Q&A.docx

QUESTIONS AND ASNWERS OF SOLICITACION (RFQ) NUMBER SBL40017R0001

HEALTH & LIFE INSURANCE

1. Claims history for the last 3 years-year by year

2. Catastrophic cases with $ amount paid for each category

3. Historical membership for the last 3 years- year by year

For the above questions, please see below chart.

4. Who is the current carrier and plan name

Nacional Seguros Vida y Salud S.A.

5. Is an increase in VAT at the Government level be an example to be able to apply the EPA clause?

If it is a law, it is an example.

6. Can we offer either health or life insurances?

Please refer to M.7. of the RFP page 68 below

M.7. PRICE EVALUATION

For the purpose of evaluation, and for no other purpose, evaluation of prices submitted will be made on the basis that the Government will order the estimated quantities shown in Section B – SERVICES AND PRICES, of this solicitation.

The Government will make either one or two awards as a result of this solicitation. If one award is made it will be for both the health and the life insurance requirements. If two awards are made one award will be for all of the health insurance requirements and one award will be for all of the life insurance requirements. The Government will determine the best value to the Government in deciding on whether to make one or two awards.

7. Is a letter of guarantee also needed for hospitalizations outside the country?

Please refer to the following paragraph on the RFP C.1.1.11 Medical Expenses Incurred Out of Country:

Medical expenses incurred out of country will be covered for employees and dependents when:

1. A life threatening condition occurs when the individual is out of the country and treatment is medically necessary before the individual returns home; or

1. The individual’s attending physician certifies in advance that such treatment is medically necessary and unavailable locally.

In the instances cited in paragraphs (a) and (b) above, the insured must obtain prior approval from the Contractor. The request must be made through the Mission Human Resources Office in the Embassy, or the Human Resources Office in AID.

On the assumption that all medical facilities are available in Bolivia, and the insured and/or covered family members wish to undergo surgical or medical treatment outside of Bolivia, medical expenses will be reimbursed at the same percentage rate of "Arancel Medico Boliviano" and subject to the same annual maximum limit as for expenses incurred in country.

8. When there is crossing between two insurances (i.e. SOAT) which prevails?

Please refer to DECRETO SUPREMO N° 27295 attached.

9. Can the proposal be in Spanish?

Please refer to the below wording on the RFP The proposal shall also be sent in English (52.214-34 SUBMISSION OF OFFERS IN ENGLISH LANGUAGE (APR 1991)) and the Contract will be awarded in English, but the winning contractor can translate it, however (Section I, Contract Clauses) - 52.225-14 INCONSISTENCY BETWEEN ENGLISH VERSION AND TRANSLATION OF CONTRACT (FEB 2000):

“In the event of inconsistency between any terms of this contract and any translation into another language, the English language meaning shall control.”

10. Is it mandatory to have Bolivian licenses?

Please refer to the below wording on the RFP

The offeror shall include a notarized copy of the most current license/certificate/-accreditation, which demonstrates that the offeror is licensed/certified/accredited or otherwise authorized by the Government of Boliviaor its agent (e.g., insurance commission, board) to provide health insurance coverage to persons (to include organizations, companies, groups) within the host country, including the “Certificado Unico de la Autoridad de Pensiones y Seguros”. If the offeror is not licensed/certified/accredited or otherwise authorized by the government of Bolivia it must demonstrate that it is licensed/certified/accredited by a government other than Bolivia to provide health insurance for persons in Bolivia and must demonstrate its capacity to provide health benefits in Bolivia to meet the minimum requirements and other conditions set forth in this solicitation.

This section shall demonstrate that the offeror is licensed/certified/accredited through no less than the final day of the base performance period and that the offeror is eligible for renewal for the option periods. This section shall also summarize and describe any probationary, disciplinary or actions taken upon the offeror, which are in force or are about to be imposed upon the offeror by the government of Bolivia or its agents.

Failure to demonstrate that the offeror is an authorized insurance company permitted to write and administer health insurance policies in Bolivia shall be grounds for rejection of the proposal.

11. Do the above claim numbers include claims from ORE employees?

No

12. Did the Premium history for health insurance above include the VAT? If it did then what % VAT was included in the historical health premiums?

Please refer to Paragraph below on the RFP VALUE ADDED TAX. Value Added Tax (VAT) of 13% shall be included in the price and in all contract line items in Section B. VAT shall be included also on invoices submitted for payment as part of the price.

13. “Estimated payroll” is not mentioned in Group Life Insurance Price Tables. Could you please provide this information?

Estimated payroll does not play a role in this RFP since The health & Life Insurance is fully paid by the Embassy, therefore Charleston does not deduct anything from the employees’ payroll.

14. Advise if 2016 benefit schedule for health insurance is the same as the benefit schedule currently being requested under SBL40017R0001; and if not advise us on the differences. Alternatively, you can simply provide the previous solicitation document.

It is the exact same benefit schedule as 2016

15. Are there any persons who are currently hospitalized? If Yes, please provide number (we do not need the names or identification, we just need to know the total number of people hospitalized to assess the risk).

No

16. Are any major illnesses (Hemodynamics, Open Heart Surgery, Orthopedic Mayor Surgeries, Organ Transplant, Traumatic Accident, Cancer and Oncology Cases) being treated? If Yes, please provide number (we do not need the names or identification, we just need to know the total number of people hospitalized to assess the risk).

During the last year we had 4 orthopedic Mayor surgeries, 2 Cancer and Oncology cases)

17. Are there any pregnant employees/spouses. If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification, we just need to know the total number of people who are pregnant to assess the risk to price accordingly).

6 spouses

18. Are there any large losses (in excess of $10,000) within the last year to date? If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of large losses and the amounts to assess the risk and price accordingly).

We are not aware of any losses.

19. Are there any HIV/AIDs cases. If Yes, please provide number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of people who are currently being treated for HIV/AIDs to assess the risk and price accordingly).

No

20. Please advise whether any of the persons covered are required to carry firearms and if so, please indicate them appropriately in Exhibit A or in the census.

No employee is allowed to carry firearms.

21. Are any persons not actively at work? If Yes, please let us know the total number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of people who are not actively at work to assess the risk and price accordingly).

No

22. Are there any Disabled Lives? If Yes, indicate in Exhibit A or just let us know the total number (please note we are not seeking protected private information, we do not need the names or identification; we just need to know the total number of disabled people to assess the risk and price accordingly).

One

23. When is this plan likely to commence?

Please refer to the following paragraph in the RFP F.2 PERIOD OF PERFORMANCE. The performance period of this contract is one year beginning on December 1st, 2017 with four one-year options to renew.

24. Can we have the RFP in word format?

Yes, please see attached document in word.

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