Attachment 0002 - Pricing Matrix 17SEP2025 1.xlsx

XLSX spreadsheet 21 KB Posted

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MNG Medical, Dental, & Vision Insurance
Solicitation number
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About this file

This document is a Pricing Matrix for Solicitation W519TC-25-R-A016, issued by the United States Army Contracting Command-Rock Island (ACC-RI) for Medical, Dental, and Vision Insurance for Ministry of the National Guard (MNG) Students/Dependents. The pricing matrix includes five Contract Line Item Numbers (CLINs) with fixed-price (FFP) line items covering single, married, and family coverage, along with a Value Added Tax (VAT) line item and Contract Deliverable Requirements List (CDRLs).

The pricing matrix is structured for five ordering periods from December 2025 to December 2030, with placeholder pricing fields for each coverage type and period. The solicitation is specifically for insurance coverage for MNG students and their dependents attending courses in the United States, with the contract administered by the Office of the Program Manager, Saudi Arabian National Guard (OPM-SANG). The document appears to be a template for potential offerors to complete their pricing information for the proposed insurance services.

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Other files

File Type Posted
W519TC25RA016 Amendment 0004.pdf PDF
Attachment 0004 - Section M 18 SEP 2025.pdf PDF
Attachment 0003 - Section L 18 SEP 2025.pdf PDF
Attachment 0011 - Section C (Seed Project) 18 SEP 2025.pdf PDF
W519TC25RA016 Amendment 0003.pdf PDF
Attachment 0009 - MNG Medical Insurance Q and A.xlsx XLSX spreadsheet
Attachment 0010 - Historical Members and Claims 2025.pdf PDF
W519TC25RA016 Amendment 0002.pdf PDF
Attachment 0009 - MNG Medical Insurance Q and A.xlsx XLSX spreadsheet
Attachment 0001 - PWS.pdf PDF
Technical Exhibit A - Monthly Additions and Deletions CDRL.xlsx XLSX spreadsheet
Technical Exhibit B - Historical Claims and Members CDRL.xlsx XLSX spreadsheet
Attachment 0009 - MNG Medical Insurance Q and A.xlsx XLSX spreadsheet
Attachment 0002 - Pricing Matrix.xlsx XLSX spreadsheet
W519TC25RA016 Amendment 0001.pdf PDF
Attachment 0006- Historical Number of Members_Redacted.pdf PDF
Attachment 0004 - Section M.pdf PDF
Technical Exhibit A - CDRL.xlsx XLSX spreadsheet
Attachment 0007 - Current Policy_Redacted.pdf PDF
Attachment 0008 - Performance Assessment Questionnaire.docx DOCX document
Attachment 0005- Historical Claims.pdf PDF
Attachment 0002 - Pricing Matrix.xlsx XLSX spreadsheet
W519TC25RA016.pdf PDF
Attachment 0003 - Section L.pdf PDF
Attachment 0001 - PWS Medical Insurance Policy 02 June 2025.pdf PDF
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Summary

PRICE EVALUATION SHEET
W519TC-25-R-A016Contractor Fill-In
Offeror Name:
Unique Entity ID:
CAGE:
Date:
CLINCLIN TypeDescription
(see applicable notes below the table)Seed Project QuantitySeed Project Unit PriceOrdering Period 1 Price (07DEC2025-06DEC2026)Ordering Period 2 Price (07DEC2026-06DEC2027)Ordering Period 3 Price (07DEC2027-06DEC2028)Ordering Period 4 Price (07DEC2028-06DEC2029)Ordering Period 5 Price (07DEC2029-06DEC2030)Total Price
X001FFPSingle Coverage3$ - 0
X002FFPMarried Coverage70$ - 0
X003FFPFamily Coverage2$ - 0
X004FFPValue Added Tax (VAT) 15%1 Lot$ - 0$ - 0$ - 0$ - 0$ - 0
X005FFPCDRLs1
$ - 0
Total Evaluated Price

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