Questions Answers (1).pdf

Questions & Answers

Health Insurance services – 19RC1126R0002

Q1. According to section L, instructions to offeror in part 4 (licensing information).

I am not an authorized insurance company in Iraq; I will do an official agreement to perform this contract with an authorized insurance company in Iraq (as a sub-contractor).

Is that allowed and acceptable? is my offer will be considered? Please

A1. Please refer to 652.242-73 AUTHORIZATION AND PERFORMANCE (AUG 1999) in the solicitation.

Q2. I would appreciate clarification on the following points:

• Location: Is the anticipated performance location Baghdad, Erbil, or both?

• Medical Providers: Is there a preferred or required insurance carrier and/or designated medical facilities or hospital network?

• Employee Count: Is there a confirmed number of employees and dependents to be covered?

The presolicitation references an estimated total of approximately 1,321 enrollees;

confirmation or further guidance would be appreciated, as the final count directly impacts proposal pricing.

A2. Location: Per B.1 service is in Iraq

• Medical Providers: The solicitation of insurance services. Please refer to the requirements in the solicitation.

• Employee Count: No. However, please refer to Section J Employee Statical information.

Q3. As per the claims summary table, the last claim date was 21/11/2025. Thus, please advise if the group in question was not insured from 21/11/2025 till now. Otherwise, please advise the expiry date of the currently active policy. Also, if possible, please provide the required claims data for individuals with chronic diseases by filling the table in the attached file.

1. Please confirm that the maximum annual financial limitation is $59,000 per person per year, excluding HIV/AIDS cover, and that the optional excess cover of $59,000, if chosen, is to be confirmed (and its premium paid) at the issuing of the policy.

2. Please advise if the number of adherents has changed during the past five years and if the Table of Benefits provided has changed during this period. If yes, please provide us with the number of adherents related to the previous years (2020 till 2024)

3. Please provide us with a full census list of the group in question by filling out the table in the attached file.

4. Please provide us with an estimate of your target premium for the group.

A3. Eligible employees and their dependents are currently insured. Please see below for additional Government responses:

• A.3.1. IAW C.1.2 Annual Maximum Limit - The maximum annual reimbursement per covered individual per contract year, not including expenses defined under Exclusions and Limitations (C.1.3) or those covered under C.1.1.15, HIV/AIDS, and C.1.1.18, and Excess Coverage is equivalent to USD $59,000.00.

• A.3.2. The number of adherences, as for table of benefits nothing has been changed

• A.3.3. For full census list, refer to SECTION J of the solicitation.

• A.3.4. Please complete the pricing tables provided in the solicitation.

Q4. Can claims for medical services received beyond the expiration date of the contract? If so, what is the estimated period to submit the claims?

A. Please refer to FAR 52.216-21 REQUIREMENTS (OCT 1995).