SF-30 Amendment-Audit-001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11 . CONTRACT ID CODE

IPA~E

OF PAGES

I 4

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 15. PROJECT NUMBER (If applicable)

P0001

6. ISSUED BY CODE 7. ADMINISTERED BY (If other than Item 6) CODE I Department of State U.S. Embassy Manama Kingdom of Bahrain

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) ~ 9A. AMENDMENT OF SOLICITATION NUMBER

19BA3025Q0001

98. DATED (SEE ITEM 11)

11/24/2024

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

108. DATED (SEE ITEM 13)

CODE I FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

~ The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers ~ is extended. D 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 _ _ ___ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT 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 letter or electronic communication , provided each letter or electronic communication 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 APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

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

NUMBER IN ITEM 10A.

8 . THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data. 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)

E. IMPORTANT: Contractor~ is not D 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.)

Purpose of this amendment is:

1. To extend the date of submission of offers unti l 4:00pm on December 12, 2024

2. To include the answers for the questions received from offerers (see page 02)

Contd----Page 2 Except as provided herein, all terms and conditions of the document referenced in Item 9A or 1 0A, as heretofore changed, remains unchanged and in fu ll force and effect.

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

158. CONTRACTOR/OFFEROR 15C. DATE SIGNED

(Signature of person authorized to sign)

Previous edition unusable

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

Valerie Martin

168. UNITED STATES OF AMERICA 16C. DATE SIGNED

(Signature of Contracting Officer)

STANDARD FORM 30 (REV. 1112016)

Prescribed by GSA FAR (48 CFR) 53.243

Solicitation Number 19BA3025Q0001-001 Page 2/4

Questions Answer Total Number of Employees Covered under the 107

Contract. The total population of employees covered for

Health Insurance by SNIC between May 1, 2023, and

April 30, 2024.

Total Number of dependents covered under the

Contract.

Total number of the claims submitted & paid with a split 14190 up of OP, IP, Dental and Alternative treatments separately in a year - May 1, 2023, and April 30, 2024

Total claimed amount settled and settled amount by BHD 205,017.000

SNIC with a split of OP, IP, Dental and Alternative IP-16% treatments in a year - May 1, 2023, and April 30, 2024 OP- 53% Dental-18% Inpatient Maternity- 5% Outpatient Maternity- 4% Optical-4%

5. Could you please provide more specific details about Objective of this audit is to find out the the intended use and objectives of this audit report? accuracy of claims submitted, and premium This will help us better align our methodology with your paid for an economic price adjustment to requirements. the premium if a loss is incurred to the contractor

- Any subcategories or special classifications within the Nil insured group

Total benefits paid during the specified period (May 1, BHD 217,407.000 2023 to April 30, 2024) please clarify :

- The specific aspects you want analyzed

- How th is information will be utilized

We understand that the review is restricted to the special Data will be provided or arranged purpose financ ial information related to the health insurance policy for the period May 2023 to April 2024, contract number 19BA3022D0001 effective on May 1, 2022. We understand that the embassy will provide us with the necessary Data, obtained from SNIC Insurance.

Can you please verify that our understanding aligns with your expectations? May we also check if data be provided to EY environment?

The Statement of Work section refers to an external Please read as aud itor's report on financial information related to the "Performs all independent evaluation and health insurance policy, while the Quality Assurance audit services on health insurance policy for section calls for evaluation, audit, and actuarial suNey locally employed staff at U.S. Embassy seNices concern ing the~-Could you Manama set forth in the scope of work".

please provide clarification on the policy under review?

Cou ld you please help us understand the quantum of the following to enable us calculate the efforts based on the samples required to be tested:

Also, is there a sample size methodology that is You can use the generally accepted prescribed for this audit or can we use a generally Methodology accepted methodology?

The Statement of Work mandates an analysis to offer reasonable assurance regard ing retention. Could you Retention refers to administrative retention.

please confirm whether 'retention' in this context refers to It refers to the retention amount not the number of members reta ined within the insurance number of members. Data will be provided plan or to retention fees? for the retention amount

Further, we would also require clarification on whether the financial information would also contain historical details to analyze and comment on the retentions as our understanding is an one year special purpose financial statement may not provide details on the retention in the health plan.

We seek guidance on the requirement that two copies of Since the report is submitted electronically both the draft and final suNey reports be submitted . by email. One copy will be sufficient Could you please specify if the second copy of each report is intended for submission to any otherthird party?

Considering the timeframe required to secure a SAM SAM registration is required for award.

registration which ranges from 2 to 8 weeks ( as per RFP) , However, you can submit the offer, but could you please provide guidance on how this can be before the award you must complete the managed, considering submission timeline of 12th SAM.gov registration December?

We seek clarification regarding the contracting entity for Contract will be with Department of State this engagement. Will we be entering into a contract with through U.S Embassy Bahrain the US Embassy situated in Bahrain or with any entity based out of US?

We understand that the submission requires obtaining a OBA insurance not required for this contract OBA Insurance Policy. Could you please confirm whether the OBA insurance requirement applies to us in light of our current insurance coverage?

Considering the type of service requested as a part of this Section S - Representation and Certification quotation, we understand that following requirements of must be submitted along with the offer section 5 'Representation and Certifications' may not be applicable, could you please provide us with your view and confirm on the applicability of the same:

1. 52.204-24 - Representation regarding certain Telecommunications and video surveillance services or equ ipment {Oct 2020)

2. 52.204-26 - Covered Te lecommunications equipment's or services representation {Oct 2020)

3. 52.212-3 - Offeror representations and certifications - Commercial products and commercial services (Sep 2023)

4. 52.229-11 - Tax on certain Fore ign procurements - Notice and Representations (Jun 2020)

5. 52.252-1 - Solicitation provisions incorporated by Reference (Feb 1998)

6. 52.225-25 - Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran representation and certifications {June 2020)

7. Addendum to offeror representations and certifications FAR and DOSAR provisions not prescribed in part 12

Considering the type of service requested as a part of this Sections 3 is instructions to the offerors -quotation, we understand that following requirements of not required to submit along with offer section 3 'Solicitation provisions' may not be applicable, could you please provide us with your view and confirm on the applicability of the same:

a. 52.252-1- Solicitation provisions incorporated by Reference {Feb 1998)

b. 52.204-7 - System for award management {Oct 2018)

c. 52.204-16 - Commercial and Government Entity code reporting {Aug 2020)

d. 52.211-1 - Availability of specifications listed in the GSA Index of Federal specifications, standards and commercial item descriptions, FPMR Part 101-29 {Sep 2023)

e. 52.212-1 - Instructions to Offerors - Commercial products and commercial services (Sep 2023) f . 52.214-34 - Submission of Offers in the English Language{Apr1991)

g. 52.222-56 - Certifications regarding Trafficking in person {Oct 2020)

h. 52.209-7 - Information regarding responsibility matters {Oct2018)

**Amount mentioned above are approximate only.