ATTACHMENT_L-2_PRICING_TABLE.xlsx
XLSX spreadsheet 25 KB Posted
- Attached to
- Health Care Benefits and Services Federal contract opportunity
- Solicitation number
- PC-16-R-007
- Issued by
- Peace Corps
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Attachment L-2 PRICING TABLE
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Sec B Pricing Table
| ITEM NO. | SUPPLIES/SERVICES | QTY | UNIT | UNIT PRICE | AMOUNT | 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 CS $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) 5,800 MM $0.00
0004 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
0005 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 MM See Plan 4 Pricing Table Tab $0.00
0006 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C) 1 Lot $6,600,000.00
0008 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 | ||||
| 0009 | Invitee Cost -Reimbursement Administrative Services (Plan 1) (Firm Fixed Price (Unit Price)) IAW Sections C.1, C.2 and C.4 | 6,825 | MM | $0.00 |
0010 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) 6,090 MM $0.00
0011 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) 4,200 MM $0.00
0012 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 MM See Plan 4 Pricing Table Tab $0.00
0013 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note B) 1 Lot $6,930,000.00
| OPTION II | ||||
| 0014 | 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 | MM | $0.00 |
0015 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) 6,395 MM $0.00
0016 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) 4,410 MM $0.00
0017 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 See Plan 4 Pricing Table Tab $0.00
0018 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $7,276,500.00
| OPTION III | ||||
| 0019 | 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 | CS | $0.00 |
0020 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) 6,714 MM $0.00
0021 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
0022 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 MM See Plan 4 Pricing Table Tab $0.00
0023 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $7,640,325.00
| OPTION IV | |||||
| 0024 | 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 | CS | $0.00 | $0.00 |
0025 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) 7,050 MM $0.00 $0.00
0026 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) 4,862 MM $0.00 $0.00
0027 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 MM See Plan 4 Pricing Table Tab $0.00 $0.00
0028 Other Direct Cost (ODC) - Medical Claims IAW Section C.8. (See Note C and D) 1 Lot $8,022,341.00
0029 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
Plan 4 Pricing Table
| Contract Period | Plan 4 - Sub-Category | Qty | Unit Price | Amount |
| Base Award | 4400 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option I | 4500 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option II | 4600 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option III | 4600 | $0.00 | ||
| Volunteer | ||||
| Spouse | ||||
| Dependent Child 18 years of age and under) | ||||
| Dependent Child (19 to 26 years of age) | ||||
| Option IV | 4700 | $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 Helath Insurnace (Plan 4): $0.00
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