is subject to the technical direction of the COR, as delegated in writing. The term "technical direction" includes, without limitation, direction to the contractor that directs or redirects the labor effort, shifts the work between work areas or locations, fills in details and otherwise serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.

(c) Technical direction must be within the scope of the specification(s)/work statement.

The COR does NOT have authority to issue technical direction that:

(1) changes any of the terms, conditions, or specification(s)/work statement of the contract;

(2) in any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(3) interferes with the contractor's right to perform under the terms and conditions of the contract; or,

(4) directs, supervises or otherwise controls the actions of the contractor's employees.

(d) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five work days, with a copy to the contract administrator.

The contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the contractor, any direction of the COR, falls within the limitations in (c), above, the contractor shall immediately notify the contracting officer no later than the beginning of the next Government work day.

Failure of the contractor and the contracting officer to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes".

G.2 OCC 1052.215-8003 KEY PERSONNEL (APR 2014)

The Contractor shall assign to this contract the following key personnel: Account Manager.

During the first ninety (90) days of performance, the Contractor shall make no substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period, the contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions complete résumés for the proposed substitutes, and any in additional information requested by the contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on substitutions. The contract will be modified to reflect any approved changes of key personnel.

G.3 1052.232-7003 (DTAR) ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS (APR 2015)

(a) Definitions. As used in this clause—

(1) “Payment request” means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), “Content of Invoices” and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Invoice Processing Platform (IPP). Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with Treasury procedures.

(d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request.

G.4 OCC 1052.242-8000 EVALUATION OF CONTRACTOR PERFORMANCE

(DEC 2010)

The OCC will evaluate the contractor’s performance after contract award. If this contract has option periods, interim evaluations will be conducted at the end of each option period and then a final evaluation report will be prepared at the completion of the entire contract. If this contract does not have renewal options, an evaluation will be conducted upon completion of the contract. Notwithstanding the preceding, the Contracting Officer may conduct evaluations more or less frequently, if the Contracting Officer deems appropriate.

B. Evaluations will be conducted using an electronic format as established by Contractor Performance Assessment Reporting System (CPARS), an internet-based database of contractor performance information. The OCC will enter the information, gathered from the evaluation, into the CPARS.

C. If the contractor responds to the evaluation, and the response rebuts any or all of the ratings, the Contracting Officer will attempt to reconcile the areas of disagreement with the contractor. If agreement cannot be reached, the evaluation and response shall be reviewed at a level higher than the Contracting Officer and a final evaluation will be issued by the reviewing official. If the reviewing official finds, either all or in part, against the contractor, the contractor’s response shall become part of the final evaluation. The reviewing official’s final decision shall not be subject to dispute under the terms and conditions of the Disputes clause or subject to resolution in accordance with the terms and conditions of the Alternative Dispute Resolution clause. The reviewing official will provide the contractor with a copy of the final evaluation.

D. Any government agency authorized to access the Past Performance Information Retrieval System (PPIRS) database will be able to view the performance information related to this contract. Any government agency may also receive a copy the contractor’s performance evaluation, and any associated comments, by contacting the OCC. The OCC will also, upon request, provide copies of any and all of the contractor’s evaluations to the contractor.

G.5 OCC 1052.243-8001 AUTHORIZED CHANGES ONLY BY THE

CONTRACTING OFFICER (SEP 2012)

(a) Except as specified in paragraph (b) below, no order, statement, or conduct of Government personnel who provide technical direction or in any other manner communicates with contractor personnel during the performance of this contract shall constitute a change under the “Changes” clause of this contract.

(b) The Contractor shall not comply with any order, direction or request of Government personnel unless it is issued in writing and signed by the Contracting Officer (CO), or is pursuant to specific authority otherwise included as a part of this contract.

(c) The CO is the only person authorized to approve changes in any of the requirements of this contract and notwithstanding provisions contained elsewhere in this contract, the said authority remains solely the CO’s. In the event the Contractor effects any change at the direction of any person other than the CO, the change will be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in charges incurred as a result thereof. The CO will be identified via separate letter to the contractor.

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 DTAR 1052.210–70 CONTRACTOR PUBLICITY (AUG 2011)

The Contractor, or any entity or representative acting on behalf of the Contractor, shall not refer to the equipment or services furnished pursuant to the provisions of this contract in any news release or commercial advertising, or in connection with any news release or commercial advertising, without first obtaining explicit written consent to do so from the CO. Should any reference to such equipment or services appear in any news release or commercial advertising issued by or on behalf of the Contractor without the required consent, the Government shall consider institution of all remedies available under applicable law, including 31 U.S.C. 333, and this contract. Further, any violation of this provision may be considered during the evaluation of past performance in future competitively negotiated acquisitions.

H.2 DTAR 1052.224-1 CONTRACT PUBLICATION (APRIL, 2013)

The contractor shall submit, within ten business (10) days from the date of award of the contract or any order hereunder (exclusive of Saturdays, Sundays, and federal holidays), a .pdf file of the fully executed contract or order with all proposed necessary redactions, including redactions of any trade secrets or any commercial or financial information that it believes to be privileged or confidential business information, suitable for public disclosure at the sole discretion of the United States Department of the Treasury. The contractor shall provide a detailed written statement specifying the basis for each of its proposed redactions, including the applicable exemption under the Freedom of Information Act (FOIA), 5 U.S.C. 552, and, in the case of FOIA Exemption 4, 5 U.S.C.

552(b)(4), shall demonstrate why the information is considered to be a trade secret or commercial or financial information that is privileged or confidential. Information provided by the contractor in response to this requirement may itself be subject to disclosure under the FOIA. The Treasury will carefully consider all of the contractor’s proposed redactions and associated grounds for nondisclosure prior to making a final determination as to what information may be properly withheld.

(End of clause)

H.2 OCC 1052.239-8000 ELECTRONIC AND INFORMATION TECHNOLOGY

ACCESSIBILITY (JUNE 2014)

Pursuant to Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998, all electronic and information technology (EIT) products and services developed, acquired, maintained, or used under this http://www.law.cornell.edu/uscode/29/794d.html contract/order must comply with the “Electronic and Information Technology Accessibility Provisions” set forth by the Architectural and Transportation Barriers Compliance Board (also referred to as the “Access Board”) in 36 CFR Part 1194.

Information about Section 508 is available at http://www.section508.gov/. The complete text of Section 508 Final Provisions can be accessed at http://www.access-board.gov/sec508/standards.htm.

The Section 508 accessibility standards applicable to this contract/order are identified in the Statement of Work/Specification/Statement of Work. If it is determined by the Government that EIT products and services provided by the Contractor do not conform to the described accessibility standards in the Product Assessment Template, remediation of the products or services to the level of conformance specified in the Contractor’s Product Assessment Template will be the responsibility of the Contractor at its own expense.

In the event of a modification(s) to this contract/order, which adds new EIT products or services or revises the type of, or specifications for, products or services the Contractor is to provide, including EIT deliverables such as electronic documents and reports, the Contracting Officer may require that the contractor submit a completed Voluntary Product Accessibility Template found at http://www.itic.org/public-policy/accessibility, to assist the Government in determining that the EIT products or services support Section 508 accessibility standards.

H.3 OCC 1052.245-8003 CONFIDENTIAL OR SENSITIVE INFORMATION (JAN

2014)

Because of the proprietary nature of such information, the contractor understands that work performed by and information released to the contractor is sensitive in nature and shall not be disclosed to anyone other than the Office of the Comptroller of the Currency (OCC) (Government) employees assigned to the contract and other contractor personnel the Government authorizes to receive the information. The contractor agrees to protect all confidential and/or proprietary information received by or provided to the contractor pursuant to this contract from unauthorized disclosure or use for as long as the information remains proprietary or confidential and further agrees that it will not use such information for any purpose other than that relating to the performance of this contract.

For purposes of the contract, all information provided to or received by the contractor is deemed confidential and proprietary.

The contractor shall execute and is responsible for having all of its employees, subcontractor employees, and agents working under the contract and/or having access to sensitive information under this contract execute a “Conditional Access to Sensitive but Unclassified Information Non-Disclosure Agreement.”, hereafter referred to as an NDA, provided as Attachment 4 to this contract. This NDA provides that sensitive but unclassified information provided to the contractor or its employees, subcontractors, or agents, shall not, except as permitted in connection with the performance of the contract, be further disclosed or used without the prior written approval of the Government.

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=/ecfrbrowse/Title36/36cfr1194_main_02.tpl http://www.section508.gov/ http://www.access-board.gov/sec508/standards.htm http://www.access-board.gov/sec508/standards.htm http://www.itic.org/public-policy/accessibility

Contractor employees processed in the Personnel and Administration Security System (PASS), will complete the NDA electronically.

Contractor employees processed outside of PASS, will complete the attached hard copy NDA and submit to the Contracting Officer (CO).

Executed copies of the NDA are required by each contractor employee, subcontractor employee or agent who will perform work on the contract before they can begin actual performance under the contract.

H.4 OCC 1052.245-8008 INFORMATION SECURITY REQUIREMENTS

FOR UNCLASSIFIED OCC INFORMATION TECHNOLOGY

RESOURCES (JAN 2014)

I. DEFINITIONS Definitions, as used in this clause, generally refer to the Code of Federal Regulations (CFR) unless a more specific provision is noted below.

Adequate Security Security that is commensurate with the risk and magnitude of harm resulting from the loss, misuse, or unauthorized access to or modification of information. This includes assuring that systems and applications in use operate effectively and provide appropriate confidentiality, integrity, and availability through the use of managerial, operational, and technical security controls.

Availability To ensure the timely and reliable access to, and use of, information.

Confidentiality Preserving authorized restrictions on access and disclosure, including means for protecting personal privacy and proprietary information.

Information Assurance Information Assurance (IA) are the measures that protect and defend information and information systems by ensuring their availability, integrity, authentication, confidentiality, and non-repudiation. This includes providing for restoration of information systems by incorporating protection, detection, and reaction capabilities.

Information Resource An information resource encompasses both information and information related resources such as personnel, equipment, data, and information technology.

Information System A discrete set of information resources organized for the collection, processing, maintenance, transmission, and dissemination of information, in accordance with defined procedures, whether automated or manual.

Information Technology

With respect to the Office of the Comptroller of the Currency (OCC), information technology means any equipment or interconnected system or subsystem of equipment, used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by the OCC, if the equipment is used by the OCC directly or is used by a contractor under a contract with the OCC that requires the use:

(i) of that equipment; or

(ii) of that equipment to a significant extent in the performance of a service or the furnishing of a product.

Information technology includes computers, ancillary equipment (including imaging peripherals, input, output, and storage devices necessary for security and surveillance), peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources; but does not include any equipment acquired by a federal contractor incidental to a federal contract.

Integrity Guarding against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity.

Service Provider Service Providers are non-OCC entities that support the OCC mission and information systems. These are any individual or other legal entity that (1) directly or indirectly (e.g., through an affiliate), submits offers for or is awarded, or reasonably may be expected to submit offers for…